ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026
Development and validation of novel cognitive tests in Mandarin-speaking older Americans.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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Corrections and comments
- Erratum issued
Authors and funding
18 authors.
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Abstract
introductionMandarin Chinese has the largest number of native speakers globally, yet few Mandarin cognitive tests have undergone rigorous validation in multicultural settings for Alzheimer's disease (AD) detection.
methodsWe adapted or developed Mandarin cognitive tests to assess memory, executive, and language functions (including new Chinese character, phoneme, and homophone fluency tasks) and then prospectively recruited 208 older adults at two US centers to determine the tests' reliability as well as convergent, construct, and concurrent validity.
resultsAll Mandarin cognitive measures had high test-retest reliability (intraclass correlation coefficients of 0.680to 0.849), and English letter-guided fluency best correlated with Chinese phoneme and homophone fluency. Factor analysis revealed six factors that underlie 16 cognitive measures, with at least one abnormal executive function or a story memory test associated with mild cognitive impairment and elevated plasma p-Tau DISCUSSION: Validated cognitive measures provide culturally and linguistically appropriate tools to detect early AD among older Chinese Americans.
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