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

David Martinez Pernia, Javier Nunez Huasaf, Angel del Blanco, Amparo Ruiz Tagle, Juan Velasquez, Mariela Gomez, Carl Blesius, Agustin Ibanez, Baltasar Fernández-Manjón, Andrea Slachevsky

Research output: Contribution to journalArticleAcademicpeer-review

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.
Original languageEnglish
Pages (from-to)71-84
JournalJournal of Biomedical Informatics
Volume71
DOIs
Publication statusPublished - 2017
Externally publishedYes

Fingerprint

Functional assessment
Brain
Technology
Screening
Economics
Neuropsychological Tests
Feasibility Studies
Tea
Activities of Daily Living
Research
Traumatic Brain Injury
Wounds and Injuries

Keywords

  • Functional evaluation
  • Naturalistic activities
  • Executive functions
  • Prefrontal cortex
  • Neuropsychological assessment
  • eAdventure

Cite this

Martinez Pernia, David ; Nunez Huasaf, Javier ; del Blanco, Angel ; Ruiz Tagle, Amparo ; Velasquez, Juan ; Gomez, Mariela ; Blesius, Carl ; Ibanez, Agustin ; Fernández-Manjón, Baltasar ; Slachevsky, Andrea. / Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury. In: Journal of Biomedical Informatics. 2017 ; Vol. 71. pp. 71-84.
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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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Martinez Pernia, D, Nunez Huasaf, J, del Blanco, A, Ruiz Tagle, A, Velasquez, J, Gomez, M, Blesius, C, Ibanez, A, Fernández-Manjón, B & Slachevsky, A 2017, 'Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury', Journal of Biomedical Informatics, vol. 71, pp. 71-84. https://doi.org/10.1016/j.jbi.2017.08.012

Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury. / Martinez Pernia, David; Nunez Huasaf, Javier; del Blanco, Angel; Ruiz Tagle, Amparo; Velasquez, Juan; Gomez, Mariela; Blesius, Carl; Ibanez, Agustin; Fernández-Manjón, Baltasar; Slachevsky, Andrea.

In: Journal of Biomedical Informatics, Vol. 71, 2017, p. 71-84.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury

AU - Martinez Pernia, David

AU - Nunez Huasaf, Javier

AU - del Blanco, Angel

AU - Ruiz Tagle, Amparo

AU - Velasquez, Juan

AU - Gomez, Mariela

AU - Blesius, Carl

AU - Ibanez, Agustin

AU - Fernández-Manjón, Baltasar

AU - Slachevsky, Andrea

PY - 2017

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KW - Functional evaluation

KW - Naturalistic activities

KW - Executive functions

KW - Prefrontal cortex

KW - Neuropsychological assessment

KW - eAdventure

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