Although research suggests a relationship between hearing impairment and cognitive decline in older adults, nuances of this relationship remain unclear. This uncertainty could be attributed to verbal administration of standardized cognitive measures to hearing-impaired (HI) individuals. Various strategies for testing HI populations have been suggested. We tested the efficacy of applying alternative scoring methods that systematically removed auditory-based items on the Montreal Cognitive Assessment (MoCA) in 27 cochlear implant patients. We calculated the original MoCA score and three alternative scores. The first alternative removed items from the Attention and Language sections; the second alternative removed the Delayed Recall task, and the third alternative removed the Attention, Language, and Delayed Recall items. QoL was assessed using the Glasgow Benefit Inventory and Nijmegen Cochlear Implant Questionnaire. Results indicate a significant difference in MoCA scores with two alternative scoring methods. The second alternative MoCA score related to self-reported performance on the GBI.

中文翻译：

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在经验丰富的人工耳蜗使用者中评估蒙特利尔认知评估（MoCA）的效果：使用替代评分准则。

尽管研究表明老年人的听力障碍与认知能力下降之间存在联系，但这种关系的细微差别仍不清楚。这种不确定性可以归因于对听力受损（HI）个体的标准化认知措施的口头管理。已经提出了用于测试HI种群的各种策略。我们测试了在27名人工耳蜗患者中应用替代评分方法系统清除蒙特利尔认知评估（MoCA）上基于听觉的项目的功效。我们计算了原始MoCA分数和三个替代分数。第一个替代方法从“注意”和“语言”部分中删除了项目；第二个替代方法删除了“延迟调用”任务，第三个替代方法删除了“注意”，“语言”和“延迟调用”项。使用格拉斯哥福利清单和奈梅亨人工耳蜗调查问卷评估生活质量。结果表明，使用两种替代评分方法，MoCA得分存在显着差异。第二个MoCA替代评分与GBI上的自我报告表现有关。