The Measurement of Acculturation in Neuropsychological Evaluations of Hispanic/Latino Individuals across the Lifespan: A Scoping Review of the Literature.
The Measurement of Acculturation in Neuropsychological Evaluations of Hispanic/Latino Individuals across the Lifespan: A Scoping Review of the Literature.
复制标题
西班牙裔/拉丁裔个体一生中神经心理学评估中的文化适应测量：文献范围界定审查。
DOI：
10.1093/arclin/acac114
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Strutt,AdrianaM
中科院分区：
文献类型：
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作者：
Medina,LuisD;Henry,Samantha;Torres,Stephanie;MacDonald,Beatriz;Strutt,AdrianaM
目的：文化适应与西班牙裔/拉丁裔（H/Ls）的健康状况有关。然而，有模棱两可的证据表明文化适应和神经心理结果之间存在关系。各种因素限制了对证据进行系统/元分析评价的能力。我们试图在H/ l和神经心理学的背景下研究文献的现状，并描述在整个生命周期中测量文化适应的各种局限性。方法采用范围审查方法，我们确定了独特的独立（如问卷调查）文化适应措施。我们专注于心理测量（例如，内部一致性）和其他特征（例如，语言，结构/格式）以及验证样本的描述（例如，文化背景/原产国）。结果共鉴定出40种独特的适应措施。测量跨越了不同的领域（例如，语言能力，食物偏好，音乐选择），并且严重依赖于语言行为特征。内部一致性从不可接受到临床可接受的范围不等。报告了开发和验证的各种方法。验证样本从22到2048人不等（中位数= 380），其中大多数代表一般成年人。只有8项措施被证实可用于儿科人群；没有一种是专门为老年人开发的。结论已发表的测量方法已经过时，表明心理测量和方法上存在高度可变的弱点，并且缺乏生命周期视角。揭示了被认为是异文化过程基本要素的项目类型中的几个主题，并通过“ABC”框架总结了研究结果，将项目分类为先行词、行为和随后的异文化变化，这有助于临床和研究设置。
ObjectiveAcculturation has been linked to health outcomes in Hispanics/Latinos (H/Ls). However, there is equivocal evidence of a relationship between acculturation and neuropsychological outcomes. Various factors limit the ability to subject the evidence to systematic/meta-analytic review. We sought to examine the current state of the literature in the context of H/Ls and neuropsychology and describe the various limitations of measuring acculturation across the lifespan.MethodApplying a scoping review approach, we identified unique stand-alone (e.g., questionnaires) measures of acculturation. We focused on psychometric (e.g., internal consistency) and other characteristics (e.g., language, structure/format) and description of the validation samples (e.g., cultural background/country of origin).ResultsA total of 40 unique acculturation measures were identified. Measures spanned various domains (e.g., language proficiency, food preference, music choice), and relied heavily on linguistic behavioral characteristics. Internal consistency varied from unacceptable to clinically acceptable ranges. Variable approaches to development and validation were reported. Validation samples varied from 22 to 2,048 respondents (median = 380), most of which represented a general adult population. Only eight measures were validated for use in pediatric populations; none were developed specifically for use with older adults.ConclusionsPublished measures are outdated, evidence highly variable psychometric and methodological weaknesses, and lack a lifespan perspective. Several themes in thetypesof items considered elemental to the acculturative process are revealed and findings are summarized via an “ABC” framework, categorizing items as antecedents, behaviors, and consequent acculturative changes, that lends itself to clinical and research settings.