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Quantifying ADHD symptoms in open-ended everyday life contexts with a new virtual reality task
Seesjärvi,Erik Puhakka,Jasmin Aronen,Eeva T. Lipsanen,Jari Mannerkoski,Minna Hering,Alexandra Zuber,Sascha Kliegel,Matthias Laine,Matti Salmi,Juha
Seesjärvi,Erik
Puhakka,Jasmin
Aronen,Eeva T.
Lipsanen,Jari
Mannerkoski,Minna
Hering,Alexandra
Zuber,Sascha
Kliegel,Matthias
Laine,Matti
Salmi,Juha
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.
Description
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).
Date
2022
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Research Projects
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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
Citation
Seesjärvi, E, Puhakka, J, Aronen, E T, Lipsanen, J, Mannerkoski, M, Hering, A, Zuber, S, Kliegel, M, Laine, M & Salmi, J 2022, 'Quantifying ADHD symptoms in open-ended everyday life contexts with a new virtual reality task', Journal of Attention Disorders, vol. 26, no. 11, pp. 1394-1411. https://doi.org/10.1177/10870547211044214