Interpreter-Mediated Neuropsychological Testing of Monolingual Spanish Speakers

Casas, Rachel; Guzmán-Vélez, Edmarie; Cardona-Rodriguez, Javier; Rodríguez, Nayra; Quiñones, Gabriela; Izaguirre, Borja; Tranel, Daniel

doi:10.1080/13854046.2011.640641

Cited by 48 publications

(27 citation statements)

References 18 publications

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“…Using interpreters during the assessment only partially eliminates the language barrier. According to the literature, interpreters’ lack of experience in dementia assessment [ 31 , 51 , 52 ] and the lack of culturally and linguistically adapted assessment tools can complicate the whole process [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“It is always me against the Norwegian system.” barriers and facilitators in accessing and using dementia care by minority ethnic groups in Norway: a qualitative study

Czapka

Sagbakken

2020

BMC Health Serv Res

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Background Dementia is one of the greatest health challenges in the contemporary world. Due to several barriers to accessing health care services, elderly immigrants constitute a group that poses special challenges in dementia diagnosis and treatment. The aim of this study was to explore the barriers and facilitators in accessing and using dementia care services by minority ethnic groups in Norway. Methods The study utilised a qualitative design. The participants included family caregivers of individuals from minority ethnic groups living with dementia, representatives of immigrant communities, and representatives of health and care personnel working with people living with dementia. Individual semi-structured in-depth interviews were carried out in 2018 and 2019 in Oslo and Akershus. Interviews were analysed using thematic analyses. Results Several barriers and facilitators in accessing and using dementia care services were identified, the most important of which were related to lack of knowledge of dementia, lack of awareness of dementia care services, lack of language skills, culturally based differences, the organisation of Norwegian dementia care services, and immigrants’ socio-economic status. According to the study participants, having health care personnel in the family and further adaptation of dementia services to the needs of people with different cultural and linguistic backgrounds facilitate access to dementia services. Conclusions The study shows the need to develop inclusive policies that promote a patient-centred approach to ensure that individuals from minority ethnic groups receive appropriate dementia care.

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Section: Discussionmentioning

confidence: 99%

“It is always me against the Norwegian system.” barriers and facilitators in accessing and using dementia care by minority ethnic groups in Norway: a qualitative study

Czapka

Sagbakken

2020

BMC Health Serv Res

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“…The participants described various barriers, such as difficulties in communication and therefore also in assessment of cognitive impairment in persons with diverse linguistic and cultural backgrounds. As frequently reported in the literature [ 55 – 57 ], the need for interpreters further complicated assessments because they often lack competence in interpretation in assessment situations and may change sentences or their meaning to facilitate the translation.…”

Section: Discussionmentioning

confidence: 99%

Dementia and immigrant groups: a qualitative study of challenges related to identifying, assessing, and diagnosing dementia

Sagbakken

Spilker

Nielsen

2018

BMC Health Serv Res

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BackgroundAlong with the ageing of the general population, Europe’s migrant populations are also ageing, thus posing new challenges for dementia care services, particularly if the services are to be adjusted to persons with different linguistic and cultural backgrounds. From the perspective of health professionals, this study aims to explore challenges involved in identifying, assessing and diagnosing people with cognitive impairment/dementia who have different linguistic and cultural backgrounds.MethodsResearch on health professionals experiences regarding the management of dementia among immigrants is scarce and qualitative methods was used to address the objective of the study. Using qualitative in-depth interviews and focus-group discussions, we sought to gather participants’ experiences regarding the diagnostic process for immigrants with dementia. The material was analysed and interpreted based on Kvale and Brinkmann’s descriptions of three different contexts of interpretation: self-understanding, critical common-sense understanding, and theoretical understanding.ResultsHealth professionals described how families could attribute symptoms of dementia to processes of normal ageing, while others saw the symptoms as something shameful; both instances delayed or hindered help-seeking. Many clinicians had limited experience with older immigrants suffering from dementia, and general practitioners (GPs) in particular experienced difficulties assessing dementia due to language barriers and difficulties related to the involvement of the family or an interpreter. The findings illustrate challenges in assessment, such as unfamiliarity with test situations among those being assessed and lack of knowledge regarding appropriate diagnostic tools among health professionals. Lack of continuity and poor information exchange in the chain of care seem to reinforce many of these challenges.ConclusionsDetection, treatment and care may be improved if primary care professionals strengthen their cross-cultural competences. Training in communication skills and in the use of cross-cultural assessment tools may help build competence and confidence when assessing and caring for people with different cultural and linguistic backgrounds. Closer collaboration among families, nurses in home-based services, dementia teams, and GPs may facilitate close monitoring of a patient over time. Such collaboration requires sufficient information exchange during transitions in the chain of care, continuity among health professionals, and a shared understanding of the goals for treatment and care.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3720-7) contains supplementary material, which is available to authorized users.

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“…Approach to the patients who seek care shall need a good understanding and trust between the victim and health care provider, safe environment, several interviews and overcoming the barriers (language and cultural). 35,36,37 It has been shown that in the presence of culturally competent people [36][37][38] and professional interpreter [39][40][41] the chance of getting details information are more than when there is no interpreter or there was a non-professional interpreter 42…”

Section: How To Approach?mentioning

confidence: 99%

Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge

Deora¹,

Agrawal²,

Pal³

et al. 2019

roneuro

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Background and objectives. Due to marked increase in violence, the world is facing problem of refugee population either as a source of refugee population or shelter provider. These refugee population is exposed to prolonged physical and emotional distress over years, may result into spectrum of neuropsychiatric disease conditions including traumatic brain injury (TBI). Although trauma is one of the major events faced by refugee population, the exact details of the injuries still not documented and there is paucity of published literature; further these injuries may be recorded as unspecified. Methods. The present article is intended to provide a theoretical overview of existing knowledge and gaps on trauma and injuries in the refugee population. Authors analysed all relevant articles available on PubMed and Medline using the keywords: “Refugee”, “Traumatic Brian Injury”, “Head Injury”. Results. There is a gap in knowledge for this particular demographic population. They suffer a wide range of physical and emotional to social traumatic events. The most common cause of head injury was assault; however, motor vehicle accidents were less prevalent, and there is an ongoing struggle for resources to fulfil basic needs leading to health care taking a backseat. There is high prevalence of post-traumatic stress disorder. Many of the refugees are settled in relative economically poorer countries which further add to the burden of a nation already besotted with internal requirements. There is a need for international collaboration to tackle unique problem. Conclusion. Authors recommend urgent need to handle the root causes responsible for the generation of refugee population and at the same time it is necessary to identify the epidemiology, patterns, management challenges and consequences of injuries and barriers to seek and provide care in refugee population.

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Interpreter-Mediated Neuropsychological Testing of Monolingual Spanish Speakers

Cited by 48 publications

References 18 publications

“It is always me against the Norwegian system.” barriers and facilitators in accessing and using dementia care by minority ethnic groups in Norway: a qualitative study

“It is always me against the Norwegian system.” barriers and facilitators in accessing and using dementia care by minority ethnic groups in Norway: a qualitative study

Dementia and immigrant groups: a qualitative study of challenges related to identifying, assessing, and diagnosing dementia

Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge

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