Objective
To investigate the influence of performance feedback and motivation during two tests of simple visuo-motor reaction time.
Design
Cross-sectional, observational study.
Setting
Outpatient academic physiatry clinic.
Participants
31 healthy adults aged 54 ± 15 years.
Methods
Participants completed a clinical test of reaction time (RTclin) and a computerized test of reaction time with and without performance feedback (RTcompFB and RTcompNoFB, respectively) in randomly assigned order. They then ranked their degree of motivation during each test. RTclin measured the time required to catch a suspended vertical shaft by hand closure after its release by the examiner. RTcompFB and RTcompNoFB both measured the time required to press a computer key in response to a visual cue displayed on a computer monitor. Performance feedback (visual display of the previous trial and summary results) was provided for RTcompFB, but not for RTcompNoFB.
Main Outcome Measurements
Means and standard deviations of RTclin, RTcompFB, and RTcompNoFB; Participantsâ self-reported motivation on a 5-point Likert scale for each test.
Results
There were significant differences in both the means and standard deviations of RTclin, RTcompFB, and RTcompNoFB (F2,60 = 81.66, p < 0.0001; F2,60 = 32.46, p < 0.0001, respectively) with RTclin being both the fastest and least variable of the reaction time measures. RTclin was more strongly correlated with RTcompFB (r = 0.449, p = 0.011) than with RTcompNoFB (r = 0.314, p = 0.086). Participants reported similar levels of motivation between RTclin and RTcompFB, both of which were reported to be more motivating than RTcompNoFB.
Conclusions
The stronger correlation between RTclin and RTcompFB as well as the higher reported motivation during RTclin and RTcompFB testing suggest that performance feedback is a positive motivating factor that is implicit to RTclin testing. RTclin is a simple, inexpensive technique for measuring reaction time and appears to be an intrinsically motivating task. This motivation may promote faster, more consistent reaction time performance compared to currently available computerized programs, which do not typically provide performance feedback.