Challenging Items on the ACE‐III: Insights from Cognitively Normal Older Adults in Kerala India

While the ACE-III is a robust and validated cognitive screening tool, certain items may have limited utility due to a high error rate among cognitively normal participants. This is particularly evident in Malayalam-speaking Indian older adults with lower levels of education. These findings highlight that errors on specific ACE-III items (as identified in this study) are relatively common in this population and should be interpreted cautiously to avoid mischaracterizing normal variations in performance as pathological.