International variation in neuropsychological test use practices: Implications for test adaptation and fair assessment
Neuropsychological test selection varies substantially across countries and languages, yet which instruments clinicians use internationally remains poorly documented. Using a survey of International Neuropsychological Society members (INSConnect, 2023), we examined instrument endorsement among 147 respondents across 30+ countries. English-language administrators endorsed more instruments per cognitive domain clinically than non-English administrators, particularly in memory, executive functioning, language, intelligence, and performance validity. Multilingual status showed little association with instrument breadth. Regional patterns indicated uneven access to proprietary instruments and greater reliance on locally available tools. These findings provide an empirical foundation for prioritizing test adaptation, guiding normative development, and valid, fair cross-cultural assessment.
Authors
- Mohammed A Mudarris (ORCID: https://orcid.org/0000-0003-3649-5423)
- Lena Dobson (ORCID: https://orcid.org/0000-0003-1707-3866)
- Alysa E. Doyle (ORCID: https://orcid.org/0000-0002-8536-2697)
- Róchele Paz Fonseca (ORCID: https://orcid.org/0000-0001-6767-8439)
- Leigh Schrieff-Brown (ORCID: https://orcid.org/0000-0003-0192-4830)
- Lenka Krámská (ORCID: https://orcid.org/0000-0003-2387-1573)
- Dahyun Yi (ORCID: https://orcid.org/0000-0002-0860-0946)
- Victoria Casey (ORCID: https://orcid.org/0000-0001-9372-2421)
- A.P. Dr. Porrselvi (ORCID: https://orcid.org/0000-0001-8482-8793)
- Brandon Frank
- Lisanne M. Jenkins
- Leah D. Talbert
- Niall Pender
- Winds
Institutions
- Northwestern University (US)
- Allen Institute for Brain Science (US)
- Seoul National University (KR)
- Royal College of Surgeons in Ireland (IE)
- University of Cape Town (ZA)
- The University of Melbourne (AU)
- American Academy of Child and Adolescent Psychiatry (US)
- Sony Corporation (United States) (US)
- Mercer University Health Sciences Center (US)
- VA Boston Healthcare System (US)
- St Vincent's Hospital Melbourne (AU)
- Massachusetts General Hospital (US)
- Na Homolce Hospital (CZ)
- Alzheimer’s Disease Neuroimaging Initiative (US)
- Institute of Psychology (PL)
- Conecta (IT)
- Center for Genomic Science (IT)
- Center for Systems Biology (US)
- Neurological Surgery (US)
- Monash University (AU)
Publication Details
- Journal
- Applied Neuropsychology Adult
- Published
- 2026-09-18
- DOI
- https://doi.org/10.1080/23279095.2026.2724708
- Primary Topic
- Psychological Testing and Assessment
- Type
- article
- Field-Weighted Citation Impact
- 0.00