Virtual reality and neuropsychological assessment: The reliability of a virtual kitchen to assess daily-life activities in victims of traumatic brain injury

Besnard, Jérémy; Richard, Paul; Banville, Frédéric; Nolin, Pierre; Aubin, Ghislaine; Gall, Didier Le; Richard, Isabelle; Allain, Philippe

doi:10.1080/23279095.2015.1048514

Cited by 47 publications

(33 citation statements)

References 48 publications

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“…Allain et al [12] benchmarked a VR task against a closely corresponding real-world task and found that a VR paradigm could be a more complex yet ecologically valid measure. As for the reasons for the complexity of the VR, a recent study [31] proposed that VR interface with a mouse and keyboard is unnatural to use. Thus, different mental schemes would be associated in VR and real tasks, and consequently more attention will be paid to do VR tasks.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, different mental schemes would be associated in VR and real tasks, and consequently more attention will be paid to do VR tasks. Note that previous VR contents [12,13,31] were mostly based on non-immersive VR environment with a mouse and keyboard. As mentioned, the VDLT proposed in this study is an immersive VR-based test that subjects can conduct virtual IADL tasks with their own body (i.e., hand and head).…”

Section: Discussionmentioning

confidence: 99%

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Virtual daily living test to screen for mild cognitive impairment using kinematic movement analysis

Seo

Kim

et al. 2017

PLoS ONE

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Questionnaires or computer-based tests for assessing activities of daily living are well-known approaches to screen for mild cognitive impairment (MCI). However, questionnaires are subjective and computerized tests only collect simple performance data with conventional input devices such as a mouse and keyboard. This study explored the validity and discriminative power of a virtual daily living test as a new diagnostic approach to assess MCI. Twenty-two healthy controls and 20 patients with MCI were recruited. The virtual daily living test presents two complex daily living tasks in an immersive virtual reality environment. The tasks were conducted based on subject body movements and detailed behavioral data (i.e., kinematic measures) were collected. Performance in both the proposed virtual daily living test and conventional neuropsychological tests for patients with MCI was compared to healthy controls. Kinematic measures considered in this study, such as body movement trajectory, time to completion, and speed, classified patients with MCI from healthy controls, F(8, 33) = 5.648, p < 0.001, η2 = 0.578. When both hand and head speed were employed in conjunction with the immediate free-recall test, a conventional neuropsychological test, the discrimination power for screening MCI was significantly improved to 90% sensitivity and 95.5% specificity (cf. the immediate free-recall test alone has 80% sensitivity and 77.3% specificity). Inclusion of the kinematic measures in screening for MCI significantly improved the classification of patients with MCI compared to the healthy control group, Wilks’ Lambda = 0.451, p < 0.001.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Virtual daily living test to screen for mild cognitive impairment using kinematic movement analysis

Seo

Kim

et al. 2017

PLoS ONE

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“…Our task presents similarities in scope and design with the Nonimmersive Virtual Coffee Task (NI-VCT), which was developed in a 3D VR system and was recently published by Besnard et al [84]. However, two main differences could impact the generalization of the selected technology to the clinical setting.…”

Section: Discussionmentioning

confidence: 99%

“…For example, only a handful of studies have established the ecological and construct validity of simulated environments [84]. VR might produce motion sickness (discomfort, nausea, vomiting, headache, fatigue, etc.)…”

Section: Neuropsychological Assessment In Simulated Environmentsmentioning

confidence: 99%

Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury

Martínez‐Pernía¹,

Núñez-Huasaf²,

Blanco³

et al. 2017

Journal of Biomedical Informatics

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Highlights:1. Functional assessments are helpful in clinical decision-making.2. No practical, widely available everyday functional assessments currently exist.3. Serious game platforms such as eAdventure can be used to develop screen-based simulated functional assessments.4. The development of the SBS-COT required three professionals who required a total of 49 hours to finish the SBS-COT, which cost approximately US$1,821, taking into account the cost/person-hour. 5. The SBS-COT shows good feasibility as a pre-screening test of executive dysfunction assessment as well as good acceptability and usefulness for therapists and patients. Abstract:The assessment of functional status is a critical component of clinical neuropsychological evaluations used for both diagnostic and therapeutic purposes in patients with cognitive brain disorders. There are, however, no widely adopted neuropsychological tests that are both ecologically valid and easily administered in daily clinical practice. This discrepancy is a roadblock to the widespread adoption of functional assessments. In this paper, we propose a novel approach using a serious game authoring platform (eAdventure) for creating screenbased simulated functional assessments. We created a naturalistic functional task that consisted of preparing a cup of tea (SBS-COT) and applied the assessment in a convenience sample of eight dyads of therapists/patients with mild executive dysfunction after traumatic brain injury. We had three main aims. First, we performed a comprehensive review of executive function assessment in activities of daily living. Second, we were interested in measuring the feasibility of this technology with respect to staffing, economic and technical requirements. Third, a serious game was administered to patients to study the feasibility of this technology in the clinical context (pre-screening test). In addition, quantitative (Technology Acceptance Model (TAM) questionnaires) and qualitative (semistructured interviews) evaluations were applied to obtain user input. Our results suggest that the staffing, economic and technical requirements of the SBS-COT are feasible. The outcomes of the pre-screening test provide evidence that this technology is useful in the functional assessment of patients with executive dysfunction. In relation to subjective data, the TAM questionnaire showed good user acceptability from a professional perspective. Interview analyses with professionals and patients showed positive experiences related to the use of the SBS-COT. Our work indicates that the use of these types of authoring platforms could have positive long-term implications for neuropsychological research, opening the door to more reproducible, cooperative and efficient research by allowing the facilitated production, reuse and sharing of neuropsychological assessment tools.

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“…In addition, using non-immersive systems, other studies included virtual tasks such as preparing coffee with an electric coffee maker [64,65]. They were developed to evaluate performance in IADLs, analyzing errors and validating them for populations with traumatic brain injury [65] and Alzheimer's disease [64]. Other virtual tasks related to community mobility were also developed, such as taking a bus [66].…”

Section: Types Of Instruments According To the Methodology Usedmentioning

confidence: 99%

Assessment of cognitive instrumental activities of daily living: a systematic review

Ayuso

Castillero-Perea

González

et al. 2019

Disability and Rehabilitation

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Virtual reality and neuropsychological assessment: The reliability of a virtual kitchen to assess daily-life activities in victims of traumatic brain injury

Cited by 47 publications

References 48 publications

Virtual daily living test to screen for mild cognitive impairment using kinematic movement analysis

Virtual daily living test to screen for mild cognitive impairment using kinematic movement analysis

Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury

Assessment of cognitive instrumental activities of daily living: a systematic review

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