Testing an Ecological Instrument for Executive Functioning Assessment: the Labyrinth App

Puesta a Prueba de una Herramienta Ecológica Para Evaluar el Funcionamiento Ejecutivo: la App Laberinto

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Ana Comesaña
María Virginia Cifuentes
María José Aguilar
Cristian García Bauza
Abstract

The neuropsychological tests that are traditionally used for pencil-and-paper cognitive assessment and stimulation often have some limitations. Computer-based tasks, in addition to maintaining good reliability and validity, present certain strategies in their construction that overcome the limitations of traditional pencil-and-paper tests. In this sense, those designed in a virtual reality environment are also ecologically valid. Therefore, the aim of this work was to design and test an instrument that assesses some cognitive processes through virtual reality in young adults, with the idea of implementing and using it in the future for both training and cognitive rehabilitation in people of different ages. For this purpose, a descriptive-correlational and cross-sectional design was implemented, developing a software tool called "App Labyrinth" that allows to perform, from its use in different sessions varying the level of complexity, training and cognitive stimulation of young adults and record and store the results of their performance at each opportunity. In this first data collection, adjusted measurements were obtained, thus making it plausible to subsequently test the instrument in cognitive training and rehabilitation. It could be concluded that this test presents an ecological and intuitive design, since it yields indexes based on reaction times and response accuracy. These indices offer a promising measure that, in contrast to those used in traditional neuropsychological tasks, can be considered a more accurate and objective measure of cognitive functions

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Alashram, A. R., Annino, G., Padua, E., Romagnoli, C., & Mercuri, N. B. (2019). Cognitive rehabilitation post traumatic brain injury: A systematic review for emerging use of virtual reality technology. Journal of Clinical Neuroscience, 66, 209-219. https://doi.org/10.1016/j.jocn.2019.04.026 DOI: https://doi.org/10.1016/j.jocn.2019.04.026

American Psychological Association. (2017). Ethical principles of psychologists and code of conduct. Washington D.C: American Pychological Association. Obtenido de http://www.apa.org/ethics/code/ethics-code-2017.pdf

Antzaka, A., Lallier, M., Meyer, S., Diard, J., Carreiras, M., & Valdois, S. (2017). Enhancing reading performance through action video games: the role of visual attention span. Scientific Reports, 7(1), 14563. https://doi.org/10.1038/s41598-017-15119-9 DOI: https://doi.org/10.1038/s41598-017-15119-9

Burgess, P. W., Alderman, N., Forbes, C., Costello, A., Laure, M. C., Dawson, D. R., Anderson, N. D., Gilbert, S. J., Dumontheil, I., &

Channon, S. (2006). The case for the development and use of “ecologically valid” measures of executive function in experimental and clinical neuropsychology. Journal of the international neuropsychological society, 12(2), 194-209. doi:10.1017/S1355617706060310 DOI: https://doi.org/10.1017/S1355617706060310

Chicchi Giglioli, I. A., Pérez Gálvez, B., Gil Granados, A., & Alcañiz Raya, M. (2021). The Virtual Cooking Task: A Preliminary Comparison Between Neuropsychological and Ecological Virtual Reality Tests to Assess Executive Functions Alterations in Patients Affected by Alcohol Use Disorder. Cyberpsychology, Behavior, and Social Networking, 24(10), 673-682. https://doi.org/10.1089/cyber.2020.0560 DOI: https://doi.org/10.1089/cyber.2020.0560

Diamond, A. (2013). Executive functions. Annual review of psychology, 64, 135-168. https://doi.org/10.1146/annurev-psych-113011-143750 DOI: https://doi.org/10.1146/annurev-psych-113011-143750

Diamond, A., & Ling, D. S. (2020). Review of the evidence on, and fundamental questions about, efforts to improve executive functions, including working memory. In J. M. Novick, M. F. Bunting, M. R. Dougherty, & R. W. Engle (Eds.), Cognitive and working memory training: Perspectives from psychology, neuroscience, and human development (pp. 143–431). Oxford University Press. https://doi.org/10.1093/oso/9780199974467.003.0008 DOI: https://doi.org/10.1093/oso/9780199974467.003.0008

Dirección Nacional de Protección de datos personales. (2001). Ley N° 25.326. Protección de datos personales. Ministerio de Justicia, Seguridad y Derechos humanos.

Doherty, T. A., Barker, L. A., Denniss, R., Jalil, A., & Beer, M. D. (2015). The cooking task: making a meal of executive functions. Frontiers in behavioral neuroscience, 9, 22. https://doi.org/10.3389/fnbeh.2015.00022 DOI: https://doi.org/10.3389/fnbeh.2015.00022

Franco-Módenes, P. & Sánchez-Cabaco, A. (2009). Patrón de envejecimiento en procesos cognitivos (perceptivo-atencionales) y ejecutivos. Revista Galego-Portuguesa de Psicoloxía e Educación, 17(13), 195-209. http://hdl.handle.net/2183/7632

Hernández-Sampieri, R., & Torres, C. P. M. (2018). Metodología de la investigación (Vol. 4, pp. 310-386). México^ eD. F DF: McGraw-Hill Interamericana. DOI: https://doi.org/10.17993/CcyLl.2018.15

Júlio F, Ribeiro MJ, Patrício M, Malhão A, Pedrosa F, Gonçalves H, Simões M, van Asselen M, Simões MR, Castelo-Branco M y Januário C (2019) El nuevo enfoque ecológico revela deficiencias tempranas de la función ejecutiva en Enfermedad de Huntington. Parte delantera. Psychol. 10: 585. doi:10.3389/fpsyg.2019.00585 DOI: https://doi.org/10.3389/fpsyg.2019.00585

Lee, L. N., Kim, M. J., & Hwang, W. J. (2019). Potential of augmented reality and virtual reality technologies to promote wellbeing in older adults. Applied sciences, 9(17), 3556. https://doi.org/10.3390/app9173556 DOI: https://doi.org/10.3390/app9173556

Liao Y-Y, Chen I-H, Lin Y-J, Chen Y and Hsu W-C (2019) Effects of Virtual Reality-Based Physical and Cognitive Training on Executive Function and Dual-Task Gait Performance in Older Adults With Mild Cognitive Impairment: A Randomized Control Trial. Front. Aging Neurosci. 11:162. doi: 10.3389/fnagi.2019.00162 DOI: https://doi.org/10.3389/fnagi.2019.00162

Mancera, L., Baldiris, S., Fabregat, R., Gomez, S., & Mejia, C. (2017, July). aTenDerAH: a videogame to support e-Learning students with ADHD. In Advanced Learning Technologies (ICALT), 2017 IEEE 17th International Conference on (pp. 438-440). IEEE. DOI: https://doi.org/10.1109/ICALT.2017.157

McFadyen, B. J., Gagné, M. È., Cossette, I., & Ouellet, M. C. (2017). Using dual task walking as an aid to assess executive dysfunction ecologically in neurological populations: a narrative review. Neuropsychological Rehabilitation, 27(5), 722-743. https://doi.org/10.1080/09602011.2015.1100125 DOI: https://doi.org/10.1080/09602011.2015.1100125

Miyake, A., & Friedman, N. P. (2012). The nature and organization of individual differences in executive functions: Four general conclusions. Current directions in psychological science, 21(1), 8-14. https://doi.org/10.1177/0963721411429458 DOI: https://doi.org/10.1177/0963721411429458

Ríos-Lago, M., Muñoz J.M, y Pául, N. (2007). Alteraciones de la atención tras daño cerebral traumático: evaluación y rehabilitación. Rev Neurol, 44 (5), 291-97. https://doi.org/10.33588/rn.4405.2006208 DOI: https://doi.org/10.33588/rn.4405.2006208

Riva, G., Davide, F., & IJsselsteijn, W. A. (2003). Being there: Concepts, effects and measurements of user presence in synthetic environments. Ios Press.

Rizzo, A. A., Schultheis, M., Kerns, K. A., & Mateer, C. (2004). Analysis of assets for virtual reality applications in neuropsychology. Neuropsychological rehabilitation, 14(1-2), 207-239. https://doi.org/10.1080/09602010343000183 DOI: https://doi.org/10.1080/09602010343000183

Rodríguez, M. F., Ramirez Butavand, D., Cifuentes, M. V., Bekinschtein, P., Ballarini, F., & García Bauza, C. (2021). A virtual reality platform for memory evaluation: Assessing effects of spatial strategies. Behavior Research Methods, 1-13. DOI: https://doi.org/10.3758/s13428-021-01758-4

Romero Ayuso, D. M. (2007). ACTIVIDADES DE LA VIDA DIARIA. Anales de Psicología / Annals of Psychology, 23(2), 264–271. Recuperado a partir de https://revistas.um.es/analesps/article/view/22291

Rose, F. D., Brooks, B. M., & Rizzo, A. A. (2005). Virtual reality in brain damage rehabilitation. Cyberpsychology & behavior, 8(3), 241-262. https://doi.org/10.1089/cpb.2005.8.241 DOI: https://doi.org/10.1089/cpb.2005.8.241

Salthouse, T. A. (1996). The processing-speed theory of adult age differences in cognition. Psychological Review, 103(3), 403–428. https://doi.org/10.1037/0033-295X.103.3.403 DOI: https://doi.org/10.1037/0033-295X.103.3.403

Schultheis, M. T., & Rizzo, A. A. (2001). The application of virtual reality technology in rehabilitation. Rehabilitation psychology, 46(3), 296. DOI: https://doi.org/10.1037/0090-5550.46.3.296

Webb CE, Rodrigue KM, Hoagey DA, Foster CM, Kennedy KM. (2019) Contributions of White Matter Connectivity and BOLD Modulation to Cognitive Aging: A Lifespan Structure-Function Association Study. Cerebral Cortex (New York, N.Y. : 1991). PMID 31599929 DOI: 10.1093/Cercor/Bhz193. DOI: https://doi.org/10.1101/620443

Zygouris, S., Giakoumis, D., Votis, K., Doumpoulakis, S., Ntovas, K., Segkouli, S., Karagiannidis, C., Tzovaras, D., & Tsolaki, M. (2015). Can a virtual reality cognitive training application fulfill a dual role? Using the virtual supermarket cognitive training application as a screening tool for mild cognitive impairment. Journal of Alzheimer's Disease, 44(4), 1333-1347. DOI: 10.3233/JAD-141260 DOI: https://doi.org/10.3233/JAD-141260

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