People like Numbers a descriptive study of cognitive assessment methods in clinical practice for Aboriginal Australians in the Northern Territory 英文参考文献.docVIP

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People like Numbers a descriptive study of cognitive assessment methods in clinical practice for Aboriginal Australians in the Northern Territory 英文参考文献.doc

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People like Numbers a descriptive study of cognitive assessment methods in clinical practice for Aboriginal Australians in the Northern Territory 英文参考文献

Dingwalletal.BMCPsychiatry2013,13:42 /1471-244X/13/42 RESEARCH ARTICLE OpenAccess “Peoplelikenumbers”:adescriptivestudyof cognitiveassessmentmethodsinclinicalpractice forAboriginalAustraliansintheNorthern Territory KylieMDingwall1,3*,JenniferPinkerton1andMelissaALindeman2 Abstract Background:AchievingculturallyfairassessmentsofcognitivefunctioningforAboriginalpeopleisdifficultdueto ascarcityofappropriatelyvalidatedtoolsforusewiththisgroup.Asaresult,someAboriginalpeoplewithcognitive impairmentsmaylackfairandequitableaccesstoservices.Theobjectiveofthisstudywastoexaminecurrent clinicalpracticeintheNorthernTerritoryregardingcognitiveassessmentforAboriginalpeopletherebyproviding someguidanceforcliniciansnewtothispracticesetting. Method:Qualitativeenquirywasusedtodescribepracticecontext,reasonsforassessment,andcurrentpracticesin assessingcognitionforAboriginalAustralians.Semi-structuredinterviewswereconductedwith22clinicians workingwithAboriginalclientsincentralandnorthernAustralia.Resultspertainingtoassessmentmethodsare reported. Results:Arangeofstandardisedtestswereutilisedwithlittleconsistencyacrossclinicalpractice.Nevertheless,it wasrecognisedthatsuchtestsbearseverelimitations,requiringsomemodificationandsignificantcautionintheir interpretation.Cliniciansreliedheavilyoninformalassessmentorobservations,contextualinformationandclinical judgement. Conclusions:CognitivetestsdevelopedspecificallyforAboriginalpeopleareurgentlyneeded.Intheabsenceof appropriate,validatedtests,clinicianshavereliedonandmodifiedarangeofstandardisedandinformal assessments,whilstrecognisingtheseverelimitationsofthese.Pastclinicaltraininghasnotpreparedclinicians adequatelyforassessingAboriginalclients,andexperienceandclinicaljudgmentwereconsideredcrucialforfair interpretationoftestscores.Interpretationguidelinesmayassistinexperiencedclinicianstoconsiderwhetherthey areachievingfairassessmentsofcognitionforAboriginalclients. Keywords:Cognition,Assessment,Cross-cultural,Testing,Indigenous,Aborigina