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Related Experiment Video

Updated: Jun 10, 2026

Traditional Trail Making Test Modified into Brand-new Assessment Tools: Digital and Walking Trail Making Test
08:07

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Published on: November 23, 2019

The trail making test in India.

Triptish Bhatia1, Vandana Shriharsh, Saurabh Adlakha

  • 1Department of Psychiatry, Dr. Ram Manohar Lohia Hospital, New Delhi - 110 001, India.

Indian Journal of Psychiatry
|August 17, 2010
PubMed
Summary
This summary is machine-generated.

The English Trail Making Test (TMT) took longer for non-English speakers in India than expected. This suggests potential bias when using English cognitive tests on diverse populations.

Keywords:
Cognitive dysfunctionschizophreniatrail making test

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Area of Science:

  • Neuropsychology
  • Cognitive Assessment
  • Cross-cultural Psychology

Background:

  • The Trail Making Test (TMT) is a widely used cognitive assessment tool.
  • Neuropsychological tests are often developed for and normed on English-speaking populations.
  • Normative data may not generalize across different ethnic and linguistic groups, potentially introducing bias.

Purpose of the Study:

  • To investigate the impact of administering an English-language cognitive test to a primarily non-English-speaking population.
  • To assess potential systematic bias in cognitive test performance due to language barriers.

Main Methods:

  • The English version of the Trail Making Test (TMT) was administered to 120 outpatients at a dermatology clinic in India.
  • Participants also completed the modified mini-mental status examination and a general knowledge test.
  • Completion times for the TMT were recorded and analyzed.

Main Results:

  • Participants exhibited unexpectedly long completion times for the Trail Making Test (TMT).
  • Despite delayed TMT performance, all subjects scored within normal limits on the modified mini-mental status examination and general knowledge tests.
  • This discrepancy highlights a potential issue with the TMT's applicability in this population.

Conclusions:

  • The standard English Trail Making Test (TMT) may not be a culturally or linguistically appropriate measure for primarily non-English-speaking individuals.
  • Language barriers can significantly impact performance on cognitive tests, even when overall cognitive function appears normal.
  • Further research is needed to develop and validate culturally sensitive cognitive assessments for diverse populations.