INS NYC 2024 Program

Symposium

Symposia 13 Program Schedule

02/16/2024
03:30 pm - 04:55 pm
Room: West Side Ballroom - Salon 1

Symposia 13: Neuropsychological Research and Clinical Applications with Culturally and Linguistically Diverse Populations


Simposium #1

Current State and Future Directions for Pediatric Neuropsychological Evaluations with Vietnamese Children: A PRISMA Review

Ashley Nguyen-Martinez, Children's Hospital Colorado/University of Colorado Medical School, Aurora, United States
Caroline Ba, Inova Fairfax Hospital, Fairfax, United States
Nhi Pham, Fulbright University, Ho Chi MInh City, Viet Nam
Halle Quang, The University of Sydney, School of Health Sciences & Brain and Mind Centre, Sydney, Australia

Category: Cross Cultural Neuropsychology/ Clinical Cultural Neuroscience

Keyword 1: cross-cultural issues
Keyword 2: multiculturalism

Objective:

Despite the growing use of neuropsychological evaluations in clinical practice for Southeast Asians, little is known about the availability of these tests for these communities. Furthermore, much less is known about the current state of neuropsychological assessment among pediatric groups from these communities.  This systematic review examined the literature for neuropsychological assessments for the pediatric Vietnamese population. To fully capture the literature for this population, we searched and included studies from English and Vietnamese databases.

Participants and Methods:

The review was carried out according to the PRISMA Protocol. We conducted systematic searches in the English scientific databases PubMed, PsycInfo, ERIC, Web of Science, and relevant reference lists. Vietnamese searches were conducted through national Vietnamese databases. Studies were included if they examined neuropsychological measures for Vietnamese individuals under 25 or involved caregiver and self-report questionnaires. We excluded case studies and studies that did not report the development or adaptation procedure of the assessment tool.

Results:

A total of 3,303 studies were found in the English databases. 512 were found from the Vietnamese search. After duplicates were removed, 2,946 English and 160 Vietnamese articles underwent the initial screening.  129 English studies and 10 Vietnamese studies underwent the full-text screen. 5 additional articles were added through reference search. A total of 57 studies met our inclusionary criteria. Nearly all studies used an etic approach and primarily Western-developed measures (e.g., WISC-IV, Bayley-III). More self/informant-report questionnaires (e.g., Vineland Adaptive Behavior Scales) have been adapted to performance-based tests. While most studies utilized a translation and back-translation method, we highlight the few studies that discussed more extensive adaptation processes. Studies examining specific aspects of neuropsychological measures, other than language, were scarce and, in general, needed more research on psychometrics.

Conclusions:

Southeast groups are often combined together in research, an approach that can perpetuate stereotypes and assumptions and impact the overall understanding of the distinct needs of these unique cultures. This systematic review highlights the lack of neuropsychological resources for the Vietnamese pediatric population across all aspects of neuropsychological functioning. We discussed clinical implications and highlighted specific adaptation processes that can inform future research. Cultural (e.g., the status of neuropsychology in Vietnam, help-seeking behaviors) and structural/systemic (e.g., barriers during the search process) factors are also discussed as well as implications for current practice and ideas for future studies.