Publications by authors named "Anna Pavlina Charalambous"

Vision impairment is common among older adults and affects dementia screening assessments, which include visually presented items. We developed and validated a version of the Montreal Cognitive Assessment (MoCA) for people with vision impairment that includes all the cognitive domains included in the standard MoCA. Visual components of the MoCA were adapted by developing alternative spoken forms.

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Article Synopsis
  • The study explores how a sensory support intervention (SSI) program impacts quality of life in individuals with mild-to-moderate dementia who also have hearing and vision difficulties.
  • Researchers conducted a randomized controlled trial across seven clinics in five European countries, evaluating the effectiveness of an 18-week program compared to standard care.
  • The primary outcome measured was changes in health-related quality of life, using the Dementia Quality of Life Instrument (DEMQoL), with a total of 252 participants randomly assigned to either the SSI group or a control group receiving usual care.
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Background: Cognitive screening tools enable the detection of cognitive impairment, facilitate timely intervention, inform clinical care, and allow long-term planning. The Montreal Cognitive Assessment for people with hearing impairment (MoCA-H) was developed as a reliable cognitive screening tool for people with hearing loss. Using the same methodology across four languages, this study examined whether cultural or linguistic factors affect the performance of the MoCA-H.

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Background: The PAL is a career-completed assessment that indexes cognitive functional ability to inform individualised support. As hearing and vision loss are prevalent, we assessed the PAL for potential bias with hearing or vision impairment.

Methods: We collected PAL responses for 333 adults aged over 60 years in the UK, France, Canada, Greece and Cyprus.

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Background: Hearing impairment is common among older adults and affects cognitive assessments for identification of dementia which rely on good hearing function. We developed and validated a version of the Montreal Cognitive Assessment (MoCA) for people with hearing impairment.

Methods: We adapted existing MoCA 8.

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Article Synopsis
  • The review analyzed 187 remote hearing assessment tools available on smartphones and online platforms to evaluate their functionality and assess if they were previously studied in peer-reviewed research.* -
  • Out of the tools reviewed, only 12% were peer-reviewed, and while some showed acceptable functionality, the quality and accuracy of validation data varied significantly among different types of tools.* -
  • The findings suggest that many tools lack reliable accuracy; those that produce tones can give rough hearing thresholds but face issues like calibration and background noise, whereas speech and self-report tools are more reliable but do not typically generate a precise audiogram.*
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Purpose: Aging-related sensory impairments are among the most common and disabling comorbidities in people with dementia (PwD). This study explored the unmet support care needs (SCNs) from the perspectives of people with hearing and/or vision impairment in dementia (PwD), and their care partners in Europe.

Methods: This was a two-phase mixed methods study.

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Article Synopsis
  • A wide range of online and app-based tools for cognitive impairment self-testing are available, but their quality is questionable.
  • A scoping review identified 3057 tools, with only 25 meeting the criteria for a deeper look, focusing mainly on memory, attention, and executive function.
  • Only a few tools had documented psychometric data, highlighting the need for more reliable, validated options to help users accurately assess their cognitive health.
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Background: Hearing and vision (sensory) impairments are highly prevalent in people with dementia (PwD) and exacerbate the impact of living with dementia. Assessment of sensory or cognitive function may be difficult if people have concurrent dual or triple impairments. Most standard cognitive assessment tests are heavily dependent on having intact hearing and vision, and impairments in these domains may render the assessments unreliable or even invalid.

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Objectives: Hearing, vision, and cognitive impairment commonly co-occur in older adults. Improving sensory function may positively impact outcomes in people with dementia (PwD). We developed a "sensory intervention" (SI) to support hearing and vision in PwD.

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Objectives: People with dementia (PwD) frequently experience hearing and vision impairment that is underrecognized and undertreated, resulting in reduced quality of life. Managing these impairments may be an important strategy to improve outcomes in PwD. Our objective was to field-trial a multifaceted sensory intervention (SI) to enhance hearing and vision in PwD.

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Introduction: Hearing and vision impairments are highly prevalent among older adults and impact commonly used cognitive assessment tools for the identification of dementia. Adaptations of such tests for people with hearing or vision impairment have not been adequately validated among populations with such sensory impairment.

Methods And Analysis: We will develop two versions of the Montreal Cognitive Assessment (MoCA) for people with acquired hearing impairment (MoCA-H) or vision impairment (MoCA-V).

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Background: there is a significant gap in the understanding, assessment and management of people with dementia and concurrent hearing and vision impairments.

Objective: from the perspective of professionals in dementia, hearing and vision care, we aimed to: (1) explore the perceptions of gaps in assessment and service provision in ageing-related hearing, vision and cognitive impairment; (2) consider potential solutions regarding this overlap and (3) ascertain the attitudes, awareness and practice, with a view to implementing change.

Methods: our two-part investigation with hearing, vision, and dementia care professionals involved: (1) an in-depth, interdisciplinary, international Expert Reference Group (ERG; n = 17) and (2) a wide-scale knowledge, attitudes and practice survey (n = 653).

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Background: Hearing and vision impairments are among the most common and disabling comorbidities in people living with dementia. Intervening to improve sensory function could be a means by which the lives of people living with dementia may be improved. However, very few studies have tried to ameliorate outcomes in dementia by improving sensory function.

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Background: Cognitive screening tests frequently rely on items being correctly heard or seen. We aimed to identify, describe, and evaluate the adaptation, validity, and availability of cognitive screening and assessment tools for dementia which have been developed or adapted for adults with acquired hearing and/or vision impairment.

Method: Electronic databases were searched using subject terms "hearing disorders" OR "vision disorders" AND "cognitive assessment," supplemented by exploring reference lists of included papers and via consultation with health professionals to identify additional literature.

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