Abstract
The Nesplora Aula is a virtual reality-based continuous performance test that measures attentional processes in children from 6 to 16 years of age. The measure uses a virtual reality headset to create a classroom-like environment for the examinee, requiring the use of visual and auditory attention. The current article explores a brief history of continuous performance tests, the Nesplora Aula (created by Gema Climent Martinez and Sam Goldstein), its underlying theoretical framework, and its structure. The advantages are discussed, including its ecological validity and drawbacks, such as the technology required and the regional normative sample.
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References
Barkley, R. A. (2019). Neuropsychological testing is not useful in the diagnosis of ADHD: Stop it (or prove it)! The ADHD Report, 27(2), 1–8.
Brickenkamp, R., & Seisdedos, N. (1998). D2, Test de atención. Manual. TEA ediciones SA, Madrid 2009.
Brumm, V. L. (1994). Neuropsychological and psychological correlates of marital violence in a clinical sample. University of Southern California.
Climent, G., Rodríguez, C., García, T., Areces, D., Mejías, M., Aierbe, A., Moreno, M., Cueto, E., Castellá, J., & González, M. F. (2021). New virtual reality tool (Nesplora Aquarium) for assessing attention and working memory in adults: A normative study. Applied Neuropsychology: Adult, 28(4), 403–415. https://doi.org/10.1080/23279095.2019.1646745
Cohen, R. A., Malloy, P. F., & Jenkins, M. A. (1999). Disorders of attention. In P. J. Snyder & P. D. Nussbaum (Eds.), Clinical neuropsychology: A pocket handbook for assessment. American Psychological Association.
Conners. (1995). Conners’ continuous performance test user’s manual. Multi-Health System.
Crosby, K. G. (1972). Attention and distractibility in mentally retarded and intellectually average children. American Journal of Mental Deficiency, 77(1), 46–53.
Díaz-Orueta, U., Garcia-López, C., Crespo-Eguílaz, N., Sánchez-Carpintero, R., Climent, G., & Narbona, J. (2014a). AULA virtual reality test as an attention measure: Convergent validity with Conners’ Continuous Performance Test. Child Neuropsychology, 20(3), 328–342. https://doi.org/10.1080/09297049.2013.792332. Epub 2013 May 2.
Díaz-Orueta, U., García-Cueto, E., Alonso-Sánchez, B., Crespo-Eguílaz, N., Fernández-Fernández, M. A., Otaduy, C., PérezLozano, C., & Zulueta, A. (2014b). AULA virtual reality based attention test: factorial validity and convergent validity with EDAH scale and DSM criteria. In 9th Conference of the International Test Commission, San Sebastian, Spain, 2–5.
Dombrowski, S. C., & Gischlar, K. L. (2017). Test review of Conners Continuous Performance Test 3rd Edition. In J. F. Carlson, K. F. Geisinger, & J. L. Jonson (Eds.), The twentieth mental measurements yearbook Retrieved from http://marketplace.unl.edu/buros/
Girardi, N. L., Shaywitz, S. E., Shaywitz, B. A., Marchione, K., Fleischman, S. J., Jones, T. W., & Tamborlane, W. V. (1995). Blunted catecholamine responses after glucose ingestion in children with attention deficit disorder. Pediatric Research, 38(4), 539–542.
Greenberg, L. M., & Waldman, I. D. (1993). Developmental normative data on the test of variables of attention (TOVA). Child Psychology & Psychiatry & Allied Disciplines, 34(6), 1019–1030.
Home. Nesplora. (2023). https://nesplora.com/en/home/
Iriarte, Y., Díaz-Orueta, U., Cueto, E., Irazustabarrena, P., Banterla, F., & Climent-Martínez, G. (2012). AULA-advanced virtual reality tool for assessment of attention: Normative study in Spain. Journal of Attention Disorders https://nesplora.com/aula-nesplora-investigacion-propia-y-en-colaboracion/
Kropotov, J. D. (2016). Functional neuromarkers for psychiatry: Applications for diagnosis and treatment. Academic Press.
Maddux, C. D. (2007). Test review of IVA+plus integrated visual and auditory continuous performance test. In K. F. Geisinger, R. A. Spies, J. F. Carlson, & B. S. Plake (Eds.), The seventeenth mental measurements yearbook Retrieved from http://marketplace.unl.edu/buros/
Mapou, R. L. (2019). Counterpoint: Neuropsychological testing is not useful in the diagnosis of ADHD, but…. The ADHD Report, 27(2), 8–12.
Martinez, G., & Borzaga, F. (2018). Attention Kids Aula Manual. Giunti-Nesplora.
Osburn, H. (2000). Coefficient alpha and related internal consistency reliability coefficients. Psychological Methods, 5(3), 343–355.
Rapoport, J. L., Buchsbaum, M. S., Weingartner, H., Zahn, T. P., Ludlow, C., & Mikkelsen, E. J. (1980). Dextroamphetamine: Its cognitive and behavioral effects in normal and hyperactive boys and normal men. Archives of General Psychiatry, 37(8), 933–943.
Riccio, C. A., Reynolds, C. R., & Lowe, P. A. (2001). Clinical applications of continuous performance tests: Measuring attention and impulsive responding in children and adults. John Wiley & Sons Inc..
Rosvold, H. E., Mirsky, A. F., Sarason, I., Bransome, E. D., Jr., & Beck, L. H. (1956). A continuous performance test of brain damage. Journal of Consulting Psychology, 20(5), 343.
Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55.
Thurstone, L. L., & Yela, M. (1997). Percepción de diferencias (Caras). Manual. TEA ediciones SA, Madrid.
Tupler, L. A. (1989). The role of attentional resources in the memory performance of elderly adults: An investigation of the integration deficit hypothesis. Emory University.
Weingartner, H., Ebert, M. H., Mikkelsen, E. J., Rapoport, J. L., Buchsbaum, M. S., Bunney, W. E., Jr., & Caine, E. D. (1980). Cognitive processes in normal and hyperactive children and their response to amphetamine treatment. Journal of Abnormal Psychology, 89(1), 25.
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Mulchay, C., Goller, H. & Rice, W. Virtual Reality-Based Attention Test Review: The Nesplora Aula. J Pediatr Neuropsychol (2024). https://doi.org/10.1007/s40817-024-00161-z
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DOI: https://doi.org/10.1007/s40817-024-00161-z