Jones, D., Drew, P., Jackson, C. et al. (1 more author) (2020) Variation and interactional non-standardization in neuropsychological tests : the case of the Addenbrooke’s Cognitive Examination. Qualitative Health Research, 30 (3). pp. 458-470. ISSN 1049-7323
Abstract
The Addenbrooke’s Cognitive Examination (ACE-111) is a neuropsychological test used in clinical practice to inform a dementia diagnosis. The ACE-111 relies on standardized administration so that patients’ scores can be interpreted by comparison with normative scores. The test is delivered and responded to in interaction between clinicians and patients, which places talk-in-interaction at the heart of its administration. In this article, Conversation Analysis (CA) is used to investigate how the ACE-111 is delivered in clinical practice. Based on analysis of 40 video/audio-recorded memory clinic consultations in which the ACE-111 was used, we have found that administrative standardization is rarely achieved in practice. There was evidence of both 1) interactional variation in the way the clinicians introduce the test, and 2) interactional non-standardization during its implementation. We show that variation and interactional non-standardisation have implications for patients’ understanding and how they might respond to particular questions.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 The Authors. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | conversation analysis; communication; Addenbrooke’s Cognitive Examination; standardization; administration; qualitative; United Kingdom |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Department of Human Communication Sciences (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 23 Aug 2019 08:34 |
Last Modified: | 29 Apr 2021 10:12 |
Status: | Published |
Publisher: | SAGE Publications |
Refereed: | Yes |
Identification Number: | 10.1177/1049732319873052 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:150040 |