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Neuropsychological testing in a rural African school-age population: evaluating contributions to variability in test performance

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  • Patricia K. Kitsao-Wekulo
  • Penny A. Holding
  • H. Gerry Taylor
  • Amina Abubakar
  • Kevin Connolly
<mark>Journal publication date</mark>12/2013
Issue number6
Number of pages9
Pages (from-to)776-784
Publication StatusPublished
<mark>Original language</mark>English


This study investigated the psychometric properties of a number of neuropsychological tests adapted for use in sub-Saharan Africa. A total of 308 school-age children in a predominantly rural community completed the tests. These tests were developed to assess skills similar to those measured by assessments of cognitive development published for use in Western contexts. Culturally appropriate adaptations were made to enhance within-population variability. Internal consistency ranged from .70 to .84. Scores on individual tests were related to various background factors at the level of the child, household, and neighborhood. School experience was the most consistent predictor of outcome, accounting for up to 22.9% of the variance observed. Significant associations were identified to determine salient background characteristics that should be taken into account when measuring the discrete effects of disease exposure in similar sociocultural and economic settings.