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Translation with ongoing adaptation and improvement (ToAI) framework: A community-informed, structured, iterative
Quyen Q Tiet1,2, Sarah Tomaszewski Farias3, Duyen Tran3
1California School of Professional Psychology PhD Clinical Psychology Program Alliant International University Emeryville California USA.
Alzheimer'S & Dementia (New York, N. Y.)
|June 12, 2025
Summary
The Translation with Ongoing Adaptation and Improvement (ToAI) framework offers an efficient method for culturally adapting neuropsychological tools for the Vietnamese American population. This approach enhances cross-cultural research in cognitive aging and dementia studies.
Area of Science:
- Neuroscience
- Psychology
- Gerontology
Background:
- Alzheimer's disease and related dementias (ADRD) pose a growing global health challenge.
- The Vietnamese American population is understudied regarding ADRD, lacking culturally adapted neuropsychological tools.
- The Vietnamese Insights into Cognitive Aging Program (VIP) is the first longitudinal study for this demographic.
Purpose of the Study:
- To describe assessment instruments for the VIP study.
- To introduce the Translation with Ongoing Adaptation and Improvement (ToAI) framework for culturally informed adaptation.
- To address the need for culturally sensitive neuropsychological assessments in the Vietnamese American community.
Main Methods:
- The ToAI framework involved a nine-step process: preparation, translation, native-speaker review, VIP team review, external panel review, pilot testing, proofreading, final formatting, and ongoing review.
- Selected neuropsychological assessment battery for the VIP study.
- Longitudinal cohort study design for Vietnamese American older adults.
Main Results:
- The ToAI framework proved efficient in adapting assessment instruments.
- The ongoing improvement component of the ToAI framework was highly beneficial.
- Successful implementation of culturally informed translation and adaptation.
Conclusions:
- The ToAI framework is recommended for future cross-cultural research.
- The framework facilitates the development of culturally appropriate psychological assessment tools.
- The VIP study provides a foundation for understanding cognitive aging in Vietnamese Americans.
Keywords:
Alzheimer's disease and related dementiasVietnamese Americanscross‐cultural researchneuropsychological assessmenttranslation and adaptationMore Related Videos
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