Pubblicazioni proprie, collaborazioni e referenze di rilievo
Virtual-Reality-Based Neuropsychological Assessments of Everyday Functioning
Although much work is needed in this area, VE-based assessment studies are increasingly establishing norms by demonstrating significant associations between virtual environments and conventional measures. As mentioned above, the Virtual Classroom represents a VR-based neuropsychological assessment that is approaching a normative standard. This is particularly true of Nesplora’s Aula (virtual classroom). Iriarte and colleagues (2016) developed norms for the Nesplora Virtual Classroom from a sample composed of 1,272 participants (48.2% female; age range 6–16 years, M = 10.25, SD = 2.83). Normative findings related to omission errors, commission errors, and hit reaction time revealed that the Nesplora Virtual Classroom CPT paradigm is significantly correlated with the traditional CPT (omission errors; commission errors; hit reaction time) and was found to be more sensitive to reaction time and rate of omission errors than the TOVA. Findings from the normative study also revealed a general pattern of sex and age differences.
Créditos: Neuropsychology of Everyday Functioning, Second Edition, edited by Thomas D. Marcotte, et al., Guilford Publications, 2022. ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/unt/detail.action?docID=6843034.
Clinical Applications of School Neuropsychology: Clinical Disorders
A company called Nesplora has two CPTs that are administered in virtual reality. Children ages 6–15 can be administered Aula (Climent et al., 2011), which places them in a virtual classroom with a teacher, classmates, and all the furnishings of a classroom. They are asked to respond to some tar- gets that they hear or see on the blackboard and ignore other stimuli, including traditional classroom distractions like peers talking, things happening outside the classroom window, and other students passing notes. Adolescents over the age of 16 and adults can be administered Nesplora’s Aquarium (Climent, 2018), which takes place in a virtual aquarium and has more cognitively demanding and challenging rules for responding to targets that test not only attention but also working memory. Recall that working memory is related to Mirksy’s encode concept, meaning that Aquarium is tap- ping into multiple layers of Mirsky’s attention model. At this point, these are the only commercially available CPTs administered in virtual reality; they have the advantage of modeling real-world atten- tion demands and distractions in a way that is hard to replicate with traditional CPTs administered on desktop and laptop computers.
Créditos: Best Practices in School Neuropsychology: Guidelines for Effective Practice, Assessment, and Evidence-Based Intervention, Second Edition. Edited by Daniel C. Miller, Denise E. Maricle, Christopher L. Bedford, and Julie A. Gettman. © 2022 John Wiley & Sons, Inc. Published 2022 by John Wiley & Sons, Inc.
Cognitive and Emotional Mapping With SEEG
Over the last 2 years, virtual tasks have exploded, with ecologically realistic or episodic memory in a shop environment (252, 253), spatial orientation (254), attention (255), and large-scale spatial learning (256). Similarly, standard objects to use in creating these environments (257), and free programming tools (e.g., Unity by Unity Technologies) are making this easier and more standardized (See Figure 8)
Créditos: Drane Daniel L., Pedersen Nigel P., Sabsevitz David S., Block Cady, Dickey Adam S., Alwaki Abdulrahman, Kheder Ammar. Cognitive and Emotional Mapping With SEEG. Frontiers in Neurology.
EFEC'O scale for assessing executive functions in self-report format
EFEC'O questionnaire is an instrument that allows assessing executive functions from an ecological perspective because it is based on a day-by-day behavioral report of an individual. The aim was to validate EFEC'O questionnaire in a self-report format. Participants were 250 Ecuadorian adolescents aged between 13 and 18 years (3/a?e=16.23. SD=\.Ti). As results, there was found a significant internal consistency (a=.64-.95), correlation among items (r=.32-.62), correlation among sub-scales (r=.40-76). confirmatory factor analysis of two factors (x2=3S.S7, CFI=98, RMSEA=. 065 [035-094], SRMR=027) and discriminant capacity in monitoring, cognitive flexibility. organization of material, initiative, working memory and planning of adolescents with differences on academic performance. In the discussion part, results are presented in relation to previous findings and taking on account the importance of having an instrument with an ecological validity to assess executive functions.
Créditos: Ramos-Galarza, Carlos & Bolanos-Pasquel, M. & García Gómez, Andrés & Siiarez, P.M. & Jadan-Guerrero, Janio. (2019). Efeco scale for assessing executive functions in self-report format. Revista Iberoamericana de Diagnostico y Evaluacion Psicologica. 51. 83-93.
Evaluación psicométrica del test de AULA NESPLORA
Excelente TFG. GRACIAS Alberto Infantes por tu trabajo y Felicidades por tu nota sobresaliente.
Créditos: FG Grado en PSICOLOGÍA 2020_21_Evaluación psicométrica del test de AULA NESPLORA_APLICACIÓN Alberto Infantes García
The effectiveness of a virtual reality attention task to predict depression and anxiety in comparison with current clinical measures
Previous studies have revealed that attention and inhibition are impaired in individuals with elevated symptoms of depression and anxiety. Virtual reality (VR)-based neuropsychological assessment may be a valid instrument for assessing attention and inhibition given its higher ecological validity when compared to classical tests. However, it is still unclear as to whether a VR assessment can predict depression and anxiety with the same or higher level of effectiveness and adherence as classical neuropsychological measures. The current study examined the effectiveness of a new VR test, Nesplora Aquarium, by testing participants with low ( N = 41) and elevated ( N = 41) symptoms of depression and anxiety. Participants completed a continuous performance test where they had to respond to stimuli (species of fish) in a virtual aquarium, as well as paper-and-pencil and computerised tests. Participants’ performance in Nesplora Aquarium was positively associated with classic measures of attention and inhibition, and effectively predicted symptoms of depression and anxiety above and beyond traditional cognitive measures such as psychomotor speed and executive functioning, spatial working memory span. Hence, VR is a safe, enjoyable, effective and more ecological alternative for the assessment of attention and inhibition among individuals with elevated anxiety and depression symptoms.
Créditos: Voinescu, A., Petrini, K., Stanton Fraser, D. et al. The effectiveness of a virtual reality attention task to predict depression and anxiety in comparison with current clinical measures. Virtual Reality (2021)
The Effects of Choice on the Reading Comprehension and Enjoyment of Children with Severe Inattention and no Attentional Difficulties
It has been proposed that enhancing motivation supports the learning of children with Attention Deficit Hyperactivity Disorder (ADHD). Less is known if inattentive children with no ADHD diagnosis may similarly benefit, when being motivated to engage in an academic task. Using a repeated-measures design, this study investigated the effects of text choice as an intrinsic motivator on the reading comprehension and enjoyment of Year 4 children attending mainstream primary schools (N = 92; aged 8–9 years; 48 boys); comparing those with no attentional difficulties and severe inattention. We hypothesized that 1) choice would increase reading comprehension and enjoyment 2) choice would increase the reading comprehension and enjoyment of children both with severe inattention and no attentional difficulties 3) choice effects would be significantly greater for children with severe inattention than those with no attentional difficulties. Children participated in a reading intervention that included a Choice (experimental) and a No Choice (control) condition. Child inattention was measured via a Virtual Reality Continuous Performance Task (Omission errors, Reaction Time Variability) and Teacher Ratings. Choice significantly increased reading comprehension, but not enjoyment compared with no choice. Choice improved the reading comprehension of children with both severe inattention and no attentional difficulties. Choice did not benefit the reading of severely inattentive children more than that of children with no attentional difficulties. These findings underline the educational benefits of choice for young readers both with severe inattention and no attentional difficulties, which are further discussed drawing on existing theory and research.
Créditos: Kakoulidou, M., Le Cornu Knight, F., Filippi, R. et al. The Effects of Choice on the Reading Comprehension and Enjoyment of Children with Severe Inattention and no Attentional Difficulties. Res Child Adolesc Psychopathol (2021).
Computer- Assessment of Attention and Memory Utilizing Ecologically Valid Distractions: A Scoping Review
Introduction: Deficits in the cognitive domains of attention and memory leave a large impact on everyday activities that are not easily captured in the clinical environment. Therefore, clinicians are compelled to utilize assessment tools that elicit everyday functioning that include real-world contexts and distractions. As a result, the use of computer-assisted assessment has emerged as a tool for capturing everyday functioning in a variety of environments. The purpose of this scoping review is to map how virtual reality, augmented reality, and computer-based programs have implemented distractions for clinical populations.Methods: A scoping review of peer reviewed publications was conducted by searching Pubmed, PsychInfo, Web of Science, Rehabdata, and Scopus databases (1960-October 20, 2020). Authors completed hand-searches for additional published and unpublished studies.Results: Of 616 titles screened, 23 articles met inclusion criteria to include in this review. Primary distraction display modalities included computer monitor displays (n = 12) and head mounted displays (HMD) (n = 7). While computer-assisted assessments included distractions, no systematic approach was utilized to implement them. Primary distractions included both auditory and visual stimuli that were relevant to the task and/or simulated environment. Additional distraction characteristics emerged including location, timing, and intensity that can contribute to overall noticeability.Conclusion: From this review, the authors examined the literature on the implementation of distractions in simulated programming. The authors make recommendations regarding identification, measurement, and programming with suggestions that future studies examining metrics of attention to implement distraction in measurable and meaningful ways. Further, the authors propose that distraction does not universally impact performance negatively but can also enhance performance for clinical populations (e.g. additional sensory stimuli to support focused attention).
Cognitive Function Assessment of a Patient With PTSD Before and After EMDR Treatment
The current case study investigates whether successful psychotherapy for posttraumatic stress disorder (PTSD) symptoms will also ameliorate cognitive de cits. We describe the treatment response of a 37-year- old woman diagnosed with PTSD who received eight weekly EMDR sessions. At pre-treatment, the patient reported emotional disturbance on the Beck Depression Inventory-II, and problems with anxiety and sleep. Testing showed high scores on the State-Trait Anxiety Inventory and the Symptoms Scale of Post-traumatic Stress Disorder Scale-Revised. An evaluation of her attention pro le and other executive functions was conducted with dual execution tasks using a virtual reality program, Nesplora Aquarium. The attention testing data indicated attention-de cit disorder. At the end of the therapy, testing showed improvements in sleep problems and in emotional disturbance and anxiety symptoms on all measures. The attention testing revealed normal scores for her age range in the Nesplora Aquarium test. A follow-up assessment was carried out at 1 month, and it was observed that the patient maintained the improvement achieved. We discuss the relationship between PTSD and cognitive impairment and the value of the Nesplora Aquarium test for cognitive assessments. Our results suggest attentional de cits in this case when performing a continuous execution test with dual execution components that involve the participation of the central executive system of working memory.
Créditos: Camacho-Conde, José Antonio. Cognitive Function Assessment of a Patient With PTSD Before and After EMDR Treatment. Journal of EMDR Practice and Research. 10.1891/EMDR-D-20-00022
EFECTO TECHO Y EFECTO SUELO DE UN TEST (NESPLORA ATTENTION AULA) PARA LA EVALUACIÓN DE LOS PROCESOS ATENCIONALES
Una de las características psicométricas deseables en un test de evaluación neuropsicológica es que no muestre tener ni efecto suelo ni efecto techo; por tanto, el objetivo de este estudio ha sido el de comprobar el efecto techo y el efecto suelo de la prueba de evaluación Nesplora Attention AULA
Créditos: Redondo, M., González, M. F., Mejías, M., Lizarazu, B., Rebón, F., Nesplora Technology & Behaviour, Donostia-San Sebastián, España
ATTENTION AND INHIBITORY CONTROL IN NEURODEVELOPMENTAL DISORDERS: A NEW ASSESSMENT APPROACH THROUGH NESPLORA AULA.
Differentiate attentional and inhibitory control profiles in ADHD and ASDs using a virtual reality neuropsychological test.
Créditos: Fernández, P. 1, 2 , Cánovas, R. 2 , Moreno, M. 1 , Delgado-Mejía, I.D. 3 , Lalor, S. 4 , Sánchez-Santed, F. 1, 2 & Flores, P. 1,2*ATTENTION AND INHIBITORY CONTROL IN NEURODEVELOPMENTAL DISORDERS: A NEW ASSESSMENT APPROACH THROUGH NESPLORA AULA II Congreso Iberoamericano de Neuropsicología XIV Congreso de la Sociedad Andaluza de Neuropsicología Almería,3-5th May of 2018
The technological tools of the diagnosis and treatment of attention deficit disorder and hyperactivity
… AQUARIUM, es semejante a AULA. En este caso se trata de un acuario donde se mide los procesos de atención para edades de análisis entre los 16 y los 90 años 11 . … Attention deficit disorder and hyperactivity (ADHD) is the main reason for consultation in most Pediatric Neurology units in Spain. The new technologies also associate benefits for both patients and professionals and the health system itself, which makes its rational implementation essential. Genetics, neuroimaging or virtual reality, for example, are clear exponents of the results that can be achieved by optimizing traditional processes. The different technologies that we collect in this article are fully operational and have thousands of experience in patients. The incorporation of them to the usual clinical practice is in our hands.
Créditos: Fernández, Manuel & Morillo, María & Gilibert, Noelia & Carvalho, Carla & Bello, Sabina. (2020). The technological tools of the diagnosis and treatment of attention deficit disorder and hyperactivity. Medicina. 80 Suppl 2. 67-71.