Assessment Of Visual Attention Research Articles

Assessment of Visual Attention in Teams with or without Dedicated Team Leaders: A Neonatal Simulation-Based Pilot Randomised Cross-Over Trial Utilising Low-Cost Eye-Tracking Technology.

Eye-tracking technology could be used to study human factors during teamwork. This work aimed to compare the visual attention (VA) of a team member acting as both a team leader and managing the airway, compared to a team member performing the focused task of managing the airway in the presence of a dedicated team leader. This work also aimed to report differences in team performance, behavioural skills, and workload between the two groups using validated tools. We conducted a simulation-based, pilot randomised controlled study. The participants included were volunteer paediatric trainees, nurse practitioners, and neonatal nurses. Three teams consisting of four team members were formed. Each team participated in two identical neonatal resuscitation simulation scenarios in a random order, once with and once without a team leader. Using a commercially available eye-tracking device, we analysed VA regarding attention to (1) a manikin, (2) a colleague, and (3) a monitor. Only the trainee who was the airway operator would wear eye-tracking glasses in both simulations. In total, 6 simulation scenarios and 24 individual role allocations were analysed. Participants in a no-team-leader capacity had a greater number of total fixations on manikin and monitors, though this was not significant. There were no significant differences in team performance, behavioural skills, and individual workload. Physical demand was reported as significantly higher by participants in the group without a team leader. During debriefing, all the teams expressed their preference for having a dedicated team leader. In our pilot study using low-cost technology, we could not demonstrate the difference in VA with the presence of a team leader.

Visual Attention and Emotion Analysis Based on Qualitative Assessment and Eyetracking Metrics—The Perception of a Video Game Trailer

Video game trailers are very useful tools for attracting potential players. This research focuses on analyzing the emotions that arise while viewing video game trailers and the link between these emotions and storytelling and visual attention. The methodology consisted of a three-step task test with potential users: the first step was to identify the perception of indie games; the second step was to use the eyetracking device (gaze plot, heat map, and fixation points) and link them to fixation points (attention), viewing patterns, and non-visible areas; the third step was to interview users to understand impressions and questionnaires of emotions related to the trailer’s storytelling and expectations. The results show an effective assessment of visual attention together with visualization patterns, non-visible areas that may affect game expectations, fixation points linked to very specific emotions, and perceived narratives based on the gaze plot. The innovation in the mixed methodological approach has made it possible to obtain relevant data regarding the link between the emotions perceived by the user and the areas of attention collected with the device. The proposed methodology enables developers to understand the strengths and weaknesses of the information being conveyed so that they can tailor the trailer to the expectations of potential players.

Objective assessment of visual attention in orthognathic surgery training based on eye tracking

The aim of this study was to investigate the differences in visual attention between novices and orthognathic experts, as well as to provide evidence for use in developing and optimizing training strategies for orthognathic surgery.Novice and orthognathic experts were recruited, and their distributions of visual attention were monitored via an eye-tracking device while they watched orthognathic surgery videos. The percentages of visual fixation duration devoted to the areas of interest — surgical objects, instruments controlled by the main surgeon, and instruments controlled by the assistants — in each orthognathic surgery section were analyzed and compared between the two groups using repeated-measures factorial analysis of variance (ANOVA).In total, there were 18 participants, comprising both novices (n = 9) and experts (n = 9). For all sections of orthognathic surgery, the percentage of fixation duration on surgical objects was significantly higher for the novices than for the experts (p = 0.031, p = 0.005, p = 0.026, p = 0.047, p = 0.047, p = 0.031, p = 0.027, p = 0.034, p = 0.008, and p = 0.016). During the maxillary segment separation as part of Le Fort I osteotomy and the splitting of the mandible as part of bilateral sagittal split osteotomy, the novices also had a higher percentage of fixation duration on the instruments controlled by the main surgeon, as compared with the experts (p = 0.007 and p = 0.048, respectively).Novices invested great cognitive effort into the surgical objects in each section of orthognathic surgery, including the instruments controlled by the main surgeon in the maxillary segment separation and the splitting of the mandible. Strengthening this aspect of instruction could help novices reduce their cognitive load and achieve mastery more efficiently.

The relationship between sport types, sex and visual attention as assessed in a multiple object tracking task.

This study was conducted to examine differences in visual attention according to sports type and sex. In total, 132 participants [open-skill sport athletes (basketball players), closed-skill sport athletes (swimmers), and non-athletes; n = 22 men and 22 women each] aged 19-24 years performed a multiple object tracking (MOT) task, which is a well-established paradigm for the assessment of visual attention. Visual tracking accuracy was affected by the sport type (p < 0.001), being superior among basketball players than among swimmers and non-athletes, with no significant difference between the latter groups. It also varied by sex (p < 0.001), being superior among males than among females. Significant interaction between the sport type and sex was observed (p < 0.001), with male and female basketball players showing similar tracking accuracy. Our results demonstrate that open-skill sport activities strongly related to visual attention, as estimated by MOT task performance, and that sex plays a role in this performance. They also indicate that females might gain a greater visual attention advantage from open than from closed-skill sports participation, as long-term open-skill sports training appeared to minimize the sex difference in visual attention.

A Potential Multimodal Test for Clinical Assessment of Visual Attention in Neurological Disorders.

Attention is an important aspect of human brain function and often affected in neurological disorders. Objective assessment of attention may assist in patient care, both for diagnostics and prognostication. We present a compact test using a combination of a choice reaction time task, eye-tracking and EEG for assessment of visual attention in the clinic. The system quantifies reaction time, parameters of eye movements (i.e. saccade metrics and fixations) and event related potentials (ERPs) in a single and fast (15 min) experimental design. We present pilot data from controls, patients with mild traumatic brain injury and epilepsy, to illustrate its potential use in assessing attention in neurological patients. Reaction times and eye metrics such as fixation duration, saccade duration and latency show significant differences (p < .05) between neurological patients and controls. Late ERP components (200-800 ms) can be detected in the central line channels for all subjects, but no significant group differences could be found in the peak latencies and mean amplitudes. Our system has potential to assess key features of visual attention in the clinic. Pilot data show significant differences in reaction times and eye metrics between controls and patients, illustrating its promising use for diagnostics and prognostication.

A-140 Computer Based Cognitive Rehabilitation Interventions for Visual Attention Following Mild Traumatic Brain Injury

Abstract Background Service members with a history of mild traumatic brain injury (mTBI) frequently report problems paying attention. In combat and training settings, visual attention is critical given the demand to warfighter performance. Many computerized cognitive rehabilitation programs exist, however the impact of their effectiveness on improving visual attention is unknown. Methods A randomized controlled trial consisted of 22 active-duty service members with a history of mTBI. Participants were randomized to Lumosity (N = 8) which focused on multiple cognitive domains or UCR which has a specific focus on visual attention (N = 14). Cognitive assessment was completed at baseline and following treatment. The Neuropsychological Assessment Battery (NAB) Driving Scenes subtest was used as the primary assessment of visual attention. All participants passed a validity measure pre and post assessment. Results A one-way ANOVA revealed that performance on NAB Driving Scenes improved for all participants after treatment (F = 4.18, p = 0.046); however, when computer program type was analyzed there was no interaction (F = 0.32, p = 0.860). Participants who completed the UCR intervention improved from M = 41.64, SD = 11.58 to M = 46.79, SD = 14.52, Cohen’s d = 0.43. For the Lumosity condition, there was a medium effect size (Cohen’s d = 0.46) from baseline (M = 38.63, SD = 14.33) to post treatment (M = 44.75, SD = 9.47) Conclusions The results indicated that both programs proved effective at improving visual attention symptoms. These findings provide support for the use of computerized cognitive rehabilitation programs as a form of intervention for mTBI.

Visuospatial Attention Allocation as an Indicator of Cognitive Deficit in Traumatic Brain Injury: A Systematic Review and Meta-Analysis

Traumatic Brain Injury (TBI) is defined by changes in brain function resulting from external forces acting on the brain and is typically characterized by a host of physiological and functional changes such as cognitive deficits including attention problems. In the present study, we focused on the effect of TBI on the ability to allocate attention in vision (i.e., the use of endogenous and exogenous visual cues) by systematically reviewing previous literature on the topic. We conducted quantitative synthesis of 16 selected studies of visual attention following TBI, calculating 80 effect size estimates. The combined effect size was large (g = 0.79, p < 0.0001) with medium heterogeneity (I2 = 68.39%). Subgroup analyses revealed an increase in deficit with moderate-to-severe and severe TBI as compared to mild TBI [F(2, 76) = 24.14, p < 0.0001]. Task type was another key source of variability and subgroup analyses indicated that higher order attention processes were severely affected by TBI [F(2, 77) = 5.66, p = 0.0051). Meta-regression analyses revealed significant improvement in visual attention deficit with time [p(mild) = 0.031, p(moderate-to-severe) = 0.002, p(severe) < 0.0001]. Taken together, these results demonstrate that visual attention is affected by TBI and that regular assessment of visual attention, using a systematic attention allocation task, may provide a useful clinical measure of cognitive impairment and change after TBI.

Multimodal Neurocognitive Screening of Military Personnel With a History of Mild Traumatic Brain Injury Using the Bethesda Eye & Attention Measure.

To evaluate a neurocognitive eye tracking task, the Bethesda Eye & Attention Measure (BEAM), for use in cognitive screening of patients with a history of mild traumatic brain injury (TBI). US military TBI rehabilitation clinic. Cross-sectional study of 191 military personnel receiving outpatient services related to history of mild TBI. Main measures: BEAM; neuropsychological screening measures of attention, processing speed, executive function, and memory. Medium effect sizes were found for partial correlations (controlling for age) between key BEAM metrics and neuropsychological screening tests. Linear regression analyses demonstrated that BEAM saccadic eye movements and manual (button press) metrics each provided complementary value in measurement of cognitive performance, above and beyond effects of demographic factors and clinical characteristics. This study provides initial support for the use of BEAM neurocognitive eye tracking in cognitive screening of adults with a history of mild TBI. BEAM saccadic metrics appear to be particularly well-suited for the assessment of visual attention. Study findings also highlight opportunities for greater cognitive sensitivity or testing efficiency that may be missed by tests measuring only one response modality at a time.

Reduced perceptual processing speed and atypical attentional weight at the cores of visual simultaneous processing deficits in Chinese children with developmental dyslexia: a parameter-based assessment of visual attention

Individuals with developmental dyslexia usually exhibit a problem in simultaneous processing of multiple visual elements. However, the relationship between impaired visual simultaneous processing (VSP) and reading difficulty is still debated. These inconsistencies may be associated with a wide range of participants’ age, variation in orthographic depth of background languages, and complex subcomponents underlying VSP. The present study thus examined the VSP capacity of children with dyslexia in the language context of Chinese (i.e., a logographic writing system with deep orthography) through the developmental trajectories method in which participants’ age was considered as a continuous variable. This visual multiple-element processing skill was fractionated into four parameters (processing speed, visual short-term memory storage, attentional weight, and irrelevant inhibition) within the framework of the theory of visual attention (TVA). Forty-seven children with dyslexia and fifty-three age-matched normal readers from primary schools were recruited to take a combined TVA test using symbols as non-verbal stimuli. Results showed that the developmental trajectories of children with dyslexia exhibited a delayed pattern in perceptual processing speed and an atypical pattern in attentional weight compared to the controls. Further mediation analyses showed the triangular relationship of “TVA subcomponent-linguistic awareness-reading,” revealing the possible roles of these subcomponents regarding VSP in Chinese reading. The current findings suggested that the VSP deficit of Chinese children with dyslexia may stem from impairments in perceptual processing speed and attentional weight, revealing the possible modulation of language specificity (i.e., Chinese) on cognitive deficits of dyslexia, which may have implications for the diagnosis and remediation of dyslexia.

Development of a tool to assess visual attention in Rett syndrome: a pilot study

This was a two-phase study that aimed to (a) develop a tool for assessing visual attention in individuals with Rett syndrome using AAC with a communication partner during naturalistic interactions in clinical settings; and (b) explore aspects of the tool’s reliability, validity, and utility. The Assessment of Visual Attention in Interaction (AVAI) tool was developed to assess visual attention operationalized as focused gazes (1 s or longer) at the communication partner, an object, and a symbol set. For the study, six video-recorded interactions with nine female participants diagnosed with Rett syndrome (range: 15–52-years-old) were used to calculate intra- and inter-rater agreement, and 18 recorded interactions were analyzed to examine sensitivity to change and acceptability. There was a significant difference in the AVAI results between two conditions (with and without aided-language modeling). Inter-rater agreement ranged from moderate and strong. There was a range in scores, indicating that the AVAI could differentiate between participants. The AVAI was found to be reliable, able to detect change, and acceptable to the participants. This tool could potentially be used for evaluating interventions that utilize aided AAC.

Visual Attention Assessment for Expert-in-the-Loop Training in a Maritime Operation Simulator

Improving the training programs for maritime operations is beneficial to enhance the maritime safety in practice. In this article, we propose a novel approach to the assessment of visual attention in a maritime operation so as to support an expert-in-the-loop training program. Experts’ knowledge of maritime operation and experiences in the simulator are incorporated into the training program in three ways. First, through a questionnaire, information about task division, identification of critical operation, and definitions of areas of interest (AOIs) are incorporated as prior knowledge for modeling visual attention. Second, a weight scale factor that emphasizes the high importance of visual focus in critical operations is utilized to generate an operations-dependent attention map. Third, based on an expert's attention map and visual switch between AOIs, a similarity metric is designed as a comprehensive evaluation between saliency and visual transition. A case study of heavy lifting operation is performed by two groups of trainees who have received different briefings about “critical operation.” The assessment result shows that the group with more detailed briefing obtains a 6% similarity score higher than the other group, which is consistent with the debriefing result of a superior performance of that group. The proposed approach is thus verified effective in assessing visual attention for the expert-in-the-loop training program.

Developing a Visual Attention Assessment for Children at School Entry.

Whereas young children’s visual attention has been explored in a number of previous studies, so far it has not been investigated by an assessment based on Bundesen’s Theory of Visual Attention (TVA). TVA is a prominent visual attention model that has been widely used as foundation in studies targeting older children, adolescents or adults. In this paper we explore the utility of adopting TVA to explore the visual attention of 4- to 5- year olds and present the development of a simplified adapted version of a TVA-based assessment designed for this age group. Key assessment alterations included the substitution of letter stimuli with black and white symbols and the reduction of assessment duration. The suitability of the assessment for the target age group was subsequently tested in two consecutive studies (Study I: N = 43; Study II: N = 24). Study results show that measuring visual attention based on a simplified TVA-based assessment appears feasible in such a young age group, provided that the study design takes into account the capabilities of these young children. The authors argue that by adopting this kind of visual attention assessment the relationship between visual attention development and early learning could be better understood.

Poking Left To Be Right? A Model-Based Analysis of Temporal Order Judged by Mice.

The theory of visual attention (TVTVA) provides a formal framework for the assessment of visual attention and related processes. Its center is a mathematical model of visual encoding processes and discretely defined components of attention. Building on this model, TVTVA offers quantitative and process-related explanations for a variety of phenomena in the domain of visual attention. Because the theory relies on very general assumptions which might hold true for other domains of sensory processing, we tested its possible explanatory value for tactile processing in mice. Reanalyzing published data of temporal-order judgments by mice, we show how a TVTVA-based analysis identifies the processes which drive observable behavior and that it comes to conclusions quite different from those of conventional analyses of temporal-order judgments. According to this analysis, despite the same overall capacity dedicated to the task, some mice assume attentional biases toward one side, possibly to optimize their overall performance. We suggest that TVTVA's concepts provide a powerful point of vantage to find explanations for observable behavior where conventional analysis easily leads to dead ends.

TVA-Based Assessment of Visual Attention Using Line-Drawings of Fruits and Vegetables.

Visuospatial attention and short-term memory allow us to prioritize, select, and briefly maintain part of the visual information that reaches our senses. These cognitive abilities are quantitatively accounted for by Bundesen’s theory of visual attention (TVA; Bundesen, 1990). Previous studies have suggested that TVA-based assessments are sensitive to inter-individual differences in spatial bias, visual short-term memory capacity, top-down control, and processing speed in healthy volunteers as well as in patients with various neurological and psychiatric conditions. However, most neuropsychological assessments of attention and executive functions, including TVA-based assessment, make use of alphanumeric stimuli and/or are performed verbally, which can pose difficulties for individuals who have troubles processing letters or numbers. Here we examined the reliability of TVA-based assessments when stimuli are used that are not alphanumeric, but instead based on line-drawings of fruits and vegetables. We compared five TVA parameters quantifying the aforementioned cognitive abilities, obtained by modeling accuracy data on a whole/partial report paradigm using conventional alphabet stimuli versus the food stimuli. Significant correlations were found for all TVA parameters, indicating a high parallel-form reliability. Split-half correlations assessing internal reliability, and correlations between predicted and observed data assessing goodness-of-fit were both significant. Our results provide an indication that line-drawings of fruits and vegetables can be used for a reliable assessment of attention and short-term memory.

Simultaneous object perception deficits are related to reduced visual processing speed in amnestic mild cognitive impairment

Simultanagnosia, an impairment in simultaneous object perception, has been attributed to deficits in visual attention and, specifically, to processing speed. Increasing visual attention deficits manifest over the course of Alzheimer's disease (AD), where the first changes are present already in its symptomatic predementia phase: amnestic mild cognitive impairment (aMCI). In this study, we examined whether patients with aMCI due to AD show simultaneous object perception deficits and whether and how these deficits relate to visual attention. Sixteen AD patients with aMCI and 16 age-, gender-, and education-matched healthy controls were assessed with a simultaneous perception task, with shapes presented in an adjacent, embedded, or overlapping manner, under free viewing without temporal constraints. We used a parametric assessment of visual attention based on the Theory of Visual Attention. Results show that patients make significantly more errors than controls when identifying overlapping shapes, which correlate with reduced processing speed. Our findings suggest simultaneous object perception deficits in very early AD, and a visual processing speed reduction underlying these deficits.

Attentional biases in healthy adults: Exploring the impact of temperament and gender

BackgroundAttentional biases such as faster attentional orienting toward negative information were consistently replicated in high-anxious and depressive individuals, but findings in healthy individuals are inconsistent so far. MethodsUsing a dot-probe paradigm, we investigated whether temperament traits and gender, which are linked to (sub)clinical symptoms and attentional processing, influenced attentional biases in healthy adults. ResultsAll participants showed protective attentional biases in terms of orienting their attention away from negative information. In both genders higher values of negative affect were compensated with stronger attentional engagement with positive stimuli. This effect was more pronounced in men than in women. Effortful control fulfilled its regulative function in terms of stronger avoidance of negative stimuli only among men. LimitationsReaction times after probe detection provide only a snapshot of attention and allow only for an indirect assessment of visual attention. Future research should emphasize methods that allow for continuous monitoring of attention allocation, therefore results of the present study await replication in psychophysiological or eye-tracking studies. ConclusionOur results highlight the importance of considering influencing factors such as gender and temperament traits for attentional biases in healthy adults.

Transition of Visual Attention Assessment in Stereoscopic Images With Evaluation of Subjective Visual Quality and Discomfort

Through statistical analysis of the behaviors of human visual attention, we discovered that fixation behaviors are highly correlated with the degree to which the viewer experiences visual quality/discomfort with stereoscopic images. To quantify the correlation between visual attention and quality/discomfort with respect to various distortions and disparities, we explore a novel methodology called transition of visual attention (ToVA) that accounts for diverse low-level luminance, chrominance, and depth attributes of 3D images in eye-tracker experiments. Moreover, saliency entropy is defined in order to quantify the distribution of fixations for 3D images. Using saliency entropy, we interpret perceptual factors in accordance with the non-uniform resolution of the human eye and the stereoscopic limits caused by foveation and Panum’s fusional area. We then measure ToVA in terms of relative saliency entropy using Kullback-Leibler divergence. To evaluate the effectiveness of ToVA, a successful example application is also provided for which ToVA is applied to obtain subjective measurements of the quality and discomfort experienced when viewing 3D displays, rather than relying on conventional subjective tests using a scoring system.

Multimodal assessment of visual attention using the Bethesda Eye & Attention Measure (BEAM)

ABSTRACTIntroduction: Computerized cognitive tests measuring manual response time (RT) and errors are often used in the assessment of visual attention. Evidence suggests that saccadic RT and errors may also provide valuable information about attention. This study was conducted to examine a novel approach to multimodal assessment of visual attention incorporating concurrent measurements of saccadic eye movements and manual responses. Method: A computerized cognitive task, the Bethesda Eye & Attention Measure (BEAM) v.34, was designed to evaluate key attention networks through concurrent measurement of saccadic and manual RT and inhibition errors. Results from a community sample of n = 54 adults were analyzed to examine effects of BEAM attention cues on manual and saccadic RT and inhibition errors, internal reliability of BEAM metrics, relationships between parallel saccadic and manual metrics, and relationships of BEAM metrics to demographic characteristics. Results: Effects of BEAM attention cues (alerting, orienting, interference, gap, and no-go signals) were consistent with previous literature examining key attention processes. However, corresponding saccadic and manual measurements were weakly related to each other, and only manual measurements were related to estimated verbal intelligence or years of education. Conclusions: This study provides preliminary support for the feasibility of multimodal assessment of visual attention using the BEAM. Results suggest that BEAM saccadic and manual metrics provide divergent measurements. Additional research will be needed to obtain comprehensive normative data, to cross-validate BEAM measurements with other indicators of neural and cognitive function, and to evaluate the utility of these metrics within clinical populations of interest.

Visual Attention in Children With Migraine: The Importance of Prophylaxis.

This study aimed to compare the visual attention performance of children newly diagnosed with migraine, children undergoing migraine prophylaxis, and a healthy control group. Eighty-two children aged 8 to 12 years were divided into 3 groups: untreated migraine (n = 30), migraine prophylaxis (n = 22), and control (n = 30). All were subjected to a visual attention assessment with the Trail Making Test parts A and B, Letter-Cancellation Test, and the Brazilian Visual Attention Test 3rd edition. Although performance in attention tasks was within the normal range in all groups, children with untreated migraine performed significantly worse in some visual attention tests than did the control children or children undergoing migraine prophylaxis. The migraine prophylaxis group performed as well as the control group. The deregulation of the neurochemical mechanisms underlying the physiopathology of migraine might induce visual attention deficits, but an effective prophylactic treatment might reverse migraine symptoms.

CareToy C: a new set‐up for the assessment of visual attention and audio‐visual integration in the first year of age

CareToy C: a new set‐up for the assessment of visual attention and audio‐visual integration in the first year of age