Skip to main content

Table 1 Considerations for test development or selection relevant for clinicians working with Aboriginal clients

From: “You’ve got to make it relevant”: barriers and ways forward for assessing cognition in Aboriginal clients

Criteria

Example/justification

Brief

Less than 30 minutes

Portable/mobile

Delivery outside the office, playing cards, drawing in the sand

Easy to administer and interpret

Neuropsychologists not always available in remote regions, administration with interpreter or cultural consultant

Not timed

Accuracy or ability more important

Concrete, tangible, visual

Less reliance on abstract processes. Interactive stimuli that can be physically manipulated

No/plain/little language

Interpretable into client’s first language

Intuitive

Little reliance on language

Fun/engaging

Game-like tasks, visually appealing

Performance based – role modelling

‘Do’ rather than ‘say’ tasks

Practice

Allows experience of success and learn by observation and doing

Repeatable/sensitive to change

Multiple alternate forms

Not reliant on question/answer format

Yarning/storytelling preferable

Not reliant on literacy, numeracy

Use ecologically relevant tasks

Accessible

Ideally freely available and widely accessible

Standardised

But modifiable administration and interpretation to include contextual info

Utilise synchronous or simultaneous processing

Spatial relations, contextually presented information

Relevant and meaningful tasks

Relationships, kinship mapping, yarning

Familiar and relevant stimuli

Animals, relationships, bush foods