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      Systematic review of memory assessment in virtual reality: evaluating convergent and divergent validity with traditional neuropsychological measures

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          Abstract

          Introduction

          The evaluation of memory is a crucial aspect of both cognitive research and clinical applications, as it offers valuable insights into an individual’s cognitive wellbeing and performance. Conventional neuropsychological assessments represent the established method for assessing different aspects of memory. Recent technological advancements, specifically in the field of virtual reality (VR), have introduced novel methods for evaluating memory.

          Objective

          This systematic review aims to examine the current state of memory assessment using VR technologies, assessing the degree of convergence and divergence between VR-based memory assessments and conventional neuropsychological tests.

          Method

          A systematic review of the literature was conducted searching PubMed, PsycINFO, Web of Science databases, leading to the incorporation of 24 studies. Studies were grouped according to the examined memory domain (episodic, prospective, spatial domain). Convergence and divergence validity were examined for each, and information on software and hardware features was collected.

          Results

          This review demonstrates a notable alignment between VR-based memory assessments and conventional neuropsychological tests. Moreover, VR tasks have shown to exhibit associations with executive functions and overall cognitive performance. The inclusion of various ecological contexts, such as residential environments, commercial establishments, and simulated scenarios, serves to augment the ecological validity of memory evaluations conducted in VR.

          Discussion

          The findings indicate that VR assessments demonstrate a functional perspective by effectively capturing the dynamic relationship between memory, executive functions, and overall cognitive performance. Nevertheless, it is imperative to acknowledge and tackle certain constraints that may hinder the widespread adoption and utilization of VR tasks. These limitations encompass factors such as restricted accessibility to VR tasks and the presence of heterogeneity in VR hardware and software. The dynamic and ever-changing nature of VR technology presents a range of potential avenues for future investigation and utilization in the domain of memory evaluation.

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          Most cited references62

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          QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies.

          In 2003, the QUADAS tool for systematic reviews of diagnostic accuracy studies was developed. Experience, anecdotal reports, and feedback suggested areas for improvement; therefore, QUADAS-2 was developed. This tool comprises 4 domains: patient selection, index test, reference standard, and flow and timing. Each domain is assessed in terms of risk of bias, and the first 3 domains are also assessed in terms of concerns regarding applicability. Signalling questions are included to help judge risk of bias. The QUADAS-2 tool is applied in 4 phases: summarize the review question, tailor the tool and produce review-specific guidance, construct a flow diagram for the primary study, and judge bias and applicability. This tool will allow for more transparent rating of bias and applicability of primary diagnostic accuracy studies.
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            Is Open Access

            The PRISMA 2020 statement: An updated guideline for reporting systematic reviews

            Matthew Page and co-authors describe PRISMA 2020, an updated reporting guideline for systematic reviews and meta-analyses.
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              • Abstract: found
              • Article: not found

              The ecological validity of neuropsychological tests: a review of the literature on everyday cognitive skills.

              Evaluating the ecological validity of neuropsychological tests has become an increasingly important topic over the past decade. In this paper, we provide a comprehensive review of the research on the ecological validity of neuropsychological tests, as it pertains to everyday cognitive skills. This review is presented in the context of several theoretical issues facing ecological validity research. Overall, the research suggests that many neuropsychological tests have a moderate level of ecological validity when predicting everyday cognitive functioning. The strongest relationships were noted when the outcome measure corresponded to the cognitive domain assessed by the neuropsychological tests. Several other factors that may moderate the degree of ecological validity established for neuropsychological tests are in need of further exploration. These factors include the effects of the population being tested, the approach utilized (verisimilitude vs. veridicality), the person completing the outcome measure (significant other vs. clinician), illness severity, and time from injury until evaluation. In addition, a standard measurement of outcome for each cognitive domain is greatly needed to allow for comparison across studies.

                Author and article information

                Contributors
                URI : http://loop.frontiersin.org/people/904865/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Role:
                Role:
                URI : http://loop.frontiersin.org/people/586112/overviewRole:
                URI : http://loop.frontiersin.org/people/988133/overviewRole:
                URI : http://loop.frontiersin.org/people/1734653/overviewRole:
                URI : http://loop.frontiersin.org/people/50919/overviewRole: Role:
                URI : http://loop.frontiersin.org/people/195140/overviewRole: Role:
                Journal
                Front Hum Neurosci
                Front Hum Neurosci
                Front. Hum. Neurosci.
                Frontiers in Human Neuroscience
                Frontiers Media S.A.
                1662-5161
                16 May 2024
                2024
                : 18
                : 1380575
                Affiliations
                [1] 1Faculty of Psychology, eCampus University , Novedrate, Italy
                [2] 2Department of Psychology, Research Center in Communication Psychology, Università Cattolica del Sacro Cuore , Milan, Italy
                [3] 3Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing–STIIMA National Research Council of Italy–CNR , Milan, Italy
                [4] 4Department of Clinical and Behavioral Neurology, IRCCS Fondazione Santa Lucia , Rome, Italy
                [5] 5Department of Psychology, University of Turin , Turin, Italy
                [6] 6Department of Geriatrics and Cardiovascular Medicine, IRCCS Istituto Auxologico Italiano , Milan, Italy
                Author notes

                Edited by: Szczepan Iwanski, Institute of Psychiatry and Neurology (IPiN), Poland

                Reviewed by: Beata Sokołowska, Polish Academy of Sciences, Poland

                Tomasz Kupka, Polish Dental Association, Poland

                *Correspondence: Valentina Mancuso, v.mancuso95@ 123456gmail.com
                Article
                10.3389/fnhum.2024.1380575
                11137286
                38818031
                b97679f5-37a1-490e-99f0-6f247ab0d675
                Copyright © 2024 Mancuso, Sarcinella, Bruni, Arlati, Di Santo, Cavallo, Cipresso and Pedroli.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 01 February 2024
                : 03 May 2024
                Page count
                Figures: 2, Tables: 3, Equations: 0, References: 62, Pages: 31, Words: 21492
                Funding
                The authors declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by Italian Ministry of Health–PRIN 2022R8P3TZ.
                Categories
                Neuroscience
                Review
                Custom metadata
                Brain Health and Clinical Neuroscience

                Neurosciences
                convergent validity,virtual reality,memory assessment,psychometric validation,ecological validity

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