BACKGROUND A lack of culturally appropriate tests hampers accurate assessment of cognition in remote Australian Aboriginal communities. In Arnhem Land, this study employed a community consultation process to evaluate commonly used Western tests of executive function, memory, attention, and visuospatial function. METHODS An initial consultation process and a follow-up pilot study resulted in the rejection of some common tests, the development of new tests, and culturally adapted versions of others. In the subsequent 30-person main trial, adult Aboriginal volunteers were examined on nine tests, plus the Kimberly Indigenous Cognitive Assessment screen, and a brief literacy test. RESULTS Executive function, memory, and attention tests were found to group separately after an exploratory principal components analysis. Correlations between new tests and similar Kimberly screen items were not significant, but ceiling effects may be relevant. Six of 13 test scores were found to correlate with the literacy measure. CONCLUSIONS A selection of cognitive tests were identified that Aboriginal people found culturally acceptable and engaging. In particular, Self-Ordered Pointing, Trail-Making, a verbal-switching task, and a new test "Which car?" show promise for further development. This work may contribute to the need for culturally appropriate cognitive testing in Aboriginal communities.

中文翻译：

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确定在澳大利亚北部偏远地区使用的文化可接受的认知测验。

背景技术缺乏适合文化的测试妨碍了对偏远的澳大利亚原住民社区认知的准确评估。在阿纳姆州，这项研究采用了社区咨询程序，以评估常用的西方人对执行功能，记忆力，注意力和视觉空间功能的测试。方法最初的咨询过程和后续的试点研究导致拒绝了某些通用测试，开发了新测试以及对其他测试进行了文化适应的版本。在随后的30人主要试验中，对成人原住民志愿者进行了9项检查，此外还进行了金伯利土著认知评估屏幕以及简短的识字测试。结果在进行探索性主成分分析后，发现执行功能，记忆力和注意力测试分别分组。新测试与类似的金伯利（Kimberly）屏幕项目之间的相关性不显着，但天花板效应可能是相关的。发现13个测试成绩中有6个与识字率相关。结论确定了一系列认知测试，表明原住民发现其在文化上可以接受并具有吸引力。特别是，自定点指向，线索制作，语言转换任务和新测试“哪辆车？” 展现出进一步发展的希望。这项工作可能有助于在原住民社区中进行文化上适当的认知测试。结论确定了一系列认知测试，表明原住民发现其在文化上可以接受并具有吸引力。特别是，自定点指向，线索制作，语言转换任务和新测试“哪辆车？” 展现出进一步发展的希望。这项工作可能有助于在原住民社区中进行文化上适当的认知测试。结论确定了一系列认知测试，表明原住民发现其在文化上可以接受并具有吸引力。特别是，自定点指向，线索制作，语言转换任务和新测试“哪辆车？” 展现出进一步发展的希望。这项工作可能有助于在原住民社区中进行文化上适当的认知测试。