المؤلفون: Franzen S; Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands., van den Berg E; Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Bossenbroek W; Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.; Department of Medical Psychology, Medisch Spectrum Twente, Enschede, The Netherlands., Kranenburg J; Department of Internal Medicine, Haaglanden Medical Center, The Hague, The Netherlands., Scheffers EA; Department of Internal Medicine, Haaglanden Medical Center, The Hague, The Netherlands., van Hout M; Department of Medical Psychology, Medisch Spectrum Twente, Enschede, The Netherlands., van de Wiel L; Department of Medical Psychology, Maasstad Ziekenhuis, Rotterdam, The Netherlands., Goudsmit M; Department of Psychiatry and Medical Psychology, OLVG, Amsterdam, The Netherlands., van Bruchem-Visser RL; Department of Internal Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands., van Hemmen J; Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Jiskoot LC; Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Papma JM; Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

المصدر: The Clinical neuropsychologist [Clin Neuropsychol] 2023 Jan; Vol. 37 (1), pp. 60-80. Date of Electronic Publication: 2022 Feb 27.

نوع المنشور: Review; Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: Psychology Press Country of Publication: England NLM ID: 8806548 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-4144 (Electronic) Linking ISSN: 13854046 NLM ISO Abbreviation: Clin Neuropsychol Subsets: MEDLINE

مواضيع طبية MeSH: Dementia*/diagnosis , Tulipa*, Humans ; Neuropsychological Tests ; Feasibility Studies ; Language

مستخلص: Neuropsychological assessment of culturally diverse populations is hindered by barriers in language, culture, education, and a lack of suitable tests. Furthermore, individuals from diverse backgrounds are often unfamiliar with being cognitively tested. The aim of this study was to develop a new neuropsychological test battery and study its feasibility in multicultural memory clinics.
Composition of the TULIPA battery (Towards a Universal Language: Intervention and Psychodiagnostic Assessment) entailed a literature review and consultation with experts and individuals from diverse backgrounds. Feasibility was investigated by examining administration and completion rates and the frequency of factors complicating neuropsychological assessment in 345 patients from 37 countries visiting four multicultural memory clinics in the Netherlands.
The test battery included existing tests such as the Cross-Cultural Dementia screening (CCD), Rowland Universal Dementia Assessment Scale (RUDAS), tests from the European Cross-Cultural Neuropsychological Test Battery, and newly developed tests. Completion rates for the test battery were generally high (82%-100%), except for CCD Dots subtest B (58%). Although tests of the "core" TULIPA battery were administered often (median: 6 of 7, IQR: 5-7), supplementary tests were administered less frequently (median: 1 of 9; IQR: 0-3). The number of administered tests correlated with disease severity (RUDAS, ρ=.33, adjusted p < .001), but not with other patient characteristics. Complicating factors were observed frequently, e.g. suboptimal effort (29%-50%), fatigue (29%), depression (37%-57%).
The TULIPA test battery is a promising new battery to assess culturally diverse populations in a feasible way, provided that complicating factors are taken into account.
Supplemental data for this article is available online at https://doi.org/10.1080/13854046.2022.2043447 .