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Publications

Highlighted Publications
Best Practices for Cross-National Comparisons of HCAP Data
(Kobayashi et al., 2024)
The Harmonized Cognitive Assessment Protocol (HCAP) is a major innovation that provides, for the first time, harmonized data for cross-national comparisons of later-life cognitive functions that are sensitive to linguistic, cultural, and educational differences across countries. However, cognitive function does not lend itself to direct comparison across diverse populations without careful consideration of the best practices for such comparisons. This perspective discusses theoretical and methodological considerations and offers a set of recommended best practices for conducting cross-national comparisons of risk factor associations using HCAP data.
Best Practices for Cross-Cultural Adaptation
(Briceño et al., 2026)
The Harmonized Cognitive Assessment Protocol (HCAP) neuropsychological assessment approach aims to support the collection of harmonizable data on cognitive function for cross-national cognitive aging and dementia research. As the measurement of cognition is sensitive to differences in contextual, cultural, educational, linguistic, social, and other factors that may influence cognitive test performance, HCAP requires adaptation to be appropriate for the contexts in which it is administered. We aim to provide methodological recommendations for the adaptation and implementation of the HCAP and other cognitive data collection tools in novel settings.
What makes an HCAP an HCAP?
(Gross et al., 2025)
Harmonized cognitive batteries are crucial for studying cognitive impairment and dementia in aging populations globally. Challenges persist in administering them in a way that maintains both cross-national comparability and local validity to measure cognitive functioning across settings. In this perspective, we review the approach undertaken in the Harmonized Cognitive Assessment Protocol (HCAP) network of studies and propose that the core identity of the HCAP lies not in a fixed set of tests but in a fixed-flexible, cross-culturally adaptive measurement architecture.
The Chilean harmonized cognitive assessment protocol (Chile-Cog): study design
(Elo et al., 2026)
Due to rapid population aging, the number of Chileans with dementia is estimated to triple by 2050. Measurement of multiple cognitive domains in population-based surveys that facilitate studies of associations between earlier experiences and cognition among older populations are rare. The purpose of this paper is to describe the survey protocol (Chile-Cog) for assessment of cognitive function in a sample of Chileans ages 60 and above. Chile’s distinctively high life expectancy and educational attainment relative to other Latin American countries, and its rapid transition from a middle- to a high-income economy, make it a valuable setting for studying life-course influences on cognitive health at older ages.