Using the Barnes Language Assessment with older ethnic minority groups.
OBJECTIVE
There are many issues concerning the assessment of older people from ethnic minority groups, the most significant being the language barrier experienced by those whose English is an additional language (EAL). This study aimed to test the hypothesis that EAL participants would score less well than those with English as a first language (EFL) on the sub-tests of the Barnes Language Assessment (BLA), elucidate the reasons for any such differences and discuss the implications.


METHODS
The Barnes Language Assessment (BLA) is an accurate tool providing information about expected patterns of language in different dementia syndromes. This study compares the performance of EAL participants with EFL participants. The BLA was administered to 144 participants, divided into sub-groups with respect to age, gender and educational background, none of whom had a working diagnosis of dementia.


RESULTS
Results suggest that EAL speakers performed less well compared to EFL speakers when other variables were matched. Significantly better BLA scores, at the one percent level, were found in both EAL and EFL groups with higher educational achievement for eight of the 15 sub-tests.


CONCLUSIONS
Differences were found in performance on the BLA between EAL and EFL participants. The degree of difference between EAL and EFL speakers decreased as educational achievement rose. The consequences of these findings for service delivery and the problems of recruitment of older EAL participants are discussed.
Ramsey
Victoria
V
Kingston Primary Care Trust, Barnes Hospital, London, UK. toriaramsay@yahoo.co.uk
Stevens
Susan
S
Bryan
Karen
K
Binder
Julia
J
Cockle-Hearne
Jane
J
D000368:Aged; D003144:Communication Barriers; D003431:Cross-Cultural Comparison; D003704:Dementia / Q000453:epidemiology* / Q000523:psychology; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007802:Language; D007807:Language Tests; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*