Abstract
A Continuous Performance Test (CPT) was incorporated into a smartphone application (App) to measure three symptom domains associated with Attention Deficit Hyperactivity Disorder (ADHD); attention, impulsivity and hyperactivity. The App was pilot tested on 11 healthy adults over three testing sessions. No differences in performance were found between testing sessions suggesting good test consistency. A decrement in performance over time was only found for one measure of attention and on one testing session. The CPT showed some sensitivity to ADHD-related symptoms where self-reported impulsive behaviour was related to the CPT measures of impulsivity and activity. User acceptability was good although some design improvements were suggested. Further pilot testing of the App in a clinical population is needed.
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Faraone, S.V., Biederman, J., Spencer, T., Wilens, T., Seidman, L., Mick, E., Doyle, A.E.: Attention-deficit/hyperactivity disorder in adults: an overview. Biological Psychiatry 48(1), 9–20 (2000)
Riccio, C.A., Reynolds, C.R.: Continuous performance tests are sensitive to ADHD in adults but lack specificity. Annals of the New York Academy of Sciences 931(1), 113–139 (2001)
Lis, S., Baer, N., Stein-en-Noss, C., Gallhofer, B., Sammer, G., Kirsch, P.: Objective measurement of motor activity during cognitive performance in adults with attention-deficit/hyperactivity disorder. Acta Psychiatrica Scandianvica 122, 285–294 (2010)
NICE: Attention Deficit Hyperactivity Disorder: The NICE Guideline on Diagnosis and Management of ADHD in Children, Young People and Adults. National Clinical Practice Guideline Number 72. National Collaborating Centre for Mental Health: The British Psychological Society & The Royal College of Psychiatrists (2008)
Faraone, S.V., Biederman, J.: Neurobiology of attention-deficit hyperactivity disorder. Biological Psychiatry 44, 951–958 (2008)
Ogundele, M.O., Ayyash, H.F., Banerjee, S.: Role of computerised continuous performance task tests in ADHD. Progress in Neurology and Psychiatry 15, 8–13 (2011)
Weinberg, W.A., Brumback, R.A.: The myth of attention deficit-hyperactivity disorder: the diagnostic utility of clinic-based tests. Journal of Clinical Child Psychology 21, 394–402 (1992)
Swanson, J.M., Flodman, P., Kennedy, J., Spence, M.A., Moyzis, R., Schuck, S., Murias, M., Moriarity, J., Barr, C., Smith, M., Posner, M.: Dopamine genes and ADHD. Neuroscience and Behavioural Reviews 24, 21–25 (2000)
Biederman, J., Faraone, S., Milberger, S., Guite, J., Mick, E., Chen, L., Mennin, D., Marrs, A., Ouellette, C., Moore, P., Spencer, T., Norman, D., Wilens, T., Kraus, I., Perrin, J.: A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders. Archives of General Psychiatry 53, 437–446 (1996)
Vogt, C., Williams, T.: Early identification of stimulant treatment responders, partial responders and non-responders using objective measures in children and adolescents with hyperkinetic disorder. Child and Adolescent Mental Health 16, 144–149 (2011)
van Leeuwen, T.H., Steinhausen, H.C., Overtoom, C.C., Pascual-Marqui, R.D., van’t Klooster, B., Rothenberger, A., Sergeant, J.A., Brandeis, D.: The continuous performance test revisited with neuroelectric mapping: Impaired orienting in children with attention deficits. Behavioural Brain Research 94, 97–110 (1998)
Riccio, C.A., Waldrop, J.J.M., Reynolds, C.R., Lowe, P.: Effects of stimulants on continuous performance test (CPT). Journal of Neuropsychiatry and Clinical Neurosciences 13, 326–335 (2001)
Tinius, T.P.: The integrated visual and auditory continuous performance test as a neuropsychological measure. Archives of Clinical Neuropsychology 18(5), 439–454 (2003)
Doehnert, M., Brandeis, D., Imhof, K., Drechsler, R., Steinhausen, H.-C.: Mapping Attention-Deficit/Hyperactivity Disorder from Childhood to Adolescence—No Neurophysiologic Evidence for a Developmental Lag of Attention but Some for Inhibition. Society of Biological Psychiatry 67, 608–616 (2010)
Brocki, K.C., Tillman, C.M., Bohlin, G.: CPT performance, motor activity, and continuous relations to ADHD symptom domains: A developmental study. European Journal of Developmental Psychology 7(2), 178–197 (2010)
Teicher, M.H., Ito, Y., Glod, C.A., Barber, N.I.: Objective measurement of hyperactivity and attentional problems in ADHD.  Journal of the American Academy of Child & Adolescent Psychiatry 35(3), 334–342 (1996)
Vogt, C., Shameli, A.: Assessments for attention-deficit hyperactivity disorder: use of objective measurements.  The Psychiatrist 35(10), 380–383 (2011)
Rosser, B.A., Eccleston, C.: Smartphone applications for pain management. Journal of Telemedicine and Telecare 17(6), 308–312 (2011)
Ofcom: International Communications Market Report (2013), http://stakeholders.ofcom.org.uk/binaries/research/cmr/cmr13/UK_4.pdf (accessed February 5, 2014)
Luxton, D.D., McCann, R.A., Bush, N.E., Mishkind, M.C., Reger, G.M.: mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice 42(6), 505–512 (2011)
Cyders, M.A., Smith, G.T., Spillane, N.S., Fischer, S., Annus, A.M., Peterson, C.: Integration of impulsivity and positive mood to predict risky behavior: Development and validation of a measure of positive urgency. Psychological Assessment 19, 107–118 (2007)
Whiteside, S.P., Lynam, D.R.: The Five Factor Model and impulsivity: using a structural model of personality to understand impulsivity. Personality and Individual Differences 30(4), 669–689 (2001)
Epstein, J.N., Erkanli, A., Conners, K., Klaric, J., Costello, J.E., Angold, A.: Relations between continuous performance test performance measures and ADHD behaviors. Journal of Abnormal Child Psychology 31(5), 543–554 (2003)
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Young, Z., Craven, M.P., Groom, M., Crowe, J. (2014). Snappy App: A Mobile Continuous Performance Test with Physical Activity Measurement for Assessing Attention Deficit Hyperactivity Disorder. In: Kurosu, M. (eds) Human-Computer Interaction. Applications and Services. HCI 2014. Lecture Notes in Computer Science, vol 8512. Springer, Cham. https://doi.org/10.1007/978-3-319-07227-2_35
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DOI: https://doi.org/10.1007/978-3-319-07227-2_35
Publisher Name: Springer, Cham
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