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^*

^*Korresponderande författare för detta arbete

Forskningsoutput: Tidskriftsbidrag › Artikel › Vetenskaplig › Peer review

41 Citeringar (Scopus)

178 Nedladdningar (Pure)

Sammanfattning

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.

Originalspråk	Engelska
Artikelnummer	10870547211044214
Sidor (från-till)	1394-1411
Antal sidor	18
Tidskrift	Journal of Attention Disorders
Volym	26
Nummer	11
Tidigt onlinedatum	2021
DOI	https://doi.org/10.1177/10870547211044214
Status	Publicerad - sep. 2022
MoE-publikationstyp	A1 Tidskriftsartikel-refererad

Finansiering

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

10870547211044214Slutlig publicerad version, 647 KBLicens: CC BY-NC

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

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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.",

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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",

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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.

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

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