Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-28T13:15:11.794Z Has data issue: false hasContentIssue false

Development and Feasibility of a Virtual Reality Task for the Cognitive Assessment of Older Adults: The ECO-VR

Published online by Cambridge University Press:  13 December 2016

Camila R. Oliveira*
Affiliation:
Faculdade Meridional IMED (Brazil)
Brandel José P. Lopes Filho
Affiliation:
Pontifícia Universidade Católica do Rio Grande do Sul (Brazil)
Michael A. Sugarman
Affiliation:
Wayne State University (USA)
Cristiane S. Esteves
Affiliation:
Pontifícia Universidade Católica do Rio Grande do Sul (Brazil)
Margarida Maria B. M. P. Lima
Affiliation:
Universidade de Coimbra (Portugal)
Carmen Moret-Tatay
Affiliation:
Universidad Católica de Valencia San Vicente Màrtir (Spain)
Tatiana Q. Irigaray
Affiliation:
Pontifícia Universidade Católica do Rio Grande do Sul (Brazil)
Irani Iracema L. Argimon
Affiliation:
Pontifícia Universidade Católica do Rio Grande do Sul (Brazil)
*
*Correspondence concerning this article should be addressed to Camila R. Oliveira. Faculdade Meridional IMED/Pontifícia Universidade Católica do Rio Grande do Sul. Passo Fundo (Brazil). E-mail: [email protected]

Abstract

Cognitive assessment with virtual reality (VR) may have superior ecological validity for older adults compared to traditional pencil-and-paper cognitive assessment. However, few studies have reported the development of VR tasks. The aim of this study was to present the development, feasibility, content validity, and preliminary evidence of construct validity of an ecological task of cognitive assessment for older adults in VR (ECO-VR). The tasks were prepared based on theoretical and clinical backgrounds. We had 29 non-expert judges identify virtual visual stimuli and three-dimensional scenarios, and five expert judges assisted with content analysis and developing instructions. Finally, six older persons participated in three pilot studies and thirty older persons participated in the preliminary study to identify construct validity evidence. Data were analyzed by descriptive statistics and partial correlation. Target stimuli and three-dimensional scenarios were judged adequate and the content analysis demonstrated that ECO-VR evaluates temporo-spatial orientation, memory, language and executive functioning. We made significant changes to the instructions after the pilot studies to increase comprehensibility and reduce the completion time. The total score of ECO-VR was positively correlated mainly with performance in executive function (r = .172, p < .05) and memory tests (r = .488, p ≤ .01). The ECO-VR demonstrated feasibility for cognitive assessment in older adults, as well as content and construct validity evidences.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Almeida, O. P., & Almeida, S. A. (1999). Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida [Reliability of the Brazilian version of the Geriatric Depression Scale (GDS) short form]. Arquivos de Neuropsiquiatria, 57, 421426. https://doi.org/10.1590/S0004-282X1999000300013 Google Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5 th Ed.). Washington, DC: American Psychiatric Association.Google Scholar
Brunner, I., Skouen, J. S., Hofstad, H., Strand, L. I., Becker, F., Sanders, A. M., … Verheyden, G. (2014). Virtual reality training for upper extremity in subacute stroke (VIRTUES): Study protocol for a randomized controlled multicenter trial. BMC Neurology, 14, 186. https://doi.org/10.1186/s12883-014-0186-z Google Scholar
Burgess, P. W., Veitch, E., de Lacy Costello, A., & Shallice, T. (2000). The cognitive and neuroanatomical correlates of multitasking. Neuropsychologia, 38, 848863. https://doi.org/10.1016/S0028-3932(99)00134-7 CrossRefGoogle ScholarPubMed
Canty, A. L., Fleming, J., Patterson, F., Green, H. J., Man, D., & Shum, D. H. K. (2014). Evaluation of a virtual reality prospective memory task for use with individuals with severe traumatic brain injury. Neuropsychological Rehabilitation, 24, 238265. https://doi.org/10.1080/09602011.2014.881746 CrossRefGoogle ScholarPubMed
Chaves, M. L. F., & Izquierdo, I. (1992). Differential diagnosis between dementia and depression: A study of efficiency increment. Acta Neurologica Scandinavica, 85, 378382. https://doi.org/10.1111/j.1600-0404.1992.tb06032.x Google Scholar
Climent-Martínez, G., Luna-Lario, P., Bombín-González, I., Cifuentes-Rodríguez, A., Tirapu-Ustárroz, J., & Díaz-Orueta, U. (2014). Neuropsychological evaluation of the executive functions by means of virtual reality. Revista de Neurología, 58, 465475.Google Scholar
Cooper, H., Camic, P. M., Long, D. L., Panter, A. T., Rindskopf, D., & Sher, K. J. (2012). APA handbook of research methods in psychology, Vol. 1: Foundations, planning, measures, and psychometrics. Washington, DC: American Psychological Association.Google Scholar
Fagundes, A. J. F. M. (1995). Descrição, definição e registro do comportamento [Description, definition and behavior registry]. São Paulo, Brazil: Edicon.Google Scholar
Fajnerová, I., Rodriguez, M., Levčík, D., Konrádová, L., Mikoláš, P., Brom, C., … Horáček, J. (2014). A virtual reality task based on animal research - spatial learning and memory in patients after the first episode of schizophrenia. Frontiers in Behavioral Neuroscience, 8, 115. https://doi.org/10.3389/fnbeh.2014.00157 Google Scholar
Flynn, D., van Schaik, P., Blackman, T., Femcott, C., Hobbs, B., & Calderon, C. (2003). Developing a virtual reality-based methodology for people with dementia: A feasibility study. Cyberpsychology & Behavior, 6, 591611. https://doi.org/10.1089/109493103322725379 Google Scholar
Freeman, D., Antley, A., Ehlers, A., Dunn, G., Thompson, C., Vorontsova, N., … Slater, M. (2014). The use of immersive virtual reality (VR) to predict the occurrence 6 months later of paranoid thinking and posttraumatic stress symptoms assessed by self-report and interviewer methods: A study of individuals who have been physically assaulted. Psychological Assessment, 26, 841847. https://doi.org/10.1037/a0036240 Google Scholar
Grewe, P., Lahr, D., Kohsik, A., Dyck, E., Markowitsch, H. J., Bien, C. G., … Piefke, M. (2014). Real-life memory and spatial navigation in patients with focal epilepsy: Ecological validity of a virtual reality supermarket task. Epilepsy & Behavior, 31, 5766. https://doi.org/10.1037/a0036240 Google Scholar
Jebara, N., Orriols, E., Zaoui, M., Berthoz, A., & Piolino, P. (2014). Effects of enactment in episodic memory: A pilot virtual reality study with young and elderly adults. Frontiers in Aging Neuroscience, 6, 338. https://doi.org/10.3389/fnagi.2014.00338 Google Scholar
Jovanovski, D., Zakzanis, K., Ruttan, L., Campbell, Z., Erb, S., & Nussbaum, D. (2012). Ecologically valid assessment of executive dysfunction using a novel virtual reality task in patients with acquired brain injury. Applied Neuropsychology: Adult, 19, 207220. https://doi.org/10.1080/09084282.2011.643956 Google Scholar
Kochhann, R., Varela, J. S., Lisboa, C. S. M., & Chaves, M. L. F. (2010). The mini mental state examination review of cutoff points adjusted for schooling in a large Southern Brazilian sample. Dementia & Neuropsychologia, 4, 3541. https://doi.org/10.1590/S1980-57642010DN40100006 Google Scholar
Kongs, S. K., Thompson, L. L., Iverson, G. L., & Heaton, R. K. (2000). Wisconsin Card Sorting Test - 64 card version: Professional manual. Odessa, TX: Psychological Assessment Resources.Google Scholar
Masur, J., & Monteiro, M. (1983). Validation of the “CAGE” alcoholism screening test in Brazilian psychiatry inpatient hospital setting. Brazilian Journal of Medical and Biological Research, 16, 215218.Google Scholar
Mendez, M. F., Joshi, A., & Jimenez, E. (2015). Virtual reality for the assessment of frontotemporal dementia, a feasibility study. Disability and Rehabilitation: Assistive Technology, 10, 160164. https://doi.org/10.3109/17483107.2014.889230 Google ScholarPubMed
Morganti, F. (2004). Virtual interaction in cognitive neuropsychology. In Riva, G., Botella, C., Légeron, P., & Optale, G. (Eds.), Cybertherapy: Internet and virtual reality as assessment and rehabilitation tools for clinical psychology and neuroscience (pp. 5570). Amsterdam, the Netherlands: Ios Press.Google Scholar
Plancher, G., Tirard, A., Gyselinck, V., Nicolas, S., & Piolino, P. (2012). Using virtual reality to characterize episodic memory profiles in amnestic mild cognitive impairment and Alzheimer’s disease: Influence of active and passive encoding. Neuropsychologia, 50, 592602. https://doi.org/10.1016/j.neuropsychologia.2011.12.013 CrossRefGoogle ScholarPubMed
Raspelli, S., Pallavicini, F., Carelli, L., Morganti, F., Poletti, B., Corra, B., … Riva, G. (2011). Validation of a neuro virtual reality-based version of the multiple errands test for the assessment of executive functions. Studies in Health Technology and Informatics, 167, 9297.Google ScholarPubMed
Rey, A. (1941). L’examen psychologique dans les cas d’encéphalopathie traumatique [The psychological examination in cases of traumatic encephalopathy]. Archives of Psychology, 28, 286340.Google Scholar
Riva, G., Gaggioli, A., Villani, D., Preziosa, A., Morganti, F., Corsi, R., … Vezzadini, L. (2007). NeuroVR: An open source virtual reality platform for clinical psychology and behavioral neurosciences. Studies in Health Technology and Informatics, 25, 394399.Google Scholar
Schultheis, M. T., Himelstein, J., & Rizzo, A. A. (2002). Virtual reality and neuropsychology: Upgrading the current tools. Journal of Head Trauma Rehabilitation, 17, 378394. https://doi.org/10.1097/00001199-200210000-00002 Google Scholar
Tarnanas, I., Schlee, W., Tsolaki, M., Müri, R., Mosimann, U. P., & Nef, T. (2013). Ecological validity of virtual reality daily living activities screening for early dementia: Longitudinal study. JMIR Serious Games, 1, 114. https://doi.org/10.2196/games.2778 Google Scholar
Tarnanas, I., Tsolaki, M., Nef, T., Müri, R., & Mosimann, U. P. (2014). Can a novel computerized cognitive screening test provide additional information for early detection of Alzheimer’s disease? Alzheimer’s & Dementia, 10, 790798. https://doi.org/10.1016/j.jalz.2014.01.002 Google Scholar
Wechsler, D. (1997). WMS-III: Wechsler Memory Scale (3 rd Ed.). San Antonio, TX: The Psychological Corporation.Google Scholar
Weniger, G., Ruhleder, M., Lange, C., Wolf, S., & Irle, E. (2011). Egocentric and allocentric memory as assessed by virtual reality in individuals with amnestic mild cognitive impairment. Neuropsychologia, 49, 518527. https://doi.org/10.1016/j.neuropsychologia.2010.12.031 Google Scholar
Wilson, B. A., Alderman, N., Burgess, P. W., Emslie, H., & Evans, J. J. (1996). Behavioral assessment of the dysexecutive syndrome. Bury St. Edmunds, UK: Thames Valley Test Company.Google Scholar
Zucchella, C., Sinforiani, E., Tassorelli, C., Cavallini, E., Tost-Pardell, D., Grau, S., … Nappi, G. (2014). Serious games for screening pre-dementia conditions: From virtuality to reality? A pilot project. Functional Neurology, 29, 153158.Google ScholarPubMed