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

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

^*Tämän työn vastaava kirjoittaja

Tutkimustuotos: Lehtiartikkeli › Artikkeli › Tieteellinen › vertaisarvioitu

41 Sitaatiot (Scopus)

180 Lataukset (Pure)

Abstrakti

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.

Alkuperäiskieli	Englanti
Artikkeli	10870547211044214
Sivut	1394-1411
Sivumäärä	18
Julkaisu	Journal of Attention Disorders
Vuosikerta	26
Numero	11
Varhainen verkossa julkaisun päivämäärä	2021
DOI - pysyväislinkit	https://doi.org/10.1177/10870547211044214
Tila	Julkaistu - syysk. 2022
OKM-julkaisutyyppi	A1 Julkaistu artikkeli, soviteltu

Rahoitus

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study was supported by the Academy of Finland (grants #325981 and #328954 to JS, grant #323251 to ML). ES received support from the Finnish Cultural Foundation (grants #00190963 and #00201002) and Arvo and Lea Ylppö Foundation (grant #202010005). None of the authors have any biomedical financial interests or potential conflicts of interest.

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10.1177/10870547211044214

10870547211044214Lopullinen julkaistu versio, 647 KBLisenssi: CC BY-NC

https://urn.fi/URN:NBN:fi-fe2022021018473

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@article{9af1d314db644a998b77744183a6dc0a,

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",

author = "Erik Seesj{\"a}rvi 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",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study was supported by the Academy of Finland (grants \#325981 and \#328954 to JS, grant \#323251 to ML). ES received support from the Finnish Cultural Foundation (grants \#00190963 and \#00201002) and Arvo and Lea Ylpp{\"o} Foundation (grant \#202010005). None of the authors have any biomedical financial interests or potential conflicts of interest. Publisher Copyright: {\textcopyright} {\textcopyright}The Author(s) 2021.",

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 publications",

number = "11",

}

TY - JOUR

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

AU - Seesjärvi, 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

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study was supported by the Academy of Finland (grants #325981 and #328954 to JS, grant #323251 to ML). ES received support from the Finnish Cultural Foundation (grants #00190963 and #00201002) and Arvo and Lea Ylppö Foundation (grant #202010005). None of the authors have any biomedical financial interests or potential conflicts of interest. Publisher Copyright: © ©The Author(s) 2021.

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.

KW - ADHD

KW - executive function

KW - naturalistic behavior

KW - real-world attention

KW - virtual reality

UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=aboakademi&SrcAuth=WosAPI&KeyUT=WOS:000727836500001&DestLinkType=FullRecord&DestApp=WOS

U2 - 10.1177/10870547211044214

DO - 10.1177/10870547211044214

M3 - Article

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AN - SCOPUS:85121394704

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VL - 26

SP - 1394

EP - 1411

JO - Journal of Attention Disorders

JF - Journal of Attention Disorders

IS - 11

M1 - 10870547211044214

ER -

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

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