Document Detail


A-45Which Norms to Use? A Case Study Highlighting Challenges in Interpreting Brief Cognitive Screening Data in a Spanish-Speaking Patient.
MedLine Citation:
PMID:  25176707     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: Appropriate normative data is of critical importance to aide neuropsychologists in arriving at diagnostic conclusions. However, for patients from diverse cultural backgrounds, normative data is often at times hampered by the small samples available in the literature. The current case study highlights the impact that the updated Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Spanish normative data has on classification in comparison to the previously published Spanish RBANS version.
METHOD: A 45 year old male who presented with a history of severe traumatic brain injury one year prior to the current assessment. The patient was originally from Mexico and had been living in the United States for 13 years. He had some basic understanding of the English language and had completed six years of formal education.
RESULTS: Applying more recent normative data for the RBANS Spanish did change the qualitative interpretation of some scales (i.e., RBANS attention index moved from a scaled score of 68 with the previous normative data to 82 with updated norm). The amount of change in normed values varied between domains, but in general the updated normative data brought the normed values closer to similar measures as assessed by the EIWA-III (Esala de Inteligencia para Adultos-III).
CONCLUSION(S): Clinicians working with individuals from non-English speaking backgrounds frequently are challenged with limited availability of appropriate normative data. The current case highlights potential challenges when applying normative data to results of a brief cognitive screener. Basic psychometric principles for addressing and coalescing these discrepancies are reviewed.
Authors:
A Pineda; D Cruz Laureano; J Benge
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists     Volume:  29     ISSN:  1873-5843     ISO Abbreviation:  Arch Clin Neuropsychol     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-09-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9004255     Medline TA:  Arch Clin Neuropsychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  519-20     Citation Subset:  IM    
Copyright Information:
© The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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