Detection of vision and /or hearing loss using the interRAI Community Health Assessment aligns well with common behavioral vision/hearing measurements


Autoři: Andrea Urqueta Alfaro aff001;  Dawn M. Guthrie aff003;  Natalie A. Phillips aff005;  M. Kathleen Pichora-Fuller aff006;  Paul Mick aff007;  Cathy McGraw aff008;  Walter Wittich aff001
Působiště autorů: School of Optometry, University of Montréal, Montréal, Quebec, Canada aff001;  Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montréal, Quebec, Canada aff002;  Department of Kinesiology & Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada aff003;  Department of Health Sciences, Wilfrid Laurier University, Waterloo, Ontario, Canada aff004;  Department of Psychology, Concordia University, Montréal, Quebec, Canada aff005;  Department of Psychology, University of Toronto, Mississauga, Ontario, Canada aff006;  Department of Surgery, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada aff007;  CRIR/Lethbridge-Layton-Mackay Rehabilitation Centre of West-Central Montreal,Montréal, Quebec, Canada aff008;  CRIR/Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Montréal, Quebec, Canada aff009
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223123

Souhrn

This study’s main objective was to assess the sensitivity and specificity of the interRAI Community Health Assessment (CHA) for detecting the presence of vision loss (VL), hearing loss (HL) or both (Dual Sensory Loss, DSL) when compared against performance-based measures of vision and hearing. The interRAI CHA and the Montreal Cognitive Assessment (MoCA) were administered to 200 adults (61+ years of age) who had VL, HL or DSL. We calculated the sensitivity and specificity of the interRAI CHA for detecting sensory impairments using as the gold standard performance based measurements of hearing (pure-tone audiogram) and vision (distance acuity) as determined from the rehabilitation centre record. Results were divided according to participants’ cognitive status, as measured by the MoCA and the Cognitive Performance Scale (CPS, embedded within the interRAI CHA). Overall, sensitivity was 100% for VL, 97.1% for HL, and 96.9% for DSL. Specificity was at least 93% in all three groups. In participants who failed the MoCA (i.e., at risk of mild cognitive impairment), the sensitivity was 100% for VL, 96.8% for HL and 96.2% for DSL; in those who were not at risk, the sensitivity was 100% for VL, and 97.4% for HL and DSL. In participants classified by the CPS as borderline intact or mild cognitively impaired, sensitivity was 100% in all groups; in those classified as cognitively intact, sensitivity was 100% for VL, 97.0% for HL, and 96.8% for DSL. These results suggest that the interRAI CHA detects VL, HL, and DSL in high agreement with performance-based measurements of vision and hearing. The interRAI CHA shows high accuracy even in participants with mild cognitive difficulties. Since results were found in a specific population of older rehabilitation clients who all had sensory difficulties, further research is needed to understand its role in screening in other more diverse groups.

Klíčová slova:

Cognitive impairment – Deafness – Elderly – Eyes – Vision – Visual acuity – Visual impairments – Hearing


Zdroje

1. Viljanen A, Törmäkangas T, Vestergaard S, Andersen-Ranberg K. Dual sensory loss and social participation in older Europeans. Eur J Ageing. 2014;11: 155–167. doi: 10.1007/s10433-013-0291-7 28804323

2. Lagati S. “Deaf-blind” or “Deafblind”? International perspectives on terminology. J Vis Impair Blind. 1995;89: 306.

3. Wittich W, Southall K, Sikora L, Watanabe DH, Gagné JP. What’s in a name: Dual sensory impairment or deafblindness? Br J Vis Impair. 2013;31: 198–207. doi: 10.1177/0264619613490519

4. Munroe S. Developing a National Volunteer Registry of persons with Deafblindness in Canada: Results from the study 1999–2001. 2001;2011: 1–75. Available: http://www.cdbc-csac.ca/#projects

5. Guthrie DM, Davidson JGS, Williams N, Campos J, Hunter K, Mick P, et al. Combined impairments in vision, hearing and cognition are associated with greater levels of functional and communication difficulties than cognitive impairment alone: Analysis of interRAI data for home care and long-term care recipients in Ontario. Bowen M, editor. PLoS One. 2018;13: e0192971. doi: 10.1371/journal.pone.0192971 29447253

6. World Federation of the Deafblind. At risk of exclusion from CRPD and SDGs implementation: Inequality and persons with deafblindness. 2018;

7. Guthrie DM, Declercq A, Finne-Soveri H, Fries BE, Hirdes J, Puts M, et al. The Health and Well-Being of Older Adults with Dual Sensory Impairment (DSI) in Four Countries. Chen K, editor. PLoS One. Public Library of Science; 2016;11: e0155073. doi: 10.1371/journal.pone.0155073 27148963

8. Wittich W, Simcock P. Aging and combined vision and hearing loss. In: Ravenscroft J, editor. The Routledge Handbook of Visual Impairment: Social and Cultural Research. London, UK: Routledge; 2019.

9. Mick P, Foley DM, Lin FR. Hearing Loss is Associated with Poorer Ratings of Patient-Physician Communication and Healthcare Quality. J Am Geriatr Soc. 2017;62: 2207–2209. doi: 10.1111/jgs.13113.Hearing

10. Wittich W, Simcock P. Agreement on the use of sensory screening techniques by nurses for older adults with cognitive impairment in long-term care: A mixed-methods consensus approach. BMJ Open. e027803. doi: 10.1136/bmjopen-2018-027803 31501102

11. Morris J, Berg K, Bjorkgren M, Declercq A, Finne-Soveri H, Fries B, et al. interRAI community health (CHA) assessment form and user’s manual. Version 9.1 (Canadian Edition edition). Washington, D.C.; 2010.

12. Christensen K, Doblhammer G, Rau R, Vaupel JW. Ageing populations: the challenges ahead. Lancet. Elsevier Ltd; 2009;374: 1196–1208. doi: 10.1016/S0140-6736(09)61460-4 19801098

13. Heine C, Browning C. Dual Sensory Loss in Older Adults: A Systematic Review. Gerontologist. 2015;55: 913–28. doi: 10.1093/geront/gnv074 26315316

14. Hirdes J, Dalby D, Curtin-Telegdi N, Poss J, Stolee P, Strong G, et al. interRAI Deafblind Supplement to CHA: Guide for Use of the interRAI Deafblind Supplement Assessment Form (Canadian Version 9). Washington, D.C.: interRAI; 2007.

15. Dalby DM, Hirdes J, Stolee P, Strong JG, Poss J, Tjam EY, et al. Development and psychometric properties of a standardized assessment for adults who are deaf-blind. J Vis Impair Blind. 2009;103: 7–16.

16. Hogeveen SE, Chen J, Hirdes JP. Evaluation of data quality of interRAI assessments in home and community care. BMC Medical Informatics and Decision Making; 2017; 1–15. doi: 10.1186/s12911-016-0389-x

17. Guthrie DM, Pitman R, Stolee P, Strong G, Poss J, Tjam EY, et al. Reliability of standardized assessment for adults who are deafblind. J Rehabil Res Dev. 2011;48: 545. doi: 10.1682/JRRD.2010.09.0175 21674404

18. Hirdes JP, Ljunggren G, Morris JN, Frijters DH, Finne Soveri H, Gray L, et al. Reliability of the interRAI suite of assessment instruments: A 12-country study of an integrated health information system. BMC Health Serv Res. 2008;8. doi: 10.1186/1472-6963-8-277

19. Hawes C, Fries BE, James ML, Guihan M. Prospects and Pitfalls: Use of the RAI-HC Assessment by the Department of Veterans Affairs for Home Care Clients. 2007;47: 378–387. doi: 10.1093/geront/47.3.378 17565102

20. Kim H, Jung Y, Sung M, Lee J, Yoon J, Yoon J. Reliability of the interRAI Long Term Care Facilities (LTCF) and interRAI Home Care (HC). 2015; 220–228. doi: 10.1111/ggi.12330 25163513

21. Murman DL. The impact of age in cognition. Semin Hear. 2015;36: 111–21. doi: 10.1055/s-0035-1555115 27516712

22. Albert M, DeKosky ST, Dickson D, Dubois B, Feldman HH, Fox NC, et al. The diagnosis of mild cognitive impairment due to Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimer’s Dement. Elsevier Ltd; 2011;7: 270–279. doi: 10.1016/j.jalz.2011.03.005

23. Petersen RC. Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004;256: 183–194. doi: 10.1111/j.1365-2796.2004.01388.x 15324362

24. Gauthier S, Reisberg B, Zaudig M, Petersen RC, Ritchie K, Broich K, et al. Seminar Mild cognitive impairment. Lancet. 2006;367: 1262–1270. doi: 10.1016/S0140-6736(06)68542-5 16631882

25. Mathers CD, Loncar D. Projections of Global Mortality and Burden of Disease from 2002 to 2030. PloS Med. 2015;3. doi: 10.1371/journal.pmed.0030442

26. Schneider JM, McMahon CM, Gopinath B, Kifley A, Barton R, Mitchell P, et al. Dual sensory impairment and hearing aid use among clients attending low-vision services in Australia: The vision-hearing project. J Aging Health. 2014;26: 231–249. doi: 10.1177/0898264313513610 24344196

27. Schneider J, Dunsmore M, McMahon CM, Gopinath B, Kifley A, Mitchell P, et al. Improving access to hearing services for people with low vision: Piloting a “hearing screening and education model” of intervention. Ear Hear. 2014;35. doi: 10.1097/AUD.0000000000000038

28. Williams JR. The Declaration of Helsinki and public health. Bull World Health Organ. 2008;86: 650–651. doi: 10.2471/BLT.08.050955 18797627

29. Statement STROBE. STROBE checklist for cohort, case-control and cross-sectional studies (combined). 2007; 12–13. doi: 10.1016/S0140-6736(07)61602-X

30. Regie de l’assurance maladie du Québec/RAMQ. No Title. In: Hearing aids [Internet]. 2006. Available: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/hearing-aids/Pages/hearing-aids.aspx

31. Regie de l’assurance maladie du Québec/RAMQ. No Title. In: Visual aids [Internet]. 2006. Available: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/visual-aids/Pages/visual-aids.aspx

32. Morris JN, Fries BE, Mehr DR, Hawes C, Phillips C, Mor V, et al. MDS Cognitive Performance Scale. J Gerontol. 1994;49: M174–M182. doi: 10.1093/geronj/49.4.m174 8014392

33. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: A Brief Screening. 2005; 695–699.

34. Wittich W, Phillips N, Nasreddine Z, Chertkow H. Sensitivity and specificity of the Montreal Cognitive Assessment modified for individuals who are visually impaired. J Vis Impair Blind. 2010; 360–369. Available: https://www-psychology.concordia.ca/fac/phillips/files/WittichetalJVIB2010.pdf

35. Lin VYW, Chung J, Callahan BL, Smith L, Gritters N, Chen JM, et al. Development of Cognitive Screening Test for the Severely Hearing Impaired: Hearing-Impaired MoCA. Laryngoscope. 2017;127: 4–11. doi: 10.1002/lary.26350

36. Colenbrander—2003—Aspects of vision loss—Visual functions and functional vision[10799].

37. Hamalainen A, Pichora-Fuller MK, Wittich W, Phillips N, Mick P (under revision). Associations between behavioural and self-reported hearing and vision measures in older adults participating in the Canadian Longitudinal Study of Aging. Ear Hear. 2019;

38. Humes LE, Pichora-Fuller MK, Hickson L. Functional consequences of impaired hearing in older adults and implications for intervention. In: Helfer K, Bartlett E, Popper A, Fay RR, editors. The aging auditory system. 2nd editio. Springer: Berlin;


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