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^*

^*Corresponding author for this work

Developmental Psychology

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

18 Citations (Scopus)

132 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
Journal	Journal of Attention Disorders
Volume	26
Issue number	11
DOIs	https://doi.org/10.1177/10870547211044214
Publication status	Published - 2022

Keywords

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

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10.1177/10870547211044214Licence: CC BY

DP Hering quantifying ADHD symptoms JoAD 2022Final published version, 647 KBLicence: CC BY

Cite this

@article{15a41afdd9c14d09a2263fe7d7b4664e,

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, ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, CHILDREN, CONTINUOUS PERFORMANCE-TEST, DEFICITS, HYPERACTIVITY, OBJECTIVE MEASURES, PROSPECTIVE MEMORY, RATINGS, VALIDATION, VALIDITY, 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). ",

year = "2022",

doi = "10.1177/10870547211044214",

language = "English",

volume = "26",

pages = "1394--1411",

journal = "Journal of Attention Disorders",

issn = "1087-0547",

publisher = "Sage Publications, Inc.",

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).

PY - 2022

Y1 - 2022

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 - ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

KW - CHILDREN

KW - CONTINUOUS PERFORMANCE-TEST

KW - DEFICITS

KW - HYPERACTIVITY

KW - OBJECTIVE MEASURES

KW - PROSPECTIVE MEMORY

KW - RATINGS

KW - VALIDATION

KW - VALIDITY

KW - executive function

KW - naturalistic behavior

KW - real-world attention

KW - virtual reality

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U2 - 10.1177/10870547211044214

DO - 10.1177/10870547211044214

M3 - Article

AN - SCOPUS:85121394704

SN - 1087-0547

VL - 26

SP - 1394

EP - 1411

JO - Journal of Attention Disorders

JF - Journal of Attention Disorders

IS - 11

ER -

Quantifying ADHD symptoms in open-ended everyday life contexts with a new virtual reality task

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Keywords

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