Cross-Cultural Cognitive Examination in Aging Migrants

Nielsen, T. Rune; Waldemar, Gunhild

doi:10.1007/978-3-030-81058-0_22

Cited by 3 publications

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“… 35 Several studies indicate that the effect of schooling and education on cognitive test performance is not linear but rather represents a negatively accelerated curve tending to a plateau. 36 - 38 For instance, a Danish study found MMSE and clock drawing test performances in middle-aged and older Turkish migrants in to increase rapidly between groups with no formal schooling and (some) primary schooling, less rapidly between groups with primary schooling and secondary schooling, and little further beyond secondary schooling. 37 Also, as the length, quality, and content of the school day and year may vary considerably from country to country and even from school to school in some countries, 39 it may be inappropriate or even misleading to apply European norms to immigrants who have their education from a school system that differs greatly from the Western ones.…”

Section: Challenges In Cross-cultural Cognitive Assessmentmentioning

confidence: 99%

Cognitive Assessment in Culturally, Linguistically, and Educationally Diverse Older Populations in Europe

Nielsen

2022

Am J Alzheimers Dis Other Demen

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Due to increasing cultural, linguistic, and educational diversity in older populations across Europe, accurate assessment of cognitive functioning in people from diverse backgrounds becomes increasingly important. This paper aims to provide a state-of-the-art review of cognitive assessment in culturally, linguistically, and educationally diverse older populations in Europe, focusing on challenges and recent advances in cross-cultural assessment. Significant work has been carried out on the identification of challenges in cognitive assessment in culturally, linguistically, and educationally diverse older populations and on development and validation of cross-cultural cognitive tests. Most research has addressed the influences of language barriers, education and literacy, and culture and acculturation and in particular, the European Cross-Cultural Neuropsychological Test Battery (CNTB) and the Rowland Universal Dementia Assessment Scale (RUDAS) are well-validated across European countries. However, cross-cultural cognitive assessment is largely still a developing field in Europe, and there is a continuing need for developments within the field.

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Section: Challenges In Cross-cultural Cognitive Assessmentmentioning

confidence: 99%

Cognitive Assessment in Culturally, Linguistically, and Educationally Diverse Older Populations in Europe

Nielsen

2022

Am J Alzheimers Dis Other Demen

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“…Accordingly, performance on most neuropsychological tests is heavily influenced by years (and quality) of education (Shuttleworth-Edwards, 2016). However, older low educated immigrant groups are underrepresented in a majority of normative studies, making it extremely difficult to interpret what constitutes a normal performance on several neuropsychological measures (Kosmidis, 2017; Nielsen & Waldemar, 2021). Given the noted limitations with using English language tests and normative data, we adapted test content and developed normative data for a broad range of neuropsychological measures, including general intelligence (i.e., Wechsler Adult Intelligence Scale-Fourth Edition [WAIS-IV] Greek Adaptation; Wechsler, 2014), verbal and visual memory tests, language and naming, and executive functioning measures for use with Greek Australian older adults (Staios et al, 2023a, b).…”

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Do normative data specific to Greek Australian older adults improve validity of neuropsychological assessment results?

Staios,

Kosmidis,

Tsiaras

et al. 2023

J Int Neuropsychol Soc

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Objective:This study aimed to compare Greek Australian and English language normative data with regard to impairment rates yielded within a healthy Greek Australian older adult sample. We also examined whether optimal cut scores could be identified and capable of sensitively and specifically distinguishing between healthy Greek Australians from those with a diagnosis of Alzheimer’s disease (AD).Method:Ninety healthy Greek Australian older adults and 20 demographically matched individuals with a diagnosis of AD completed a range of neuropsychological measures, including the Wechsler Adult Intelligence Scale-Fourth Edition, Greek Adaptation (WAIS-IV GR), verbal and visual memory, language and naming, and executive functions. Impairment rates derived from the use of either Greek Australian or English language normative data were calculated and compared, using a 1.5 standard deviation criterion to denote impairment. Receiver operating characteristics curve analysis was used to investigate the sensitivity and specificity of alternate cut scores.Results:Impairment rates derived from the Greek Australian normative data showed that rates of impairment generally fell within the expected 7% range. In contrast, impairment rates for all tests derived using English language normative data were significantly higher and ranged from 11%–66%. Comparisons between healthy and AD participants with moderate dementia showed significant differences across all measures. Area under the curve results ranged from .721 to .999 across all measures, with most tests displaying excellent sensitivity and specificity.Conclusions:English language normative data were found to be inappropriate for use with Greek Australian elders, potentially leading to erroneous diagnostic outcomes. The use of minority group specific normative data and associated cut points appear to partially ameliorate this issue. Clinical implications are discussed alongside future research directions.

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Neuropsychological assessment of older Australian immigrant populations: considerations for clinical practice

Staios

2023

Australian Psychologist

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Cross-Cultural Cognitive Examination in Aging Migrants

Cited by 3 publications

References 45 publications

Cognitive Assessment in Culturally, Linguistically, and Educationally Diverse Older Populations in Europe

Cognitive Assessment in Culturally, Linguistically, and Educationally Diverse Older Populations in Europe

Do normative data specific to Greek Australian older adults improve validity of neuropsychological assessment results?

Neuropsychological assessment of older Australian immigrant populations: considerations for clinical practice

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