Assessing cognitive outcomes in a rural African population: Development of a neuropsychological battery in Kilifi District, Kenya

The ability to measure neuropsychological outcomes in a comparable manner in different cultural groups is important if studies conducted in geographically diverse regions are to advance knowledge of disease effects and moderating influences. The purpose of this study was to evaluate the application...

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Bibliographic Details
Published in:Journal of the International Neuropsychological Society 2004-03, Vol.10 (2), p.246-260
Main Authors: HOLDING, PENNY A., TAYLOR, H. GERRY, KAZUNGU, SIDI D., MKALA, THADEAUS, GONA, JOSEPH, MWAMUYE, BERNARD, MBONANI, LEONARD, STEVENSON, JIM
Format: Article
Language:English
Subjects:
Africa
Catchment Area (Health)
Child
Child, Preschool
Childhood encephalopathy
Children & youth
Chronic illnesses
Cognition & reasoning
Cognition Disorders - diagnosis
Cognition Disorders - ethnology
Cognition Disorders - etiology
Cognitive development
Cross-cultural assessment
Cross-Cultural Comparison
Data collection
Disease
Families & family life
Female
Humans
Informal education
K-ABC
Kenya
Linguistics
Malaria
Malaria, Cerebral - complications
Male
Neurological disorders
Neuropsychological assessment
Neuropsychological Tests
Parents & parenting
Reproducibility of Results
Research methodology
Risk factors
Rural Population - statistics & numerical data
Sensitivity and Specificity
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Summary:The ability to measure neuropsychological outcomes in a comparable manner in different cultural groups is important if studies conducted in geographically diverse regions are to advance knowledge of disease effects and moderating influences. The purpose of this study was to evaluate the application of neuropsychological test procedures developed for use in North America and Europe to children in a rural region of Kenya. Our specific aim was to determine if these methods could be adapted to a non-Western culture in a manner that would preserve test reliability and validity. Procedural modifications yielded reliable tests that were sensitive to both the sequelae of cerebral malaria and to children's social and school backgrounds. Results suggest that adaptations of existing tests can be made in such a way as to preserve their utility in measuring the cross-cultural sequelae of childhood neurological diseases. (JINS, 2004, 10, 246–260.)
ISSN:1355-6177
1469-7661
DOI:10.1017/S1355617704102166