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A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations

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Franzen, S, van den Berg, E, Goudsmit, M, Jurgens, CK, van de Wiel, L, Kalkisim, Y, Uysal-Bozkir, Ö, Ayhan, Y, Nielsen, TR & Papma, JM 2020, 'A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations' Journal of the International Neuropsychological Society, vol. 26, no. 3, pp. 331-351. https://doi.org/10.1017/S1355617719000894

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Franzen, Sanne ; van den Berg, Esther ; Goudsmit, Miriam ; Jurgens, Caroline K ; van de Wiel, Lotte ; Kalkisim, Yuled ; Uysal-Bozkir, Özgül ; Ayhan, Yavuz ; Nielsen, T Rune ; Papma, Janne M. / A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations. In: Journal of the International Neuropsychological Society. 2020 ; Vol. 26, No. 3. pp. 331-351.

Bibtex

@article{dd92830e333a443cb6e55cd9f5f58339,
title = "A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations",
abstract = "OBJECTIVE: Neuropsychological tests are important instruments to determine a cognitive profile, giving insight into the etiology of dementia; however, these tests cannot readily be used in culturally diverse, low-educated populations, due to their dependence upon (Western) culture, education, and literacy. In this review we aim to give an overview of studies investigating domain-specific cognitive tests used to assess dementia in non-Western, low-educated populations. The second aim was to examine the quality of these studies and of the adaptations for culturally, linguistically, and educationally diverse populations.METHOD: A systematic review was performed using six databases, without restrictions on the year or language of publication.RESULTS: Forty-four studies were included, stemming mainly from Brazil, Hong Kong, Korea, and considering Hispanics/Latinos residing in the USA. Most studies focused on Alzheimer's disease (n = 17) or unspecified dementia (n = 16). Memory (n = 18) was studied most often, using 14 different tests. The traditional Western tests in the domains of attention (n = 8) and construction (n = 15), were unsuitable for low-educated patients. There was little variety in instruments measuring executive functioning (two tests, n = 13), and language (n = 12, of which 10 were naming tests). Many studies did not report a thorough adaptation procedure (n = 39) or blinding procedures (n = 29).CONCLUSIONS: Various formats of memory tests seem suitable for low-educated, non-Western populations. Promising tasks in other cognitive domains are the Stick Design Test, Five Digit Test, and verbal fluency test. Further research is needed regarding cross-cultural instruments measuring executive functioning and language in low-educated people.",
keywords = "Alzheimer dementia, Cognition, Cross-cultural comparison, Education, Literacy, Mild cognitive impairment, Neurodegenerative diseases",
author = "Sanne Franzen and {van den Berg}, Esther and Miriam Goudsmit and Jurgens, {Caroline K} and {van de Wiel}, Lotte and Yuled Kalkisim and {\"O}zg{\"u}l Uysal-Bozkir and Yavuz Ayhan and Nielsen, {T Rune} and Papma, {Janne M}",
year = "2020",
month = "3",
doi = "10.1017/S1355617719000894",
language = "English",
volume = "26",
pages = "331--351",
journal = "Journal of the International Neuropsychological Society",
issn = "1355-6177",
publisher = "Cambridge University Press",
number = "3",

}

RIS

TY - JOUR

T1 - A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations

AU - Franzen, Sanne

AU - van den Berg, Esther

AU - Goudsmit, Miriam

AU - Jurgens, Caroline K

AU - van de Wiel, Lotte

AU - Kalkisim, Yuled

AU - Uysal-Bozkir, Özgül

AU - Ayhan, Yavuz

AU - Nielsen, T Rune

AU - Papma, Janne M

PY - 2020/3

Y1 - 2020/3

N2 - OBJECTIVE: Neuropsychological tests are important instruments to determine a cognitive profile, giving insight into the etiology of dementia; however, these tests cannot readily be used in culturally diverse, low-educated populations, due to their dependence upon (Western) culture, education, and literacy. In this review we aim to give an overview of studies investigating domain-specific cognitive tests used to assess dementia in non-Western, low-educated populations. The second aim was to examine the quality of these studies and of the adaptations for culturally, linguistically, and educationally diverse populations.METHOD: A systematic review was performed using six databases, without restrictions on the year or language of publication.RESULTS: Forty-four studies were included, stemming mainly from Brazil, Hong Kong, Korea, and considering Hispanics/Latinos residing in the USA. Most studies focused on Alzheimer's disease (n = 17) or unspecified dementia (n = 16). Memory (n = 18) was studied most often, using 14 different tests. The traditional Western tests in the domains of attention (n = 8) and construction (n = 15), were unsuitable for low-educated patients. There was little variety in instruments measuring executive functioning (two tests, n = 13), and language (n = 12, of which 10 were naming tests). Many studies did not report a thorough adaptation procedure (n = 39) or blinding procedures (n = 29).CONCLUSIONS: Various formats of memory tests seem suitable for low-educated, non-Western populations. Promising tasks in other cognitive domains are the Stick Design Test, Five Digit Test, and verbal fluency test. Further research is needed regarding cross-cultural instruments measuring executive functioning and language in low-educated people.

AB - OBJECTIVE: Neuropsychological tests are important instruments to determine a cognitive profile, giving insight into the etiology of dementia; however, these tests cannot readily be used in culturally diverse, low-educated populations, due to their dependence upon (Western) culture, education, and literacy. In this review we aim to give an overview of studies investigating domain-specific cognitive tests used to assess dementia in non-Western, low-educated populations. The second aim was to examine the quality of these studies and of the adaptations for culturally, linguistically, and educationally diverse populations.METHOD: A systematic review was performed using six databases, without restrictions on the year or language of publication.RESULTS: Forty-four studies were included, stemming mainly from Brazil, Hong Kong, Korea, and considering Hispanics/Latinos residing in the USA. Most studies focused on Alzheimer's disease (n = 17) or unspecified dementia (n = 16). Memory (n = 18) was studied most often, using 14 different tests. The traditional Western tests in the domains of attention (n = 8) and construction (n = 15), were unsuitable for low-educated patients. There was little variety in instruments measuring executive functioning (two tests, n = 13), and language (n = 12, of which 10 were naming tests). Many studies did not report a thorough adaptation procedure (n = 39) or blinding procedures (n = 29).CONCLUSIONS: Various formats of memory tests seem suitable for low-educated, non-Western populations. Promising tasks in other cognitive domains are the Stick Design Test, Five Digit Test, and verbal fluency test. Further research is needed regarding cross-cultural instruments measuring executive functioning and language in low-educated people.

KW - Alzheimer dementia

KW - Cognition

KW - Cross-cultural comparison

KW - Education

KW - Literacy

KW - Mild cognitive impairment

KW - Neurodegenerative diseases

UR - http://www.scopus.com/inward/record.url?scp=85072182926&partnerID=8YFLogxK

U2 - 10.1017/S1355617719000894

DO - 10.1017/S1355617719000894

M3 - Review

VL - 26

SP - 331

EP - 351

JO - Journal of the International Neuropsychological Society

JF - Journal of the International Neuropsychological Society

SN - 1355-6177

IS - 3

ER -

ID: 58056097