适应 MoCA 在美国的阿拉伯语移民中使用
Kristine J Ajrouch1,2, Wassim Tarraf3, Simon Brauer4
1Institute for Social Research, University of Michigan, Ann Arbor, MI, 48104, USA. kajrouch@umich.edu.
Journal of cross-cultural gerontology
|July 31, 2024
概括
一个修改的阿拉伯蒙特利尔认知评估 (MoCA) 显示了在美国阿拉伯语老年人中检测阿尔茨海默病或相关痴呆症 (ADRD) 的希望. 这种经过验证的工具有助于对这种服务不足的人群进行神经心理评估.
科学领域:
- 神经心理学 神经心理学
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 对美国阿拉伯语老年人的神经心理评估是有限的,因为缺乏验证的,翻译的工具和规范性数据.
- 现有的蒙特利尔认知评估 (MoCA) 的阿拉伯语翻译显示出变异性,阻碍了一致的临床应用.
- 对于美国的阿拉伯语移民人口来说,文化和语言上适当的认知查工具非常需要.
研究的目的:
- 检查蒙特利尔认知评估 (MoCA) 修改后的阿拉伯版本在地铁底特律地区的阿拉伯语老年人中查痴呆症的实用性.
- 评估修改后的阿拉伯语MoCA在识别阿尔茨海默病或相关痴呆症 (ADRD) 的可靠性和有效性.
主要方法:
- 一个修改后的阿拉伯语MoCA被开发,以确保与原始英语版本的一致性和文化相关性.
- 修改后的阿拉伯语MoCA在地铁底特律地区给了32名65岁及以上的阿拉伯语成年人,其中25%被诊断为ADRD.
- 使用统计分析,包括Cronbach的可靠性alpha和普通最小平方模型,来评估MoCA在ADRD诊断和人口统计方面的表现.
主要成果:
- 修改后的阿拉伯 MoCA 显示出高的内部一致性 (克朗巴赫的α = 0.87).
- 被诊断为ADRD的个人在MoCA上得分通常较低.
- 在多变量分析中,年龄是一个显著的混因素;然而,特定的项目,如导向,立方体复制测试和系列7s有效地区分了ADRD患者.
结论:
- 修改后的阿拉伯 MoCA 是一个有前途的工具,可以在美国的阿拉伯语老年人中区分患有ADRD的个人.
- 这种经过验证的翻译对神经心理学家和为阿拉伯语患者服务的临床医生来说是一个宝贵的资源.
- 进一步的研究是有必要的,以建立对这一群体的全面规范性数据.
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