{"title":"A non-immersive virtual reality serious game to assess distractor inhibition and spatial attention in post-stroke individuals","authors":"Gregorio Sorrentino , Gauthier Everard , Florence Vanhoof , Thierry Lejeune , Martin Gareth Edwards","doi":"10.1016/j.smhl.2025.100595","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>REAsmash, a non-immersive virtual reality serious game based on Feature Integration Theory (FIT) was used to evaluate distractor inhibition and spatial attention.</div></div><div><h3>Methods</h3><div>Participants (15 post-stroke and 15 age matched healthy controls) performed the visual search REAsmash task with manipulations of high and low target-distractor salience and distractor number. Dependent variables included frequency of errors and omissions and mean correct response time.</div></div><div><h3>Results</h3><div>Post-stroke participants made more errors (χ<sup>2</sup>(1) = 19.452, p < 0.001) and omissions (χ<sup>2</sup>(1) = 55.108, p < 0.001), and responded slower (F(1,28) = 17.957, p < 0.001, η<sup>2</sup> = 0.391) than controls. FIT significant effects showed salience (F(1,28) = 497.626, p < 0.001, η<sup>2</sup> = 0.947), distractor number (F(2,56) = 24.968, p < 0.001, η<sup>2</sup> = 0.471), and a salience and distractor number interaction (F(2,56) = 26.616, p < 0.001, η<sup>2</sup> = 0.487), with increased distractor number slowing response time in the low salience condition. A salience-by-group interaction (F(1,28) = 7.794, p = 0.009, η<sup>2</sup> = 0.218) indicated greater post-stroke difficulties in low salience conditions. A target-hand congruency (Simon) effect was observed only in post-stroke participants (F(1,28) = 4.499, p = 0.043, η<sup>2</sup> = 0.138).</div></div><div><h3>Conclusion</h3><div>REAsmash-niVR replicated FIT results, confirming its validity for assessing distractor inhibition and spatial attention in post-stroke populations. Future research will compare individuals with and without visual neglect and explore rehabilitation applications to improve spatial attention and motor responses.</div></div>","PeriodicalId":37151,"journal":{"name":"Smart Health","volume":"37 ","pages":"Article 100595"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Smart Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S235264832500056X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Health Professions","Score":null,"Total":0}
引用次数: 0
Abstract
Background
REAsmash, a non-immersive virtual reality serious game based on Feature Integration Theory (FIT) was used to evaluate distractor inhibition and spatial attention.
Methods
Participants (15 post-stroke and 15 age matched healthy controls) performed the visual search REAsmash task with manipulations of high and low target-distractor salience and distractor number. Dependent variables included frequency of errors and omissions and mean correct response time.
Results
Post-stroke participants made more errors (χ2(1) = 19.452, p < 0.001) and omissions (χ2(1) = 55.108, p < 0.001), and responded slower (F(1,28) = 17.957, p < 0.001, η2 = 0.391) than controls. FIT significant effects showed salience (F(1,28) = 497.626, p < 0.001, η2 = 0.947), distractor number (F(2,56) = 24.968, p < 0.001, η2 = 0.471), and a salience and distractor number interaction (F(2,56) = 26.616, p < 0.001, η2 = 0.487), with increased distractor number slowing response time in the low salience condition. A salience-by-group interaction (F(1,28) = 7.794, p = 0.009, η2 = 0.218) indicated greater post-stroke difficulties in low salience conditions. A target-hand congruency (Simon) effect was observed only in post-stroke participants (F(1,28) = 4.499, p = 0.043, η2 = 0.138).
Conclusion
REAsmash-niVR replicated FIT results, confirming its validity for assessing distractor inhibition and spatial attention in post-stroke populations. Future research will compare individuals with and without visual neglect and explore rehabilitation applications to improve spatial attention and motor responses.