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Clinicians' views on cognitive assessment with Aboriginal Australians
Emily Hindman1,2,3, Peter Hassmén2, Abbey Orchard2
1Coffs Harbour Aboriginal Community Care Inc. (ABCARE), Coffs Harbour, NSW, Australia.
The Australian and New Zealand Journal of Psychiatry
|June 24, 2023
Summary
Standardised cognitive assessments for Aboriginal Australians are lacking, impacting clinical practice. Clinicians show low confidence and inconsistent tool selection due to validity concerns and cultural barriers.
Area of Science:
- Neuroscience
- Psychology
- Public Health
Background:
- A significant gap exists in standardized cognitive assessment tools for Aboriginal Australians.
- Clinicians lack comprehensive guidelines for selecting and interpreting cognitive tests for Aboriginal clients.
Purpose of the Study:
- To examine clinicians' confidence, views, and practices in cognitive assessments with Aboriginal Australian clients.
- To identify factors influencing the use of standardized cognitive testing for Aboriginal versus non-Indigenous Australians.
Main Methods:
- A mixed-methods study involving 21 health professionals experienced in cognitive assessments.
- Online surveys presented scenarios varying by client education and language, assessing likelihood and confidence in standardized testing.
- Open-ended questions gathered qualitative data on clinician views and current practices.
Main Results:
- Client age, education, and language origin influence the use of standardized cognitive assessment measures with Aboriginal people.
- Clinicians reported only slightly higher confidence assessing non-Indigenous clients compared to Aboriginal clients.
- Qualitative findings revealed inconsistencies in cognitive assessment tool selection.
Conclusions:
- Clinicians raised concerns regarding the validity of current cognitive assessment tools for Aboriginal Australians.
- Barriers to effective cognitive assessment include language, educational background, and cultural factors.
- There is a need for improved guidelines and culturally appropriate tools for cognitive assessment in this population.
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