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

29 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
Number of pages	18
Journal	Journal of Attention Disorders
DOIs	https://doi.org/10.1177/10870547211044214
Publication status	E-pub ahead of print - 5 Dec 2021
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

Access to Document

10.1177/10870547211044214Licence: CC BY

Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality TaskFinal published version, 653 KBLicence: CC BY

Cite this

@article{1518470bdfb54e938a0dab140ec6c0f8,

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 = "2021",

month = dec,

day = "5",

doi = "10.1177/10870547211044214",

language = "English",

}

Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task. / Seesjarvi, Erik; Puhakka, Jasmin; Aronen, Eeva T.; Lipsanen, Jari; Mannerkoski, Minna; Hering, Alexandra; Zuber, Sascha; Kliegel, Matthias; Laine, Matti; Salmi, Juha.

In: Journal of Attention Disorders, 05.12.2021.

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

TY - JOUR

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 - 2021/12/5

Y1 - 2021/12/5

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.

KW - ADHD

KW - executive function

KW - naturalistic behavior

KW - real-world attention

KW - virtual reality

KW - ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

KW - CONTINUOUS PERFORMANCE-TEST

KW - PROSPECTIVE MEMORY

KW - OBJECTIVE MEASURES

KW - CHILDREN

KW - HYPERACTIVITY

KW - VALIDATION

KW - VALIDITY

KW - DEFICITS

KW - RATINGS

UR - http://www.scopus.com/inward/record.url?scp=85121394704&partnerID=8YFLogxK

U2 - 10.1177/10870547211044214

DO - 10.1177/10870547211044214

M3 - Article

ER -

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

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

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

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

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Projects

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