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Performance on original and a Chinese version of Trail Making Test Part B: a normative bilingual sample.

L Lu1, E D Bigler

  • 1Department of Psychology, Brigham Young University, Provo, Utah, USA.

Applied Neuropsychology
|April 12, 2001
PubMed
Summary

The Trail Making Test Part B shows language bias for Chinese-English bilinguals. A modified Chinese version of the test is recommended for native Chinese speakers to ensure accurate cognitive assessment.

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Area of Science:

  • Neuropsychology
  • Cognitive Psychology
  • Cross-cultural Psychology

Background:

  • The Trail Making Test Part B (Trails B) is a widely used neuropsychological tool to assess executive functions.
  • Assessing the cross-cultural validity of cognitive tests is crucial for accurate diagnosis and research.
  • Language and cultural factors can influence performance on cognitive assessments.

Purpose of the Study:

  • To examine the cross-cultural equivalence of the Trail Making Test Part B (Trails B) for native Chinese speakers.
  • To develop and validate a modified Chinese version of Trails B.
  • To investigate potential language bias in the standard Trails B for bilingual individuals.

Main Methods:

  • Administered Digit Symbol Coding, Trails A, and standard Trails B to American and Chinese university students.

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  • Chinese participants also completed a modified Trails B using Chinese characters.
  • Independent-samples t tests were used for statistical comparison.

    • Main Results:

    • No significant differences were found between American and Chinese groups on Digit Symbol Coding and Trails A.
    • A significant difference was observed in standard Trails B performance between the groups (p < .05).
    • Performance on the modified Chinese Trails B was comparable to the American group's standard Trails B performance.

    Conclusions:

    • Digit Symbol Coding and Trails A demonstrate cross-cultural equivalence between American and Chinese groups.
    • The standard Trails B exhibits language bias, leading to longer completion times for native Chinese speakers.
    • A culturally adapted Chinese version of Trails B is preferable for accurate assessment in native Chinese speakers.