Proficiency of language and item familiarity: Their effects on the I-BNT in Balinese

Keywords:
Balinese, Boston Naming Test, bilingualism, cross-cultural neuropsychology, word production testAbstract
This study investigated whether language proficiency, familiarity with the test items, years of education, age, sex, and type of residential area affect the performance of the Indonesia-adapted Boston Naming Test (I-BNT) among Balinese. 154 participants from urban and rural parts of Bali Island, varying in age and years of education, divided into three language proficiency groups, participated in this study. The results showed positive correlations between familiarity with the items and performance scores. Also, language proficiency affected the scores. However, the effect of language proficiency disappeared after accounting for age and education as covariate variables. There were no residential area effects. It can be concluded that the normative scores for the I-BNT do not need an extra adaptation beyond education and age.
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References
Abrams, L., & Davis, D. K. (2016). The tip-of-the-tongue phenomenon: Who, what, and why. In H. H. Wright (Ed.), Cognition, language and aging (pp. 13–53). John Benjamins Publishing Company.
Ashaie, S., & Obler, L. (2014). Effect of age, education, and bilingualism on confrontation naming in older illiterate and low-educated populations. Behavioural Neurology, 2014, 970520. https://doi.org/10.1155/2014/970520
Badan Pusat Statistik. (2021, May 26). Peraturan Kepala Badan Pusat Statistik Nomor 120 Tahun 2020 tentang Klasifikasi Desa Perkotaan dan Perdesaan di Indonesia 2020: Buku 3: Bali, Nusa Tenggara, Kalimantan, Sulawesi, Maluku, dan Papua. Badan Pusat Statistik. https://www.bps.go.id/id/publication/2021/05/26/7eba842e1090fccf23f34e71/peraturan-kepala-badan-pusat-statistik-nomor-120-tahun-2020-tentang-klasifikasi-desa-perkotaan-dan-perdesaan-di-indonesia-2020-buku-3-bali--nusa-tenggara--kalimantan--sulawesi--maluku--dan-papua.html
Baird, A.D., Ford, M., & Podell, K. (2007). Ethnic differences in functional and neuropsychological test performance in older adults. Archives of Clinical Neuropsychology: The Official Journal of the National Academy of Neuropsychologist, 22(3), 309–318. https://doi.org/10.1016/j.acn.2007.01.005
Beratha, N. L. S., Sukarini, N.W., & Rajeg, I.M. (2017). Balinese language ecology: Study about language diversity in tourism area at Ubud village. Jurnal Kajian Bali, 7(2), 121–134. https://doi.org/10.24843/JKB.2017.v07.i02.p07
Chuang, Y. F., Liu, Y. C., Tseng, H. Y., Lin, P. X., Li, C. Y., Shih, M. H., Lin, K. C., Yang, T. O., Yan, S. H., & Chiu, Y. L. (2021). Urban-rural differences in the prevalence and correlates of mild cognitive impairment in community-dwelling older adults in Taiwan: The EMCIT study. Journal of the Formosan Medical Association = Taiwan Yi Zhi, 120(9), 1749–1757. https://doi.org/10.1016/j.jfma.2021.03.005
Cory, J. M. (2021). White privilege in neuropsychology: An ‘invisible knapsack’ in need of unpacking. Clinical Neuropsychology, 35(2), 206–218. https://doi.org/10.1080/13854046.2020.1801845
Devi, N. P. G. P., & Kasni, N. W. (2018). Balinese language usage by ethnic Bali teens in Dangin Puri Village, East Denpasar Subdistrict, Denpasar City. Retorika: Jurnal Ilmu Bahasa, 4(2), 171–180. https://doi.org/10.22225/jr.4.2.633.171-180
Edwards, A. L., & Gonzales, R. (1993). Simplified successive intervals scaling. Applied Psychological Measurement, 17(1), 21–27. https://doi.org/10.1177/014662169301700106
Elbulok-Charcape, M. M., Rabin, L. A., Spadaccini, A. T., & Barr, W. B. (2014). Trends in the neuropsychological assessment of ethnic/racial minorities: A survey of clinical neuropsychologists in the United States and Canada. Cultural Diversity & Ethnic Minority Psychology, 20(3), 353–361. https://doi.org/10.1037/a0035023
Fällman, K., Wressle, E., Marcussen, J., & Classon, E. (2022). Swedish normative data and longitudinal effects of aging for older adults: The Boston Naming Test 30-item and a short version of the Token Test. Applied Neuropsychology: Adult, 1–7. https://doi.org/10.1080/23279095.2022.2148106
Fernández, A. L. (2022). Education, the most powerful cultural variable? In A. L. Fernández & J. Evans (Eds.), Understanding cross-cultural neuropsychology: Science, testing, and challenges (pp. 44–58). Routledge. https://doi.org/10.4324/9781003051497-5
Fernández, A. L., & Abe, J. (2017). Bias in cross-cultural neuropsychological testing: Problems and possible solutions. Culture and Brain, 6, 1–35. https://doi.org/10.1007/s40167-017-0050-2
Ferraro, F. R. & Lowell, K. (2010). Boston Naming Test. The Corsini Encyclopedia of Psychology. https://doi.org/10.1002/9780470479216.corpsy0139
Gasquoine, P. G. (2022). Performance-based alternatives to race-norms in neuropsychological assessment. Cortex: A Journal Devoted to the Study of the Nervous System and Behavior, 148, 231–238. https://doi.org/10.1016/j.cortex.2021.12.003
George, A., & Mathuranath, P. S. (2007). Community-based naming agreement, familiarity, image agreement and visual complexity ratings among adult Indians. Annals of Indian Academy of Neurology, 10(2), 92-99. https://doi.org/10.4103/0972-2327.33216
Hall, J. R., Vo, H. T., Johnson, L. A., Wiechmann, A., & O'Bryant, S. E. (2012). Boston Naming Test: Gender differences in older adults with and without Alzheimer’s dementia. Psychology, 3(6), 485–488. https://doi.org/10.4236/psych.2012.36068
Himmanen, S. A., Gentles, K., & Sailor, K. (2003). Rated familiarity, visual complexity, and image agreement and their relation to naming difficulty for items from the Boston Naming Test. Journal of Clinical and Experimental Neuropsychology, 25(8), 1178–1185. https://doi.org/10.1076/jcen.25.8.1178.16729
Howitt, D., & Cramer, D. (2016). Research methods in Psychology (5th ed.). Pearson.
Immanuel, A. S., Pesau, H. G., Wulanyani, N. M. S., Sulastri, A., & van Luijtelaar, G. (2024). The role of spoken language on performance of cognitive tests: The Indonesian experience. Journal of Cognition and Culture, 24(3-4), 207–240. https://doi.org/10.1163/15685373-12340187
Iñesta, C., Oltra-Cucarella, J., & Sitges-Maciá, E. (2022). Regression-based normative data for independent and cognitively active Spanish older adults: Verbal Fluency Test and Boston Naming Test. International Journal of Environmental Research and Public Health, 19(18), 11445. https://doi.org/10.3390/ijerph191811445
Jia, J., Wang, F., Wei, C., Zhou, A., Jia, X., Li, F., Tang, M., Chu, L., Zhou, Y., Zhou, C., Cui, Y., Wang, Q., Wang, W., Yin, P., Hu, N., Zuo, X., Song, H., Qin, W., Wu, L., Li, D., … Dong, X. (2014). The prevalence of dementia in urban and rural areas of China. Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 10(1), 1–9. https://doi.org/10.1016/j.jalz.2013.01.012
Kamat, R., Ghate, M., Gollan, T. H., Meyer, R., Vaida, F., Heaton, R. K., Letendre, S., Franklin, D., Alexander, T., Grant, I., Mehendale, S., & Marcotte, T. D. (2012). Effects of Marathi-Hindi bilingualism on neuropsychological performance. Journal of the International Neuropsychological Society, 18(2), 305–313. https://doi.org/10.1017/S1355617711001731
Kaplan, E., Goodglass, H., & Weintraub, S. (1983). The Boston Naming Test (2nd ed.). Lea & Febiger.
Karstens, A. J., Christianson, T. J., Lundt, E. S., Machulda, M. M., Mielke, M. M., Fields, J. A., Kremers, W. K., Graff-Radford, J., Vemuri, P., Jack Jr., C. R., Knopman, D. S., Petersen, R. C., & Stricker, N. H. (2024). Mayo normative studies: Regression-based normative data for ages 30-91 years with a focus on the Boston Naming Test, Trail Making Test, and Category Fluency. Journal of the International Neuropsychological Society, 30(4), 389–401. https://doi.org/10.1017/S1355617723000760
Lai, G., & O’Brien, B.A. (2020). Examining language switching and cognitive control through the adaptive control hypothesis. Frontiers in Psychology, 11, Article 1171. https://doi.org/10.3389/fpsyg.2020.01171
Lezak, M. D., Howieson, D. B., Bigler, E. D., & Tranel, D. (2012). Neuropsychological assessment (5th ed.). Oxford University Press.
Lu, J., Li, D., Li, F., Zhou, A., Wang, F., Zuo, X., Jia, X-F., Song H., Jia, J. (2011). Montreal cognitive assessment in detecting cognitive impairment in Chinese elderly individuals: A population-based study. Journal of Geriatric Psychiatry and Neurology, 24(4), 184–190. https://doi.org/10.1177/0891988711422528
Machdalena, S. (2014). The terms usage of family relationships in Russian and Indonesian (Bali) societies as a reflection of the culture of the two nations. Procedia - Social and Behavioral Sciences, 154, 486–488. https://doi.org/10.1016/j.sbspro.2014.10.198
MacKay, D. G., & Burke, D. M. (1990). Cognition and aging: A theory of new learning and the use of old connections. In T. M. Hess (Ed.), Aging and cognition: Knowledge organization and utilization (pp. 213–263). North-Holland. https://doi.org/10.1016/S0166-4115(08)60159-4
Misdraji-Hammond, E., Lim, N.K., Fernandez, M., & Burke, M. (2015). Object familiarity and acculturation do not explain performance between Spanish-English bilinguals and English monolinguals on the Boston Naming Test. Archives of Clinical Neuropsychology, 30(1), 59–67. https://doi.org/10.1093/arclin/acu065
Mulyawan, I.W. (2021). Maintaining and revitalizing Balinese language in public space: A controversial language planning regulation. Indonesia and the Malay World, 49(145), 481–495. https://doi.org/10.1080/13639811.2021.1910356
Oberle, S., & James, L. E. (2013). Semantically- and phonologically-related primes improve name retrieval in young and older adults. Language and Cognitive Processes, 28(9), 1378–1393. https://doi.org/10.1080/01690965.2012.685481
Olabarrieta-Landa, L., Rivera, D., Morlett-Paredes, A., Jaimes-Bautista, A., Garza, M. T., Galarza-del-Angel, J., Rodríguez, W., Rábago, B., Schebela, S., Perrin, P. B., Luna, M., Longoni, M., Ocampo-Barba, N., Aliaga, A., Saracho, C. P., Bringas, M. L., Esenarro, L., García-Egan, P., & Arango-Lasprilla, J. C. (2015). Standard form of the Boston Naming Test: Normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation, 37(4), 501–513. https://doi.org/10.3233/NRE-151278
Patricacou, A., Psallida, E., Pring, T., & Dipper, L. (2007). The Boston Naming Test in Greek: Normative data and the effects of age and education on naming. Aphasiology, 21(12), 1157–1170. https://doi.org/10.1080/02687030600670643
Pesau, H. G., Immanuel, A. S., Sulastri, A., & van Luijtelaar, G. (2023). The role of daily spoken language on the performance of language tests: The Indonesian experience. Bilingualism: Language and Cognition, 26(3), 538–549. https://doi.org/10.1017/S136672892200075X
Pesau, H. G., Immanuel, A. S., Wulanyani, N. M. S., Sulastri, A., & van Luijtelaar, G. (2022, June 23-24). The influence of ethnicity on language tests: a comparison between Balinese and Banjarese [Paper presentation]. International Conference on Biopsychosocial Issues: An Inter-multidisiciplinary Approach, Semarang, Indonesia. https://conference.unika.ac.id/index.php/ssic/iconbi/paper/view/524
Puente, A. E., & Perez-Garcia, M. (2020). Neuropsychological assessment of ethnic minorities: Clinical issues. In I. Cuéllar & F. A. Paniagua (Eds.) Handbook of Multicultural Mental Health: Assessment and Treatment of Diverse Populations (pp. 419–435). Academic Press. https://doi.org/10.1016/B978-012199370-2/50021-3
Saenz, J. L., Downer, B., Garcia, M. A., & Wong, R. (2018). Cognition and context: Rural-urban differences in cognitive aging among older Mexican adults. Journal of Aging and Health, 30(6), 965–986. https://doi.org/10.1177/0898264317703560
Savoie, J., Root, K., Villers, J., Goldsmith, K. M., & Short, M. (2019). Boston Naming Test performance in French-speaking Acadians. Aphasiology, 33(5), 561–578. https://doi.org/10.1080/02687038.2018.1490387
Soble, J. R., Sordahl, J. A., Critchfield, E. A., Highsmith, J. M., González, D. A., Ashish, D., Marceaux, J. C., O'Rourke, J. J. F., & McCoy, K. J. M. (2016). Slow and steady does not always win the race: Investigating the effect of processing speed across Five Naming Tests. Archives of Clinical Neuropsychology, 31(8), 976–982. https://doi.org/10.1093/arclin/acw073
Sosiawan, P., Martha, I. N., & Artika, I. W. (2021). Penggunaan Bahasa Bali pada keluarga muda di Kota Singaraja. Jurnal Pendidikan dan Pembelajaran Bahasa Indonesia, 10(1), 40–54. https://doi.org/10.23887/jurnal_bahasa.v10i1.403
Sulastri, A., Utami, M. S. S., Jongsma, M., Hendriks, M., & van Luijtelaar, G. (2018). The Indonesian Boston Naming Test: Normative data among healthy adults and effects of age and education on naming ability. International Journal of Science and Research (IJSR), 8(11), 134–139.
Strutt, A. M., & MacDonald, B. (2022). Layers of complexity: The interplay of culture and bi/ multilingualism on neurocognitive outcomes across the lifespan. In A. L. Fernández & J. Evans (Eds.), Understanding cross-cultural neuropsychology: Science, testing, and challenges (pp. 94–109). Routledge. https://doi.org/10.4324/9781003051497-10
Sutama, P. (September 6-8, 2019). The bilingualism of speakers and shifting patterns of Balinese language. Presented at the 2019 International Conference on the Austronesian and Papuan Worlds (ICAPaW 2019). Bali, Indonesia.
Tombaugh, T.N., & Hubley, A.M. (1997). The 60-item Boston Naming Test: Norms for cognitively intact adults aged 25 to 88 years. Journal of Clinical Experimental Neuropsychological, 19(6), 922–932. https://doi.org/10.1080/01688639708403773
Troutman, S.B.W., & Diaz, M.T. (2020). White matter disconnection is related to age-related phonological deficits. Brain Imaging and Behavior, 14, 1555–1565. https://doi.org/10.1007/s11682-019-00086-8
Vanderploeg, R. D. (2014). Clinician's guide to neuropsychological assessment (2nd ed.). Psychology Press.
Wahyuningrum, S. E., Sulastri, A., Hendriks, M. P. H., & van Luijtelaar, G. (2022). The Indonesian Neuropsychological Test Battery (INTB): Psychometric properties, preliminary normative scores, the underlying cognitive constructs, and the effects of age and education. Acta Neuropsychological, 20(4), 445–470. https://doi.org/10.5604/01.3001.0016.1339
Wahyuningrum, S. E., van Luijtelaar, G., & Sulastri, A. (2023). An online platform and a dynamic database for neuropsychological assessment in Indonesia. Applied Neuropsychology: Adult, 30(3), 330–339. https://doi.org/10.1080/23279095.2021.1943397
Zec, R. F., Burkett, N. R., Markwell, S. J., & Larsen, D. L. (2007). Normative data stratified for age, education, and gender on the Boston Naming Test. The Clinical Neuropsychologist, 21(4), 617–637. https://doi.org/10.1080/13854040701339356
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