Neuropsychological assessment in the multicultural memory clinic: Development and feasibility of the TULIPA battery

Franzen, Sanne; Berg, Esther van den; Bossenbroek, Willemijn; Kranenburg, Judi; Scheffers, E.A.; Hout, Moniek van; Wiel, Lotte van de; Goudsmit, Miriam; Bruchem-Visser, Rozemarijn L van; Hemmen, Judy van; Jiskoot, Lize C.; Papma, Janne M.

doi:10.1080/13854046.2022.2043447

Cited by 14 publications

(6 citation statements)

References 53 publications

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“…For example, the European Consortium on Cross-Cultural Neuropsychology (ECCroN) was founded in 2019 with the purpose of enhancing dementia evaluation of culturally, educationally, and linguistically diverse communities across Europe. 29 The Cross-Cultural Dementia Screening (CCD) 30 and Towards a Universal Language: Intervention and Psychodiagnostic Assessment (TULIPA) 5 were developed and validated for assessments in elderly immigrants. In particular, the European Cross-Cultural Neuropsychological Test Battery (CNTB) 31,32 and the Rowland Universal Dementia Assessment Scale (RUDAS) 32,33 have been validated in individuals from several minority communities, with diverse educational backgrounds, in research from numerous European countries.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Dementia in Minority Ethnic Groups in Scotland

Tsai,

Ma,

Nielsen

et al. 2024

Alzheimer Disease &Amp; Associated Disorders

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Objective: Minority ethnic groups (MEGs) in Europe receive suboptimal dementia evaluation, yet related research in Scotland is lacking. This research examined the evaluation of dementia in MEGs in Scotland and compared it with previous research to highlight the changes in the clinical evaluation of dementia over the decade. Design and Setting: A self-administered survey was created online and emailed to 14 Heads of the boards under the Scottish National Health Service and dementia-associated settings and organizations. Results: Most surveyed centers (85.6%) received MEG referrals. Although 92.9% of the centers used professional translators when needed, 85.7% thought assessing dementia in MEGs was difficult, mostly due to the suitability of test instruments and rating scales and patients’ linguistic abilities. Very few found their skills to be good in evaluating MEGs. There was no mention of specialized dementia services for MEGs. Conclusions: The lack of culturally appropriate instruments and specialized dementia services reveals that the services are not ready to meet the demand for evaluating patients from diverse cultural and language backgrounds. Inadequate clinical evaluation may lead to misdiagnoses. Therefore, although significant work has been carried out in the past few years, improvements must be continued to enhance the current practices and apply suitable evaluation methods for MEGs.

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Section: Discussionmentioning

confidence: 99%

“…Despite the emergence of screening tests developed specifically for EM populations over the past decade, cross-cultural assessments of dementia continue to be difficult 5 . Some cognitive domains, such as language and vasoconstriction, are more difficult to evaluate in EM patients, and cross-cultural tests for cognitive domains are still lacking 6,7 .…”

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confidence: 99%

Assessment of Dementia in Minority Ethnic Groups in Scotland

Tsai,

Ma,

Nielsen

et al. 2024

Alzheimer Disease &Amp; Associated Disorders

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“…27 Illiteracy, a limited number of years of education, as well as a low quality of education significantly impact cognitive tests scores across several cognitive domains. [27][28][29][30][31][32][33][34] Patients who are illiterate may also experience more discomfort in testing situations due to unfamiliarity with the setting, the content of the tests, or differences in what is considered a good response. 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.…”

Section: Education and Literacymentioning

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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“…In Alzheimer’s disease (AD), as the most common cause of dementia ( Mayeux and Stern, 2012 ), some cross-cultural tools have been recently described ( Goudsmit et al, 2017 ; Nielsen et al, 2019 ; Franzen et al, 2022a , b ) as an alternative to classic cognitive screening tests that show differential item functioning ( Jones and Gallo, 2002 ). The most common symptoms of AD at early stages are cognitive impairment, where episodic memory deficits play the most significant role, and changes in functioning and behavior ( Dubois et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

“…This sample included patients from the Netherlands, Turkey, Morocco, and Suriname. The test was also well-tolerated as part of the TULIPA battery ( Franzen et al, 2022a , b ). Furthermore, CCD has been regarded as a promising cognitive test for the study of the prevalence of mild cognitive impairment and dementia in Non-Western immigrants, according to a study in a multi-cultural sample of 2,254 participants conducted in the Netherlands ( Parlevliet et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Validation of the cross-cultural dementia screening test in Alzheimer’s disease and Parkinson’s disease

et al. 2023

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ObjectiveThe Cross-Cultural Dementia (CCD) is a new screening tool to evaluate cognitive impairment based on a cross-cultural perspective to reduce the bias of education, and language and cultural differences. We aimed to evaluate the diagnostic properties of the CCD in Spaniards for the assessment of patients with Alzheimer’s disease in mild cognitive impairment (AD-MCI) and mild dementia stages (AD-D) and patients with mild cognitive impairment associated with Parkinson’s disease (PD-MCI).MethodsSixty participants with AD (50% MCI) and thirty with PD-MCI were enrolled. Each clinical group was compared against a healthy control group (HC) with the same number of participants and no significant differences in age, education, and sex. A comprehensive neuropsychological test battery and CCD were completed. Intergroup comparisons, ROC curves, and cut-off scores were calculated for the study of diagnostic properties.ResultsIntergroup differences were found in accordance with the cognitive profile of each clinical condition. Memory measures (Objects test) were especially relevant for the classification between AD and HC. Memory and executive function scores (Sun-Moon and Dots tests) were useful in the case of PD-MCI and HC. Furthermore, CCD described differences in executive functions and speed scores comparing AD-MCI and PD-MCI. Correlations between standardized neuropsychological tests and CCD measures supported the convergent validity of the test.ConclusionCCD showed good discrimination properties and cut-off scores for dementia and extended its application to a sample of prodromal stages of AD and PD with mild cognitive impairment.

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Neuropsychological assessment in the multicultural memory clinic: Development and feasibility of the TULIPA battery

Cited by 14 publications

References 53 publications

Assessment of Dementia in Minority Ethnic Groups in Scotland

Assessment of Dementia in Minority Ethnic Groups in Scotland

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

Validation of the cross-cultural dementia screening test in Alzheimer’s disease and Parkinson’s disease

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