A virtual shopping task for the assessment of executive functions: Validity for people with stroke
Abstract
The importance of assessing executive functions (EF) using ecologically valid assessments has been discussed extensively. Due to the difficulty of carrying out such assessments in real-world settings on a regular basis, virtual reality has been proposed as a technique to provide complex functional tasks under a variety of differing conditions while measuring various aspects of performance and controlling for stimuli. The main goal of this study was to examine the discriminant, construct-convergent and ecological validity of the Adapted Four-Item Shopping Task, an assessment of the Instrumental Activity of Daily Living (IADL) of shopping. Nineteen people with stroke, aged 50-85 years, and 20 age- and gender-matched healthy participants performed the shopping task in both the SeeMe Virtual Interactive Shopping environment and a real shopping environment (the hospital cafeteria) in a counterbalanced order. The shopping task outcomes were compared to clinical measures of EF. The findings provided good initial support for the validity of the Adapted Four-Item Shopping Task as an IADL assessment that requires the use of EF for people with stroke. Further studies should examine this task with a larger sample of people with stroke as well as with other populations who have deficits in EF.
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The patients' enjoyment and ease of play are because the system is ecological.
“We believe that these results are because the system is ecological, consistent with the study by Nir-Hadad et al [42], which stated that the use of VR in rehabilitation enables the simulation of various real-life situations.”
From Serious Game for Fine Motor Control Rehabilitation for Children With Epileptic Encephalopathy: Development and Usability Study (2023) · cites this paper as [42]
The use of virtual reality in rehabilitation enables the simulation of various real-life situations.
“We believe that these results are because the system is ecological, consistent with the study by Nir-Hadad et al [42], which stated that the use of VR in rehabilitation enables the simulation of various real-life situations.”
From Serious Game for Fine Motor Control Rehabilitation for Children With Epileptic Encephalopathy: Development and Usability Study (2023) · cites this paper as [42]
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- Authors
- Nir-Hadad, S. Y., Weiss, P. L., Waizman, A., Schwartz, N., & Kizony, R.
- Affiliations
- Sheba Medical Center (IL)
- University of Haifa (IL)
- Corresponding author
- Kizony, Rachel
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2015-11-11
- Volume
- 27
- Issue
- 5
- Pages
- 808-833
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W2146674601
- Cited by
- 66
- References
- 64
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 8 · 2023: 10 · 2022: 3 · 2021: 9 · 2020: 3 · 2019: 11 · 2018: 3 · 2017: 6 · 2016: 1
- FWCI
- 5.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- The Myers-JDC-Brookdale Institute Of Gerontology & Human Development and Eshel, the Association the Planning and Development of Services for the Aged in Israel. (NA)
- Fonds de la recherché en santé du Québec (FRSQ) Strategic Development Project (NA)
- Ian Karten Charitable Trust under Grant (NA)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- executive function, stroke, virtual reality, instrumental activities of daily living, ecological validity, construct validity, discriminant validity, functional assessment
- MeSH terms
- Aged, Aged, 80 and over, Cognition Disorders, Environment, Female, Humans, Male, Mental Status Schedule, Middle Aged, Psychomotor Performance, Surveys and Questionnaires, User-Computer Interface, Case-Control Studies, Statistics, Nonparametric, Stroke, Executive Function
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