临床表现 临床表现
Zara A Page1, Karen Croot1, Ben C P Lam2,3
1Centre for Healthy Brain Ageing (CHeBA), University of New South Wales, Sydney, NSW, Australia.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
开发了一个新的问卷,即语言体验和文化融合问卷 (CLEAr-Q),用于评估来自文化和语言多样性 (CALD) 背景的老年人的语言和文化融合变量. 它的四要素结构为改善这一群体认知评估提供了一个全面的工具.
科学领域:
- 神经心理学 神经心理学
- 心理测量 心理测量 心理测量
- 社会语言学 社会语言学
背景情况:
- 认知表现受到语言和文化变量的影响.
- 来自文化和语言多样性 (CALD) 背景的老年人的准确认知评估需要定制措施.
- 现有的措施可能无法充分捕捉这些变量在澳大利亚的背景下.
研究的目的:
- 开发和验证一种新的测量方法,即"表征语言体验和文化化问卷" (CLEAr-Q).
- 在澳大利亚CALD样本中确定语言和同文化化变量的基础因素结构.
- 为CALD人群提供改进的认知评估工具的开发提供信息.
主要方法:
- 使用适应的参与式研究框架与CALD社区商开发CLEAr-Q.
- 管理一个在线匿名调查,包括31个项目.
- 探索性因子分析 (EFA) 使用斜旋转 (geomin) 来识别因子结构.
主要成果:
- 验证样本包括256名参与者 (年龄在60-93岁),出生于澳大利亚以外的非英语语言 (LOTE).
- EFA揭示了一个强大的四要素解决方案:对英语的教育接触,英语熟练程度和与多数文化认同,英语语言和文化的主导地位以及语言切换.
- 这种四因素模型解释了58.9%的差异,并证明了与数据的良好匹配 (CFI=0.98,SRMR=0.07).
结论:
- CLEAr-Q有效地描述了澳大利亚CALD样本中的语言和文化多样性.
- 鉴定出来的因子结构突出显示了语言和文化变量之间的相互联系.
- 这种全面的工具对于理解文化和语言多样性对认知评估的影响至关重要,可能会提高老年CALD成年人痴呆症和认知障碍的诊断准确性.
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