![]() ![]() For example, the assessor cannot be sure that the participant is not writing down words to remember, using a calculator or checking the date when they are unable to see the participant. Wittich and Philips (2020) note that remote delivery using the telephone introduces some uncertainty to the testing process. In the first few months of the pandemic, some of the MoCA’s co-developers highlighted the challenges associated with remote delivery, with particular consideration to hearing loss. It is similar to MoCA Full but with slight adjustments to the delivery of some items, and other items requiring visual abilities removed, so is scored out of 22. The MoCA Blind/Telephone test is an adapted version for administration by voice only, for use with participants with visual impairment and for remote assessment by telephone. It is conducted face to face in-person or using videoconferencing in approximately 10 minutes and is scored out of 30 points. The MoCA Full test assesses short-term memory visuospatial abilities executive functions attention, concentration and working memory language and orientation to time and place. The Montreal Cognitive Assessment (MoCA) is an example of a cognitive screening instrument that is widely used in research as an eligibility screening tool, baseline measure and/or outcome assessment. The COVID-19 pandemic has forced many research teams to adjust the way they conduct studies, including moving to remote delivery of some or all of their recruitment and data collection processes. We discuss the potential impact of these issues on trial recruitment and participant engagement, and the feasibility of videoconferencing as an alternative method of conducting the MoCA. It was hard for the researchers to judge the emotional impact that undertaking the assessment was having on the older people on the telephone, without visual warning signs of fatigue or mood. Some participants experienced practical difficulties when combining holding a telephone and completing one of the assessment items. We found that in comparison with conducting the assessment in-person, telephone administration caused uncertainty for the researchers about whether participants were struggling to answer questions due to cognition or hearing impairment. One of the changes was for the researchers to conduct a cognitive assessment for eligibility during an initial telephone call, rather than during the subsequent home visit for consent and baseline data collection. In response to COVID-19, a number of changes were made to the trial’s screening and recruitment procedures, to minimise the amount of time the researchers would spend in the participants’ homes when recruitment began in May 2021. ![]() The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Family and professional caregivers will be heard, understood, supported and confident while fulfilling their roles.Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. ![]() During the process, we also answer any health-related inquiries that patients or their caregivers may have.ĭementia Coaching is delivered over the course of months and years – with patients having monthly or quarterly coaching sessions at our Etobicoke clinic.īy receiving our Dementia Coaching service, we expect people living with dementia to feel respected and loved. ![]() Medical treatment is delivered alongside practical and emotional support. Dementia Coaching is primarily focused on creating a plan for care while bringing together a strong team of professionals as well the patient’s personal support network.Īt Mimico Medical, we will assess the patient’s cognitive health, create practical solutions for everyday care and track the patient’s progress in adapting to their new circumstances. Dementia Coaching is a private service delivered by a certified dementia care provider with internationally recognized qualifications. ![]()
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