International Neuropsychological Society

Activity: Participating in or organising an event typesParticipation in conference

Description

Abstract: Innovations in Cross-Cultural Cognitive Assessment for Diverse Populations
Introduction: As global demographics evolve, cultural diversity within ageing populations presents challenges in the accurate assessment of cognitive disorders, particularly among immigrants. This abstract synthesizes insights from three studies addressing this issue, showcasing advancements in diagnostic tools, and proposing a novel solution to overcome language barriers.
Study 1: Validation of the Brief Assessment of Impaired Cognition (BASIC)
Presenter: Thomas Rune Nielsen
The study validates the use of Brief Assessment of Impaired Cognition (BASIC in a multicultural memory clinic sample and assesses its significance in culturally diverse European older populations. BASIC, administered in just five minutes, demonstrates superior diagnostic accuracy (AUC = .92) compared to the commonly used RUDAS, making it a potentially useful instrument in memory clinics. The study reports sensitivity and specificity of BASIC for the identification of cognitive impairment among patients with diverse cultural backgrounds.

Study 2: Strengths and Weaknesses of Cross-Cultural Neuropsychological Assessment Presenter: Simone Pomati
Examining a decade of data from Luigi Sacco Hospital in Milan, this study highlights the challenges and adaptations in assessing culturally and linguistically diverse (CALD) patients. The findings highlight the differences in terms of language, country of origin, and approaches used over time, and stress the need for awareness, adapted tools, norms, and multi-center/multi-cultural research to address the limitations of current assessment.
Study 3: Diagnostic Accuracy of the Multicultural Cognitive Examination (MCE)
Presenter: Daniel Kjaergaard
This is a multinational collaboration exploring the diagnostic accuracy of the Multicultural Cognitive Examination (MCE) in a large memory clinic sample. MCE demonstrates high accuracy (AUC = .97) in distinguishing dementia from intact cognition, showcasing its potential in multicultural settings. Demographic variables, particularly years of school, significantly influence test scores, emphasizing the importance of considering such factors in diagnostic assessments.
Innovative Solution: DECODE (Distant Evaluate of Cognitive Deficits)
Presenter: Clara Calia
To tackle the emerging challenge of assessing dementia in older immigrants who lack language proficiency, this proposal introduces DECODE, a user-friendly interface informed by a multidisciplinary collaborative initiative. DECODE is aimed at establishing an international network of health professionals for the remote cognitive assessment of migrants in their mother tongue and using culturally appropriate tools. This digital technology aspires to enhance the detection of neurocognitive disorders, streamline healthcare resources, and align with the WHO Global Action Plan for Dementia detection.
Conclusion: Collectively, these studies and the DECODE initiative represent significant strides in addressing the complexities of cross-cultural cognitive assessments. The findings contribute to enhancing healthcare equity, improving diagnostic accuracy, and facilitating informed decisions in the face of an increasingly diverse aging population.
Period3 Jul 20245 Jul 2024
Event typeConference
LocationPorto, PortugalShow on map
Degree of RecognitionInternational

Keywords

  • cross-cultural neuropsychology
  • assessment
  • Dementia
  • Ethnic minorities