Removing the noose item from the Boston naming test: A step toward antiracist neuropsychological assessment

Janice C. Marceaux · Karin J. M. McCoy · Robin C. Hilsabeck

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Psychological Testing and Assessment Psychometric Methodologies and Testing Historical and Modern Theater Studies

Abstract

Objective: The Boston Naming Test-Second Edition (BNT-2), the “gold-standard” assessment of confrontation naming used to diagnosis disorders such as dementia, includes aculturally insensitive item, the noose. Given calls to stop structural racism in psychology, this study examined changes in scores and performance classification if the noose item were omitted from the BNT-2. Methods: Participants were 291 Black, White, and Latinx adults who were administered the BNT-2 within a comprehensive neuropsychological evaluation. Ethnoracial differences in BNT-2 scores with and without the noose item and percentages of participants answering the noose item incorrectly were investigated. Results: Significant differences were found between ethnoracial groups in BNT-2 raw scores, T-scores, and percentage of participants incorrectly answering the noose item. Follow-up analyses revealed White participants obtained significantly higher raw scores and had significantly fewer participants answer the noose item incorrectly than Black and Latinx groups, who did not differ significantly. For T-scores, Black participants obtained significantly higher scores than White participants who obtained significantly higher scores than Latinx participants. Despite these differences, giving credit for the omitted noose item changed performance classification for only 10 participants (3.4%). Conclusions: Performance classification did not change significantly for the vast majority of a large ethnoculturally diverse sample when giving credit for the noose item as if it were not administered. Therefore, the non-noose BNT-2remains accurate while reducing cultural insensitivity towards Black populations, emphasizing a step in working towards anti-racism and fostering culturally-competent services within psychology.

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References

2014Archives of Clinical Neuropsychology 1996Neuropsychological tests' norms above age 55: COWAT, BNT, MAE token, WRAT-R reading, AMNART, STROOP, TMT, and JLO 2016Stability in Test-Usage Practices of Clinical Neuropsychologists in the United States and Canada Over a 10-Year Period: A Follow-Up Survey of INS and NAN Members 2020American Academy of Clinical Neuropsychology consensus conference statement on uniform labeling of performance test scores 2007The association between neuropsychological scores and ethnicity, language, and acculturation variables in a large patient population 2019APA Multicultural Guidelines executive summary: Ecological approach to context, identity, and intersectionality.2017Multicultural Guidelines: An Ecological Approach to Context, Identity, and Intersectionality, 2017 2010Increasing Culturally Competent Neuropsychological Services for Ethnic Minority Populations: A Call to Action

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2022Gender and ethnic/racial diversity in clinical neuropsychology: Updates from the AACN, NAN, SCN 2020 practice and “salary survey”

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