Dingwall, Kylie M; Gray, Allison O; McCarthy, Annette R; Delima, Jennifer F; Bowden, Stephen C

Author(s)

Dingwall, Kylie M

Gray, Allison O

McCarthy, Annette R

Delima, Jennifer F

Bowden, Stephen C

Publication Date

2017-08-02

Abstract

Reliable cognitive assessment for Indigenous Australians is difficult given that mainstream tests typically rely on Western concepts, content and values. A test's psychometric properties should therefore be assessed prior to use in other cultures. The aim of this pilot study was to examine the reliability and acceptability of four cognitive tests for Australian Aboriginal people. Participants were 40 male and 44 female (N = 84) Aboriginal patients from Alice Springs Hospital. Four tests were assessed for reliability and acceptability - Rowland Universal Dementia Assessment Screen (RUDAS) (n = 19), PEBL Corsi Blocks (Corsi) (n = 19), Story Memory Recall Test (SMRT) (n = 17) and a CogState battery (n = 18). Participants performed one to three of the tests with repeated assessment to determine test-retest reliability. Qualitative interviews were conducted and analysed based on an adapted phenomenological approach to explore test acceptability. An Indigenous Reference Group gave advice and guidance. Intra-class correlations (ICC) for test retest reliability ranged from r = 0.58 (CogState One Back accuracy) to 0.86 (RUDAS). Themes emerged relating to general impressions, impacts on understanding and performance, appropriateness, task preferences and suggested improvements. RUDAS, CogState Identification task, and SMRT showed the highest reliabilities. Overall the tests were viewed as a positive challenge and an opportunity to learn about the brain despite provoking some anxiety in the patients. Caveats for test acceptability included issues related to language, impacts of convalescence and cultural relevance.

Citation

BMC psychology 2017-08-02; 5(1): 26

Pubmed ID

https://pubmed.ncbi.nlm.nih.gov/28768522/?otool=iaurydwlib

Link

https://hdl.handle.net/10137/5206

Subject

Aboriginal

Cognition

Cognitive testing

Cross-cultural

Indigenous

MESH subject

Adult

Australia

Female

Humans

Language

Male

Middle Aged

Pilot Projects

Reproducibility of Results

Cognition

Neuropsychological Tests

Title

Exploring the reliability and acceptability of cognitive tests for Indigenous Australians: a pilot study.

Type of document

Journal Article

Entity Type

Publication

Author(s)	Dingwall, Kylie M Gray, Allison O McCarthy, Annette R Delima, Jennifer F Bowden, Stephen C
Publication Date	2017-08-02
Abstract	Reliable cognitive assessment for Indigenous Australians is difficult given that mainstream tests typically rely on Western concepts, content and values. A test's psychometric properties should therefore be assessed prior to use in other cultures. The aim of this pilot study was to examine the reliability and acceptability of four cognitive tests for Australian Aboriginal people. Participants were 40 male and 44 female (N = 84) Aboriginal patients from Alice Springs Hospital. Four tests were assessed for reliability and acceptability - Rowland Universal Dementia Assessment Screen (RUDAS) (n = 19), PEBL Corsi Blocks (Corsi) (n = 19), Story Memory Recall Test (SMRT) (n = 17) and a CogState battery (n = 18). Participants performed one to three of the tests with repeated assessment to determine test-retest reliability. Qualitative interviews were conducted and analysed based on an adapted phenomenological approach to explore test acceptability. An Indigenous Reference Group gave advice and guidance. Intra-class correlations (ICC) for test retest reliability ranged from r = 0.58 (CogState One Back accuracy) to 0.86 (RUDAS). Themes emerged relating to general impressions, impacts on understanding and performance, appropriateness, task preferences and suggested improvements. RUDAS, CogState Identification task, and SMRT showed the highest reliabilities. Overall the tests were viewed as a positive challenge and an opportunity to learn about the brain despite provoking some anxiety in the patients. Caveats for test acceptability included issues related to language, impacts of convalescence and cultural relevance.
Citation	BMC psychology 2017-08-02; 5(1): 26
Pubmed ID	https://pubmed.ncbi.nlm.nih.gov/28768522/?otool=iaurydwlib
Link	https://hdl.handle.net/10137/5206
Subject	Aboriginal Cognition Cognitive testing Cross-cultural Indigenous
MESH subject	Adult Australia Female Humans Language Male Middle Aged Pilot Projects Reproducibility of Results Cognition Neuropsychological Tests
Title	Exploring the reliability and acceptability of cognitive tests for Indigenous Australians: a pilot study.
Type of document	Journal Article
Entity Type	Publication

Exploring the reliability and acceptability of cognitive tests for Indigenous Australians: a pilot study.

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