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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