Addressing language challenges in bilingual neuropsychological assessments at the South Texas Alzheimer's Disease Research Center (ADRC).

ABSTRACT:

Introduction

Neuropsychological assessment of bilingual (English/Spanish) individuals presents challenges that can impact test validity. Language proficiency influences cognitive performance, yet clear guidelines for determining the appropriate test language are lacking. We describe our experiences at the South Texas Alzheimer's Disease Research Center (STAC) in addressing these challenges within the context of National Alzheimer's Coordinating Center (NACC) Uniform Data Set (UDS) assessments and broader Alzheimer's Disease Research Center (ADRC) protocols. We outline steps toward a structured language assessment approach.

Methods

We implemented a process to assess language proficiency, integrating self-reported and objective measures, including the language dominance index

SUBMITTER: Santiago-Mejias S 

PROVIDER: S-EPMC12531422 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature