International variation in neuropsychological test use practices: Implications for test adaptation and fair assessment
Abstract
Neuropsychological test selection varies substantially across countries and languages, yet which instruments clinicians use internationally remains poorly documented. Using a survey of International Neuropsychological Society members (INSConnect, 2023), we examined instrument endorsement among 147 respondents across 30+ countries. English-language administrators endorsed more instruments per cognitive domain clinically than non-English administrators, particularly in memory, executive functioning, language, intelligence, and performance validity. Multilingual status showed little association with instrument breadth. Regional patterns indicated uneven access to proprietary instruments and greater reliance on locally available tools. These findings provide an empirical foundation for prioritizing test adaptation, guiding normative development, and valid, fair cross-cultural assessment.
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Authors: A.P. Dr. Porrselvi, Lena Dobson, Brandon Frank, Victoria Casey, Alysa E. Doyle, Lenka Krámská, Mohammed A Mudarris, Róchele Paz Fonseca, Niall Pender, Leigh Schrieff-Brown, Leah D. Talbert, Winds, Dahyun Yi, Lisanne M. Jenkins
Institutions: Northwestern University, The University of Melbourne, Monash University, University of Cape Town, Allen Institute for Brain Science, Royal College of Surgeons in Ireland, Massachusetts General Hospital, Seoul National University, St Vincent's Hospital Melbourne, Na Homolce Hospital, Institute of Psychology, VA Boston Healthcare System, Center for Systems Biology, Neurological Surgery, Alzheimer’s Disease Neuroimaging Initiative, American Academy of Child and Adolescent Psychiatry, Mercer University Health Sciences Center, Center for Genomic Science, Sony Corporation (United States), Conecta