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Enhancing Ecological Validity: Virtual Reality Assessment of Executive Functioning in Children and Adolescents with ADHD.
Romero-Ayuso, Dulce; Del Pino-González, Antonio; Torres-Jiménez, Antonio; Juan-González, Jorge; Celdrán, Francisco Javier; Franchella, María Constanza; Ortega-López, Nuria; Triviño-Juárez, José Matías; Garach-Gómez, Ana; Arrabal-Fernández, Luisa; Medina-Martínez, Inmaculada; González, Pascual.
Afiliación
  • Romero-Ayuso D; Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18071 Granada, Spain.
  • Del Pino-González A; Instituto de Investigación Biosanitaria de Granada, Ibs Granada, 18012 Granada, Spain.
  • Torres-Jiménez A; Brain, Mind and Behaviour Research Center (CIMCYC), University of Granada, 18011 Granada, Spain.
  • Juan-González J; Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18071 Granada, Spain.
  • Celdrán FJ; Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18071 Granada, Spain.
  • Franchella MC; Department of Computing Systems, University of Castilla-La Mancha, 02006 Albacete, Spain.
  • Ortega-López N; Department of Computing Systems, University of Castilla-La Mancha, 02006 Albacete, Spain.
  • Triviño-Juárez JM; Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18071 Granada, Spain.
  • Garach-Gómez A; Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18071 Granada, Spain.
  • Arrabal-Fernández L; Department of Radiology and Physical Medicine, Faculty of Medicine, University of Granada, 18016 Granada, Spain.
  • Medina-Martínez I; Centro de Salud Zaidín Sur, Servicio Andaluz de Salud, 18007 Granada, Spain.
  • González P; Servicio de Neuropediatría, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.
Children (Basel) ; 11(8)2024 Aug 14.
Article en En | MEDLINE | ID: mdl-39201921
ABSTRACT

BACKGROUND:

SmartAction-VR uses virtual reality to simulate daily life tasks and assess cognitive performance based on the multi-errand paradigm. This study explored whether this new task could provide insights into the executive functioning of children and adolescents with ADHD in their everyday activities.

METHODS:

A cross-sectional study was conducted between November 2021 and December 2022. It consisted of one session and was divided into two parts (cognitive tests; and SmartAction-VR). The sample comprised 76 children and adolescents with a median age (IQR) of 13 (11-14) years and an age range of 9-17 years. Of these participants, 60.50% (n = 46) were males. Out of this sample, 40 participants were in the ADHD group and 36 were in the neurotypical group. The following instruments were used Waisman Activities of Daily Living Scale, Assessment of Sensory Processing and Executive Functioning, Pediatric Simulator Disease Questionnaire, Digit span subtest, Stroop test, NEPSY-II Subtest of Auditory Attention and Cognitive Flexibility, Trail Making Test, Zoo Map Test, and SmartAction-VR.

RESULTS:

The ADHD group demonstrated lower accuracy (U = 406, p = 0.010), higher values for total errors (U = 292, p = 0.001), more commissions (U = 417, p = 0.003), new actions (U = 470, p = 0.014), and forgetting actions (U = 406, p = 0.010), as well as fewer perseverations compared to the neurotypical group (U = 540.5, p = 0.029). Additionally, participants who forgot more actions were found to have lower independence in daily life (r = -0.281, p = 0.024).

CONCLUSIONS:

The correlations between the results of SmartAction-VR and activities of daily living, as well as cognitive tests, suggest that this new task could be useful for evaluating executive functioning in daily life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Children (Basel) Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Children (Basel) Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza