Skip to main content

Table 3 Examples of cultural adaptation of adapted ACE-III questions

From: Developing and implementing guidelines on culturally adapting the Addenbrooke’s cognitive examination version III (ACE-III): a qualitative illustration

ACE-III Question

Example of adapted version

Language of version

2: Attention – Registration: Say the words lemon, ask them to repeat and try to remember.

Lemon was changed to Sliwka (Plum).

Polish

5a. Fluency –Letters: Ask for as many words as they can think of starting with the letter ‘P’, not including names of pronouns, in one minute.

‘P’ sound was changed to ‘Sh’ sound.

Egyptian Arabic

6. Memory –Anterograde: Say the name and address ‘Harry Barnes, 73, Orchard Close, Kingsbridge, Devon’ and ask them to repeat and try to remember.

The name and address were changed to ‘Katona Péter, Tavasz utca 42., Gyöngyös, Heves megye’.

Hungarian

7. Memory –Retrograde: Ask for the name of the current Prime Minister.

Asked for the name of the current President.

Spanish

10. Language –Repetition: Say the word caterpillar.

Caterpillar was changed to Colomennod (Pigeons).

Welsh

11. Language –Repetition: Say the proverb ‘A stitch in time saves nine’ and ask them to repeat.

The proverb was changed to ‘The orchestra played and the audience applauded’

Hebrew

12. Language –Naming: Show image of kangaroo and ask them to name each.

The image was changed to a goat.

Hindi

13. Language –Comprehension: Ask to point to ‘the one which is a marsupial’, from the 12 images provided.

The question was changed to point to ‘the one which flies’.

Egyptian Arabic

14. Language –Reading: Ask them to read the word height.

Height was changed to Zamarzniety (Frozen).

Welsh

17. Visuospatial Abilities: Ask them to identify the fragmented English letters.

The letters were changed to Hindi alphabet.

Hindi