| Poster | Poster Session 11 Program Schedule
02/17/2024
10:45 am - 12:00 pm
Room: Majestic Complex (Posters 61-120)
Poster Session 11: Cultural Neuropsychology | Education/Training | Professional Practice Issues
Final Abstract #66
Development of a Culturally-Sensitive Questionnaire on Attitudes Toward Neuropsychological Assessment (ATNA): a Review of Existing Instruments
Ksenya Mull, Binghamton University, State University of New York (SUNY),, Binghamton, United States
Anna Agranovich, Johns Hopkins University School of Medicine, Baltimore, United States
Luba Nakhutina, State University of New York Downstate Health Sciences University, New York, United States
Zarui Melikyan, University of California Irvine, Irvine, United States
Category: Assessment/Psychometrics/Methods (Adult)
Keyword 1: cross-cultural issues
Keyword 2: demographic effects on test performance
Keyword 3: diversity
Objective:
Being aware of patients’ attitudes toward neuropsychological assessment allows practitioners to provide culturally-sensitive evaluations with improved validity and reliability, which is imperative in servicing increasingly diverse patient populations. Currently, there are no culturally sensitive questionnaires focused on attitudes toward neuropsychological assessment across diagnostic groups. New publications in this area necessitated an updated instrument review. Hence, the objective of the study is to comprehensively review existing instruments on the attitudes toward (neuro)psychological services and identify themes as the basis for development of culturally-sensitive questionnaire on Attitudes Toward Neuropsychological Assessment (ATNA).
Participants and Methods:
The following databases were included in the literature search: PsychINFO, Medline, Pubmed, Science Direct, Academic Search Ultimate, Academic Search Complete, PsychArticles, Web of Science, Directory of Open Access Journals, Google Scholar, and Scopus. The search encompassed papers with instruments evaluating patient, provider, or general public attitudes toward (neuro)psychological services, with combinations of the following key-words: attitudes, perceptions, opinions, thoughts, feelings, knowledge, beliefs, familiarity, experiences, views, understanding, neuropsych*, psych*, assessment, testing, survey, questionnaire, research, evaluation, clinical. We also searched the references of relevant papers.
Results:
Initial search yielded 2,600 unique papers. After reviewing the titles, abstracts, and full texts, the number of relevant papers included in the analysis was 56. Out of those, most were intended for providers (n=21) and patients/ general public (n=14), followed by patients’ family/ teachers (n=8) and a combination of respondents (n=4). Majority were developed for English-speaking respondents representing majority culture (n=49), and 7 were developed for other ethnic and linguistic respondents. Only three instruments considered ethnically or sexually diverse populations. Main topics investigated by surveys were as follows: patient or family member knowledge, expectations or motivation to use the services (n=20), patient satisfaction with services (n=15), healthcare providers’ knowledge about (n=11) neuropsychology, practices and beliefs of neuropsychologists (n=8), and attitudes towards (n=2) neuropsychological services.
Conclusions:
We have identified 56 unique questionnaires that evaluate attitudes toward (neuro)psychological services. Most were developed for English-speaking respondents representing majority culture, and did not consider cultural diversity of respondents. Extensive search did not reveal any culturally-sensitive questionnaires assessing attitudes toward neuropsychological assessment across patient populations and illnesses. ATNA questionnaire will be developed to bridge this gap and help providers understand patient perceptions of neuropsychological assessment and their expectations and concerns through a multi-cultural lens. This knowledge will enable neuropsychologists tailor their interactions, provide information, alleviate patients’ concerns, improve engagement in the evaluation and hence increase validity and reliability of assessment.
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