Exploring the reliability and acceptability of cognitive tests for Indigenous Australians: a pilot study.
Exploring the reliability and acceptability of cognitive tests for Indigenous Australians: a pilot study.
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DOI：
10.1186/s40359-017-0195-y
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发表时间：
2017-08-02
期刊：
影响因子：
3.6
通讯作者：
Bowden, Stephen C
中科院分区：
文献类型：
--
作者：
Dingwall, Kylie M;Gray, Allison O;Bowden, Stephen C
背景：考虑到主流测试通常依赖于西方的概念、内容和价值观，对澳大利亚原住民进行可靠的认知评估是困难的。因此，在用于其他文化之前，应该对测试的心理测量特性进行评估。这项初步研究的目的是检验四种认知测试对澳大利亚原住民的信度和可接受性。方法：研究对象为来自爱丽丝斯普林斯医院的40名男性和44名女性(N=84)原住民患者。对四种测试的可靠性和可接受性进行了评估-罗兰通用痴呆评估屏幕(RUDAS)(n=19)、PEBL Corsi块(CORSI)(n=19)、故事记忆回忆测试(SMRT)(n=17)和CogState电池(n=18)。参与者进行了一到三次重复评估的测试，以确定重测的可靠性。定性访谈是在采用现象学方法的基础上进行和分析的，以探索测试的可接受性。结果：重测信度的类内相关系数(ICC)范围为r=0.58(CogState One Back准确性)至0.86(RUDAS)。主题涉及一般印象、对理解和表现的影响、适当性、任务偏好和建议的改进。结论：Rudas、认知状态识别任务和SMRT显示出最高的信度。总体而言，这些测试被视为一个积极的挑战和了解大脑的机会，尽管在患者中引发了一些焦虑。对测试可接受性的警告包括与语言、康复的影响和文化相关性有关的问题。
BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSIONS: 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.