Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task

Erik Seesjarvi; Jasmin Puhakka; Eeva T. Aronen; Jari Lipsanen; Minna Mannerkoski; Alexandra Hering; Sascha Zuber; Matthias Kliegel; Matti Laine; Juha Salmi

doi:10.1177/10870547211044214

Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task

Erik Seesjarvi, Jasmin Puhakka, Eeva T. Aronen, Jari Lipsanen, Minna Mannerkoski, Alexandra Hering, Sascha Zuber, Matthias Kliegel, Matti Laine, Juha Salmi^*

^*Corresponding author for this work

Department of Neuroscience and Biomedical Engineering

Research output: Contribution to journal › Article › Scientific › peer-review

31 Citations (Scopus)

114 Downloads (Pure)

Abstract

Objective: To quantify goal-directed behavior and ADHD symptoms in naturalistic conditions, we developed a virtual reality task, EPELI (Executive Performance in Everyday LIving), and tested its predictive, discriminant and concurrent validity. Method: We collected EPELI data, conventional neuropsychological task data, and parent-ratings of executive problems and symptoms in 38 ADHD children and 38 typically developing controls. Results: EPELI showed predictive validity as the ADHD group exhibited higher percentage of irrelevant actions reflecting lower attentional-executive efficacy and more controller movements and total game actions, both indicative of hyperactivity-impulsivity. Further, the five combined EPELI measures showed excellent discriminant validity (area under curve 88 %), while the correlations of the EPELI efficacy measure with parent-rated executive problems (r = .57) and ADHD symptoms (r = .55) pointed to its concurrent validity. Conclusion: We provide a proof-of-concept validation for a new virtual reality tool for ecologically valid assessment of ADHD symptoms.

Original language	English
Pages (from-to)	1394-1411
Number of pages	18
Journal	Journal of Attention Disorders
Volume	26
Issue number	11
Early online date	5 Dec 2021
DOIs	https://doi.org/10.1177/10870547211044214
Publication status	Published - Sept 2022
MoE publication type	A1 Journal article-refereed

Keywords

ADHD
executive function
naturalistic behavior
real-world attention
virtual reality
ATTENTION-DEFICIT/HYPERACTIVITY DISORDER
CONTINUOUS PERFORMANCE-TEST
PROSPECTIVE MEMORY
OBJECTIVE MEASURES
CHILDREN
HYPERACTIVITY
VALIDATION
VALIDITY
DEFICITS
RATINGS

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10.1177/10870547211044214Licence: CC BY

SCI_Seesjärvi_Journal_of_Attention_Disorders_2022Final published version, 849 KBLicence: CC BY

Cite this

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title = "Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task",

abstract = "Objective: To quantify goal-directed behavior and ADHD symptoms in naturalistic conditions, we developed a virtual reality task, EPELI (Executive Performance in Everyday LIving), and tested its predictive, discriminant and concurrent validity. Method: We collected EPELI data, conventional neuropsychological task data, and parent-ratings of executive problems and symptoms in 38 ADHD children and 38 typically developing controls. Results: EPELI showed predictive validity as the ADHD group exhibited higher percentage of irrelevant actions reflecting lower attentional-executive efficacy and more controller movements and total game actions, both indicative of hyperactivity-impulsivity. Further, the five combined EPELI measures showed excellent discriminant validity (area under curve 88 %), while the correlations of the EPELI efficacy measure with parent-rated executive problems (r = .57) and ADHD symptoms (r = .55) pointed to its concurrent validity. Conclusion: We provide a proof-of-concept validation for a new virtual reality tool for ecologically valid assessment of ADHD symptoms.",

keywords = "ADHD, executive function, naturalistic behavior, real-world attention, virtual reality, ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, CONTINUOUS PERFORMANCE-TEST, PROSPECTIVE MEMORY, OBJECTIVE MEASURES, CHILDREN, HYPERACTIVITY, VALIDATION, VALIDITY, DEFICITS, RATINGS",

author = "Erik Seesjarvi and Jasmin Puhakka and Aronen, {Eeva T.} and Jari Lipsanen and Minna Mannerkoski and Alexandra Hering and Sascha Zuber and Matthias Kliegel and Matti Laine and Juha Salmi",

year = "2022",

month = sep,

doi = "10.1177/10870547211044214",

language = "English",

volume = "26",

pages = "1394--1411",

journal = "Journal of Attention Disorders",

issn = "1087-0547",

publisher = "Sage Publishing",

number = "11",

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T1 - Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task

AU - Seesjarvi, Erik

AU - Puhakka, Jasmin

AU - Aronen, Eeva T.

AU - Lipsanen, Jari

AU - Mannerkoski, Minna

AU - Hering, Alexandra

AU - Zuber, Sascha

AU - Kliegel, Matthias

AU - Laine, Matti

AU - Salmi, Juha

PY - 2022/9

Y1 - 2022/9

N2 - Objective: To quantify goal-directed behavior and ADHD symptoms in naturalistic conditions, we developed a virtual reality task, EPELI (Executive Performance in Everyday LIving), and tested its predictive, discriminant and concurrent validity. Method: We collected EPELI data, conventional neuropsychological task data, and parent-ratings of executive problems and symptoms in 38 ADHD children and 38 typically developing controls. Results: EPELI showed predictive validity as the ADHD group exhibited higher percentage of irrelevant actions reflecting lower attentional-executive efficacy and more controller movements and total game actions, both indicative of hyperactivity-impulsivity. Further, the five combined EPELI measures showed excellent discriminant validity (area under curve 88 %), while the correlations of the EPELI efficacy measure with parent-rated executive problems (r = .57) and ADHD symptoms (r = .55) pointed to its concurrent validity. Conclusion: We provide a proof-of-concept validation for a new virtual reality tool for ecologically valid assessment of ADHD symptoms.

AB - Objective: To quantify goal-directed behavior and ADHD symptoms in naturalistic conditions, we developed a virtual reality task, EPELI (Executive Performance in Everyday LIving), and tested its predictive, discriminant and concurrent validity. Method: We collected EPELI data, conventional neuropsychological task data, and parent-ratings of executive problems and symptoms in 38 ADHD children and 38 typically developing controls. Results: EPELI showed predictive validity as the ADHD group exhibited higher percentage of irrelevant actions reflecting lower attentional-executive efficacy and more controller movements and total game actions, both indicative of hyperactivity-impulsivity. Further, the five combined EPELI measures showed excellent discriminant validity (area under curve 88 %), while the correlations of the EPELI efficacy measure with parent-rated executive problems (r = .57) and ADHD symptoms (r = .55) pointed to its concurrent validity. Conclusion: We provide a proof-of-concept validation for a new virtual reality tool for ecologically valid assessment of ADHD symptoms.

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KW - CONTINUOUS PERFORMANCE-TEST

KW - PROSPECTIVE MEMORY

KW - OBJECTIVE MEASURES

KW - CHILDREN

KW - HYPERACTIVITY

KW - VALIDATION

KW - VALIDITY

KW - DEFICITS

KW - RATINGS

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JO - Journal of Attention Disorders

JF - Journal of Attention Disorders

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Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task

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research: Bringing real-life to attention (research): Towards integrative and transferrable neurocognitive model of attention deficit hyperactivity disorder

research: Bringing real-life to attention (research): Towards integrative and transferrable neurocognitive model of attention deficit hyperactivity disorder

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Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task

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Keywords

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research: Bringing real-life to attention (research): Towards integrative and transferrable neurocognitive model of attention deficit hyperactivity disorder

research: Bringing real-life to attention (research): Towards integrative and transferrable neurocognitive model of attention deficit hyperactivity disorder

Cite this