{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T08:36:43Z","timestamp":1792917403873,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Erasmus+ Program of the European Union","award":["De-Sign Project (KA220-ADU-000088591)"],"award-info":[{"award-number":["De-Sign Project (KA220-ADU-000088591)"]}],"id":[{"id":"https:\/\/ror.org\/019w4f821","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Improving dementia diagnosis is a global health priority. Neuropsychological assessments often overlook minority groups, such as persons who are culturally Deaf.\n                      <jats:sup>a<\/jats:sup>\n                      In this community measurement of cognitive performance may be affected by communicative, linguistic and cultural barriers rather than cognitive deficits.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study aimed to develop and provide initial validation data for a neuropsychological screening test for early detection of acquired cognitive decline tailored to the linguistic and cultural needs of the Austrian Deaf community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The British-Sign-Language-Cognitive-Screening-Test (BSL-CST) was translated and culturally adapted for Austria. Instructions were recorded as video clips by native Austrian Sign Language (\u00d6GS) signers and an online platform was created for test administration. A sample of 71 Deaf individuals aged 50 and older and a clinical group of 10 Deaf individuals with acquired cognitive decline provided preliminary data on sensitivity, specificity, internal consistency, convergent validity and inter-rater reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The resulting \u00d6GS-adapted version of the BSL-CST, named VIDESTA (Vienna Sign Language Cognitive Assessment), is an \u00d6GS-based screening tool assessing neuropsychological areas affected in Alzheimer's disease and can be completed in under 60\u2005min. Preliminary analyses demonstrated promising psychometric properties including split-half reliability (r\u2009=\u20090.77), Cronbach \u03b1\u2009=\u20090.76) and an AUC of 0.971 (p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present findings provide initial evidence for the potential utility of VIDESTA as a cognitive screening tool for detecting mild-moderate cognitive decline in the Austrian Deaf community. Results should be interpreted cautiously given the small sample sizes. Research in larger samples is needed to establish normative data and confirm validity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261498375","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:47:03Z","timestamp":1792590423000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["VIDESTA: Adaptation of the BSL-CST for cognitive screening in the Austrian deaf sign language community"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2921-6484","authenticated-orcid":false,"given":"Doris","family":"Hoffmann-Lamplmair","sequence":"first","affiliation":[{"name":"Psychology Department, Krankenhaus Barmherzige Br\u00fcder Wien,\u00a0Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Martinetz","sequence":"additional","affiliation":[{"name":"Outpatient Clinic for the Deaf, Krankenhaus Barmherzige Br\u00fcder Wien","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Burgstaller","sequence":"additional","affiliation":[{"name":"Psychology Department, Krankenhaus Barmherzige Br\u00fcder Wien,\u00a0Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romeo","family":"Seifert","sequence":"additional","affiliation":[{"name":"Outpatient Clinic for the Deaf, Krankenhaus Barmherzige Br\u00fcder Wien","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Nerat","sequence":"additional","affiliation":[{"name":"Psychology Department, Krankenhaus Barmherzige Br\u00fcder Wien,\u00a0Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Cernek","sequence":"additional","affiliation":[{"name":"Psychology Department, Krankenhaus Barmherzige Br\u00fcder Wien,\u00a0Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Schwanzer","sequence":"additional","affiliation":[{"name":"Psychology Department, Krankenhaus Barmherzige Br\u00fcder Wien,\u00a0Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasia-Lida","family":"Dimou","sequence":"additional","affiliation":[{"name":"Athina-Erevnitiko Kentro Kainotomias Stis Technologies Tis Pliroforias, Ton Epiloinonion Kai Tis Gnosis, Marousi, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"Goulas","sequence":"additional","affiliation":[{"name":"Athina-Erevnitiko Kentro Kainotomias Stis Technologies Tis Pliroforias, Ton Epiloinonion Kai Tis Gnosis, Marousi, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bencie","family":"Woll","sequence":"additional","affiliation":[{"name":"University College London","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Atkinson","sequence":"additional","affiliation":[{"name":"University College London","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Str\u00f6bele","sequence":"additional","affiliation":[{"name":"Outpatient Clinic for the Deaf, Krankenhaus Barmherzige Br\u00fcder Wien","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Internationale Klassifikation psychischer St\u00f6rungen: ICD-10 Kapitel V (F). 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