Culture Bias in Testing Expressive Ability In Dementia

测试痴呆症表达能力的文化偏见

• 批准号: 6361305
• 负责人: Ruth M Tappen
• 金额: $ 27.2万
• 依托单位: FLORIDA ATLANTIC UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-06-01 至 2004-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6361305
• 关键词: behavioral /social science research tag; cognition; culture; dementia; depression; diagnosis quality /standard; emotions; human middle age (35-64); human old age (65+); human subject; medical outreach /case finding; memory disorders; mental disorder diagnosis; patient oriented research; racial /ethnic difference; verbal behavior

DESCRIPTION (provided by applicant): The dramatically increasing numbers of African American and Hispanic American older adults raises concerns about their adequate representation in research and the appropriateness of current assessments and interventions. This is especially important for those who develop dementia with concomitant difficult expressing their thoughts and feelings. The purpose of this study is to: 1) examine existing and newly created measures of expressive language and mood for culture bias in use with older African Americans and Hispanic Americans, and 2) refine and modify those instruments that do not demonstrate adequate reliability and validity until satisfactory levels are achieved. Six hundred subjects, 100 African American, 100 Hispanic American and 100 European American older adults with dementia and equal number of normal controls, will be recruited from community and institutional sites. Data on subjects' age, gender, socioeconomic status, education, ethnic group, acculturation and mental status will be obtained. Primary raters will be matched on ethnic group; reliability of raters of same and different ethnic group will be examined using videotapes of the testing sessions. Two new instruments, the Miami Naming Test and Alzheimer's Mood Scale will be evaluated as will the well known Boston Naming Test, Animal Fluency, Lawton Observed Affect Scale, Cornell Scale for Depression in Dementia and Dementia Mood Assessment Scale. Internal consistency of each measure will be evaluated. Using generalizability theory as a framework for analysis, all measures will be evaluated for interrater reliability and stability over time. Cultural match/mismatch between subject and rater will also be evaluated on the mood scales. Ability of Miami Naming Test to discriminate cognitively impaired and unimpaired will be compared with the Boston Naming Test as will the Animal Fluency with other categories (fruit, vegetable, clothing). Likewise, ability of the new Alzheimer's Mood Scale to discriminate psychiatrically distressed from nondistressed subjects will be compared with the other mood scales. Differential item functioning analysis will guide the revisions and modifications. As outreach efforts to bring minority individuals in for assessment of memory disorders expands and research on the efficacy of treatment is conducted, the demand for culturally appropriate tests is an urgent one. Both clinicians and researchers need to know which tests are appropriate, the extent to which the ethnicity of the examiner affects the results and how to interpret the scores obtained on both the newly developed and widely used tests.

描述（由申请人提供）：数量急剧增加 非裔美国人和西班牙裔美国人老年人对他们的健康状况表示担忧 研究中的充分代表性和当前研究的适当性 评估和干预。这对于那些 发展为痴呆症并伴有难以表达自己的想法 情怀。本研究的目的是：1）检查现有的和新的 创建了表达语言和情绪的衡量标准，以消除使用中的文化偏见 年长的非裔美国人和西班牙裔美国人，以及 2) 完善和修改这些 没有表现出足够的可靠性和有效性的工具，直到 达到令人满意的水平。 600 名受试者，100 名非裔美国人， 100 名西班牙裔美国人和 100 名欧洲裔美国人患有痴呆症 同等数量的正常对照，将从社区和 机构网站。有关受试者年龄、性别、社会经济地位的数据， 将获得教育、种族、文化和精神状态。 主要评估者将根据种族进行匹配；同一评价者的可靠性 不同种族的人将使用测试录像进行检查 会议。两种新工具，迈阿密命名测试和阿尔茨海默氏症情绪量表 将像著名的波士顿命名测试、动物流畅性一样进行评估， 劳顿观察情感量表、康奈尔痴呆症抑郁量表和 痴呆情绪评估量表。每项措施的内部一致性 评价。使用概括性理论作为分析框架，所有 将评估措施的可靠性和稳定性。 受试者和评估者之间的文化匹配/不匹配也将根据 情绪量表。迈阿密命名测试区分认知障碍者的能力 未受损的动物将与波士顿命名测试进行比较 熟练掌握其他类别（水果、蔬菜、服装）。同样，能力 新的阿尔茨海默氏症情绪量表用于区分精神困扰 来自非痛苦受试者的情绪量表将与其他情绪量表进行比较。 差异项目功能分析将指导修订和 修改。作为让少数族裔人士参与的外展工作 扩大对记忆障碍的评估和功效研究 进行治疗后，需要进行适合文化的测试 紧急的。临床医生和研究人员都需要知道哪些测试是 适当的，审查员的种族影响程度 结果以及如何解释在新开发的产品上获得的分数 以及广泛使用的测试。