INS NYC 2024 Program

Poster	Poster Session 05 Program Schedule 02/15/2024 02:30 pm - 03:45 pm Room: Majestic Complex (Posters 61-120) Poster Session 05: Neuropsychiatry \| Addiction/Dependence \| Stress/Coping \| Emotional/Social Processes Final Abstract #90 Feasibility and Acceptability of Useful Field of View (Double Decision) Training in Adolescents: A Pilot Study Elizabeth Rosenthal, Kennedy Krieger Institute, Baltimore, United States Tyler Busch, Kennedy Krieger Institute, Baltimore, United States Tiffany McIntyre, Kennedy Krieger Institute, Baltimore, United States Beth Slomine, Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, United States Stacy Suskauer, Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, United States Adrian Svingos, Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, United States Category: Cognitive Intervention/Rehabilitation Keyword 1: cognitive rehabilitation Keyword 2: sports-related neuropsychology Keyword 3: adolescence Objective: Useful Field of View (UFOV) training has been extensively studied in aging populations and yields significant cognitive benefits, including delaying progression from mild cognitive impairment to dementia. As UFOV training enhances efficiency in visual processing, the skills gained from training transfer to real-world outcomes, such as improving healthy adults’ driving. We hypothesize that UFOV training could benefit adolescents learning to drive as well as those at high-risk for concussion and musculoskeletal injuries (e.g., contact sport athletes). For this pilot study that is the first to examine UFOV training in youth, we assessed the feasibility and acceptability of a 5-week training program and examined for changes in visual processing efficiency from pre- to post-UFOV training. Participants and Methods: Three typically developing teens (ages 16-17) completed a 5-week adaptive UFOV training program involving 5 remote online training sessions per week, each with 10 training levels (Double Decision exercise, BrainHQ by Posit Science). Training levels involved a series of trials in which participants had to identify and locate targets rapidly displayed in the center and periphery of their screen. Participants engaged in weekly check-ins with study staff to discuss their training progress and address any barriers to adherence or engagement. Feasibility was examined by calculating overall dose adherence (percent of assigned levels completed) and regimen adherence (percent of assigned days they completed training). Acceptability was evaluated during a post-training interview using 15 statements on a 7-point Likert scale, with response options ranging from strongly disagree (1) to strongly agree (7). Acceptability questions were grouped into three categories representing usability, adoptability, and perceived benefit (6, 2, and 7 questions, respectively). The Double Decision Assessment was administered pre- and post-training to quantify magnitude of change in visual processing efficiency (threshold scores) in this preliminary sample. Thresholds indicated the fastest stimulus presentation duration at which the participant could achieve 80% accuracy. Results: Participants trained for 10.00 total hours on average (SD=0.48) and had 100% dose adherence. Average regimen adherence was 92%. Average acceptability was 5.42 (SD=0.57). Mean (SD) usability, adoptability, and perceived benefit ratings were 5.83 (0.58), 5.00 (0.50), and 5.19 (1.08), respectively. Notably, all three participants responded, “somewhat agree,” “agree,” or “strongly agree” to statements asserting that they enjoyed the training, think it could help with driving performance, and would recommend it to others. All participants showed consistent improvement in performance throughout training, and their performance approached ceiling by the end of training. All participants improved on the Double Decision Assessment, with an average change in threshold score from pre- to post-training of 98.67ms (SD=44.19). At post-training, all subjects’ threshold scores were at ceiling (32ms). Conclusions: Preliminary evidence shows that UFOV training is feasible and well-tolerated in adolescents. Notably, these three teens all demonstrated improvements in visual processing efficiency after completing 5 weeks of training. Further research is needed to demonstrate the efficacy of UFOV training on improving visual processing in adolescents, as well as to determine whether skills from training may transfer to improved driving or sport performance and reduced risk of collision/injury.

Poster

02/15/2024
02:30 pm - 03:45 pm
Room: Majestic Complex (Posters 61-120)

Poster Session 05: Neuropsychiatry | Addiction/Dependence | Stress/Coping | Emotional/Social Processes

Final Abstract #90

Feasibility and Acceptability of Useful Field of View (Double Decision) Training in Adolescents: A Pilot Study

Elizabeth Rosenthal, Kennedy Krieger Institute, Baltimore, United States
Tyler Busch, Kennedy Krieger Institute, Baltimore, United States
Tiffany McIntyre, Kennedy Krieger Institute, Baltimore, United States
Beth Slomine, Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, United States
Stacy Suskauer, Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, United States
Adrian Svingos, Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, United States

Category: Cognitive Intervention/Rehabilitation

Keyword 1: cognitive rehabilitation
Keyword 2: sports-related neuropsychology
Keyword 3: adolescence

Objective:

Useful Field of View (UFOV) training has been extensively studied in aging populations and yields significant cognitive benefits, including delaying progression from mild cognitive impairment to dementia. As UFOV training enhances efficiency in visual processing, the skills gained from training transfer to real-world outcomes, such as improving healthy adults’ driving. We hypothesize that UFOV training could benefit adolescents learning to drive as well as those at high-risk for concussion and musculoskeletal injuries (e.g., contact sport athletes). For this pilot study that is the first to examine UFOV training in youth, we assessed the feasibility and acceptability of a 5-week training program and examined for changes in visual processing efficiency from pre- to post-UFOV training.

Participants and Methods:

Three typically developing teens (ages 16-17) completed a 5-week adaptive UFOV training program involving 5 remote online training sessions per week, each with 10 training levels (Double Decision exercise, BrainHQ by Posit Science). Training levels involved a series of trials in which participants had to identify and locate targets rapidly displayed in the center and periphery of their screen. Participants engaged in weekly check-ins with study staff to discuss their training progress and address any barriers to adherence or engagement. Feasibility was examined by calculating overall dose adherence (percent of assigned levels completed) and regimen adherence (percent of assigned days they completed training). Acceptability was evaluated during a post-training interview using 15 statements on a 7-point Likert scale, with response options ranging from strongly disagree (1) to strongly agree (7). Acceptability questions were grouped into three categories representing usability, adoptability, and perceived benefit (6, 2, and 7 questions, respectively). The Double Decision Assessment was administered pre- and post-training to quantify magnitude of change in visual processing efficiency (threshold scores) in this preliminary sample. Thresholds indicated the fastest stimulus presentation duration at which the participant could achieve 80% accuracy.

Results:

Participants trained for 10.00 total hours on average (SD=0.48) and had 100% dose adherence. Average regimen adherence was 92%. Average acceptability was 5.42 (SD=0.57). Mean (SD) usability, adoptability, and perceived benefit ratings were 5.83 (0.58), 5.00 (0.50), and 5.19 (1.08), respectively. Notably, all three participants responded, “somewhat agree,” “agree,” or “strongly agree” to statements asserting that they enjoyed the training, think it could help with driving performance, and would recommend it to others.

All participants showed consistent improvement in performance throughout training, and their performance approached ceiling by the end of training. All participants improved on the Double Decision Assessment, with an average change in threshold score from pre- to post-training of 98.67ms (SD=44.19). At post-training, all subjects’ threshold scores were at ceiling (32ms).

Conclusions:

Preliminary evidence shows that UFOV training is feasible and well-tolerated in adolescents. Notably, these three teens all demonstrated improvements in visual processing efficiency after completing 5 weeks of training. Further research is needed to demonstrate the efficacy of UFOV training on improving visual processing in adolescents, as well as to determine whether skills from training may transfer to improved driving or sport performance and reduced risk of collision/injury.