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Anguera JA, Brandes-Aitken AN, Rolle CE, Skinner SN, Desai SS, Bower JD, Martucci WE, Chung WK, Sherr EH, Marco EJ. Characterizing cognitive control abilities in children with 16p11.2 deletion using adaptive 'video game' technology: a pilot study. Transl Psychiatry 2016; 6:e893. [PMID: 27648915 PMCID: PMC5048213 DOI: 10.1038/tp.2016.178] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2016] [Revised: 07/13/2016] [Accepted: 07/18/2016] [Indexed: 02/07/2023] Open
Abstract
Assessing cognitive abilities in children is challenging for two primary reasons: lack of testing engagement can lead to low testing sensitivity and inherent performance variability. Here we sought to explore whether an engaging, adaptive digital cognitive platform built to look and feel like a video game would reliably measure attention-based abilities in children with and without neurodevelopmental disabilities related to a known genetic condition, 16p11.2 deletion. We assessed 20 children with 16p11.2 deletion, a genetic variation implicated in attention deficit/hyperactivity disorder and autism, as well as 16 siblings without the deletion and 75 neurotypical age-matched children. Deletion carriers showed significantly slower response times and greater response variability when compared with all non-carriers; by comparison, traditional non-adaptive selective attention assessments were unable to discriminate group differences. This phenotypic characterization highlights the potential power of administering tools that integrate adaptive psychophysical mechanics into video-game-style mechanics to achieve robust, reliable measurements.
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Affiliation(s)
- J A Anguera
- Department of Neurology, University of California, San Francisco, San Francisco, CA, USA,Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA,University of California, San Francisco, Mission Bay – Sandler Neurosciences Center, UCSF MC 0444, 675 Nelson Rising Lane, Room 502, San Francisco, CA 94158, USA. E-mail: or
| | - A N Brandes-Aitken
- Department of Neurology, University of California, San Francisco, San Francisco, CA, USA
| | - C E Rolle
- Department of Neurology, University of California, San Francisco, San Francisco, CA, USA
| | - S N Skinner
- Department of Neurology, University of California, San Francisco, San Francisco, CA, USA
| | - S S Desai
- Department of Neurology, University of California, San Francisco, San Francisco, CA, USA
| | - J D Bower
- Akili Interactive Labs, Boston, MA, USA
| | | | - W K Chung
- Department of Pediatrics, Columbia University Medical Center, New York, NY, USA
| | - E H Sherr
- Department of Neurology, University of California, San Francisco, San Francisco, CA, USA,Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA
| | - E J Marco
- Department of Neurology, University of California, San Francisco, San Francisco, CA, USA,Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA,Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA,University of California, San Francisco, Mission Bay – Sandler Neurosciences Center, UCSF MC 0444, 675 Nelson Rising Lane, Room 502, San Francisco, CA 94158, USA. E-mail: or
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