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为疑似痴呆的越南语患者开发一种文化能力适应的神经心理学评估工具包。

Developing a Culturally Competent Neuropsychological Assessment Battery for Vietnamese-speaking Patients with Suspected Dementia.

机构信息

H. Ben Taub Department of Physical Medicine & Rehabilitation, Baylor College of Medicine, Houston, 77030, USA.

Department of Neurology, Baylor College of Medicine, Houston, 77030, USA.

出版信息

Arch Clin Neuropsychol. 2023 Apr 26;38(3):485-500. doi: 10.1093/arclin/acac035.

Abstract

OBJECTIVES

To assemble a core battery of culturally and linguistically appropriate neuropsychological measures that can be administered to Vietnamese-speaking patients with suspected dementia.

METHODS

Test instruments in Vietnamese were identified through systematic searches of PubMed, PsychInfo, and Google Scholar, and in consultation with two Vietnamese-speaking cultural brokers.

RESULTS

A battery assessing the domains of attention, executive function, verbal and visual episodic memory, basic language abilities, visuospatial/visuoconstruction abilities, and mood/anxiety was assembled that included core measures developed either specifically for a Vietnamese-speaking population, or were validated/normed with a Vietnamese-speaking sample either in Vietnam or Vietnamese-speaking persons in the U.S. Supplemental measures were selected that can be administered using translated instructions with U.S. English normative data. The rationale for test selection and caveats for their clinical use are presented.

CONCLUSIONS

The number of neuropsychological measures identified in Vietnamese and/or with Vietnamese normative data was sparse. Given the large and growing population of Vietnamese-speaking residents in the U.S. and the aging of these communities, it is imperative to develop additional, appropriately designed and normed instruments to provide culturally competent assessments to better serve these individuals.

摘要

目的

为疑似痴呆的越南裔患者组建一套文化和语言适宜的核心神经心理学测试组合。

方法

通过对 PubMed、PsychInfo 和 Google Scholar 的系统搜索,并与两位讲越南语的文化顾问协商,确定了越南语的测试工具。

结果

我们组装了一套评估注意力、执行功能、言语和视觉情景记忆、基本语言能力、视空间/视觉构建能力以及情绪/焦虑等领域的测试组合,其中包括专为越南裔人群开发的核心测试,或在越南或美国的越南裔人群中使用越南语进行验证/标准化。选择了补充测试,可以使用翻译后的美国英语常模数据进行测试。本文介绍了测试选择的基本原理和临床应用的注意事项。

结论

在越南语中确定的或具有越南语常模数据的神经心理学测试数量很少。鉴于美国越南裔居民的数量庞大且不断增长,以及这些社区的老龄化,必须开发更多的、设计合理且标准化的工具,以提供文化适宜的评估,从而更好地服务于这些人。

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