Quantifying ADHD Symptoms in Open-Ended Everyday Life Contexts With a New Virtual Reality Task

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Journal Title
Journal ISSN
Volume Title
A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Date
2022-09
Major/Subject
Mcode
Degree programme
Language
en
Pages
18
Series
Journal of Attention Disorders
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.
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Keywords
ADHD, executive function, naturalistic behavior, real-world attention, virtual reality, ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, CONTINUOUS PERFORMANCE-TEST, PROSPECTIVE MEMORY, OBJECTIVE MEASURES, CHILDREN, HYPERACTIVITY, VALIDATION, VALIDITY, DEFICITS, RATINGS
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Citation
Seesjarvi, 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