Socio-cultural adaptation and standardization of Dubois' five words testing in a population of normal subject in Mali, West Africa

• Dubois' 5WT is influenced by culture and the socio-educative level in French.
• Modified 5WT according to local socio-cultural realities improves performances.
• Our modified 5WT could be used in other countries to better diagnose AD.
• Future studies including patients and normal controls will elucidate our hypothesis.

IntroductionDubois' five words testing (5WT) is a verbal memory test that depends on many parameters. The aim of this study is to adapt Dubois' 5WT to the Malian socio-cultural conditions to (i) determine performances of normal subjects to the 5WT and (ii) provide reference scores of the 5WT.MethodsA sample of 276 normal subjects aged ≥ 50 years (154 males and 122 females; 144 literates and 132 illiterates) were enrolled from February 2008 to January 2009. Subjects with a history of symptoms likely to modify cognitive functions and those who were found disabled under Lawton's four simplified item test were excluded.ResultsThe learning score in illiterates was 1.51 in Dubois' 5WT and 4.90 in the modified 5WT. The mean value of the modified 5WT total score was 9.71. Majority (90.22%) of the subjects scored the maximum (10). The modified 5WT reduced with both the age (p < 0.006) and education level (p < 0.04).ConclusionOur results show that Dubois' 5WT is influenced by culture and the socio-educative level in French. Its adaptation to the socio-cultural context could prove useful and efficient in countries with a low literacy rate and a diverse cultural background.