Translation, Adaptation, and Validation of the Auto-Global Examination of Mental State (Auto-GEMS) for the Turkish Population

This study presents the translation, cultural adaptation, and preliminary validation of the Auto-Global Examination of Mental State (Auto-GEMS) for the Turkish population. Auto-GEMS is a self-administered, web-based cognitive screening tool composed of 11 subtests targeting various cognitive domains, as well as an adapted Cognitive Reserve Index Questionnaire (CRIq) to assess cognitive reserve. The translation process included translation and back-translation, cross-linguistic analyses based on word frequency, imageability, and semantic similarity to ensure comparability between the Italian and Turkish versions. Following adaptation, a pilot validation study was conducted to assess the clarity, usability, and preliminary validity of the Turkish version.