AssesSim Office            A realistic virtual environment for            assessment of cognitive function                ...
What I’m PlayingJune 2012       Games for Health Conference   www.gamesforhealth.org
Overview•    Cognitive Assessment•    Ecological Validity•    A Framework for Cognitive Assessment•    AssesSim Office•   ...
Cognitive Assessment• Evaluation of Brain Functions, Cognitive  Abilities• Clinical Decision-Making       – Ability to per...
Cognitive AssessmentCurrent computerized tests to predictcognitive function in a mostly non-functional, abstract context. ...
Cognitive Assessment            Complex situations which we are trying to assessJune 2012                                 ...
Ecological Validity• Extend to which a test is similar to the real world•    (Shadish, Cook & Campbell, 2001)       –    I...
Ecological Validity                 Virtual Classroom, USC ICT    Chaim Sheba Medical Center, Tel Aviv          Virtual Of...
FrameworkWhat is needed to actually build a wide range of functional virtualenvironments for cognitive assessment?• Game E...
FrameworkJune 2012    Games for Health Conference   www.gamesforhealth.org
Framework• Fully interactive environment• Evidence-based, clinically relevant content• Features, Tasks, timings changed ea...
Framework• Change context• Individualize contentJune 2012          Games for Health Conference   www.gamesforhealth.org
Framework• Cognitive and motor rehabilitation                                                 JewelMine, Game-Based Rehab ...
AssesSim OfficeJune 2012       Games for Health Conference   www.gamesforhealth.org
AssesSim Office• Collaboration with NNL – Kessler Foundation and  USC ICT• Assessment of Executive  Functions, Attention, ...
AssesSim Office - ExtensionsOnce the framework is in place extensions towards a wide range offunctional context becomes po...
The Future• From “One-offs” to toolkits• Give more control to the clinician by using intuitive controls  and interfaces to...
The Future• Individualized assessment and training• Validation vs. context-sensitivityJune 2012          Games for Health ...
The Future• Collection of metrics  (Usability, Content, Difficulty)• Quantitative analysis of patient and clinician  inter...
Summary• Ecological validity• Flexible framework for cognitive assessment• Toolkits versus/with individualized contentJune...
Thanks to…• USC ICT       – Skip Rizzo and Belinda Lange• Kessler Foundation - NNL       – Denise Krch, John DeLuca, Nancy...
Thank You                              Sebastian Koenig                     University of Southern California             ...
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GFH2012 Cognitive Assessment - AssesSim Office

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Presentation at the Games For Health 2012 Conference in Boston -
The presentation outlines the development process of a cognitive training and assessment, highlighting the need to facilitate communication between developer and clnician by building a flexible application framework. In such framework it is of highest importance to be able to change tasks, content, timings, interface and instructions rapidly to adapt to different patient populations. For questions about this presentaton please contact Sebastian Koenig at koenig@assessim.com

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  • GFH2012 Cognitive Assessment - AssesSim Office

    1. 1. AssesSim Office A realistic virtual environment for assessment of cognitive function Sebastian Koenig University of Southern California Institute for Creative Technologies skoenig@ict.usc.edu www.AssesSim.com www.virtualgamelab.com Pictures are downloaded from Google Images and rights belong to their respective owners.June 2012 Games for Health Conference www.gamesforhealth.org
    2. 2. What I’m PlayingJune 2012 Games for Health Conference www.gamesforhealth.org
    3. 3. Overview• Cognitive Assessment• Ecological Validity• A Framework for Cognitive Assessment• AssesSim Office• The Future• SummaryJune 2012 Games for Health Conference www.gamesforhealth.org
    4. 4. Cognitive Assessment• Evaluation of Brain Functions, Cognitive Abilities• Clinical Decision-Making – Ability to perform complex functional tasks in everyday life – Examples: Driving a car, making a breakfast, buying groceries, working in an officeJune 2012 Games for Health Conference www.gamesforhealth.org
    5. 5. Cognitive AssessmentCurrent computerized tests to predictcognitive function in a mostly non-functional, abstract context. June 2012 Games for Health Conference www.gamesforhealth.org
    6. 6. Cognitive Assessment Complex situations which we are trying to assessJune 2012 Games for Health Conference www.gamesforhealth.org
    7. 7. Ecological Validity• Extend to which a test is similar to the real world• (Shadish, Cook & Campbell, 2001) – Interaction – Graphics – Audio – Content• Main advantage of virtual reality applicationsJune 2012 Games for Health Conference www.gamesforhealth.org
    8. 8. Ecological Validity Virtual Classroom, USC ICT Chaim Sheba Medical Center, Tel Aviv Virtual Office, USC ICT Caren System, Walter Reed AMC Game-Based Rehab Lab, USC ICTRecent attempts to build Virtual Reality applications for assessment ina functional, complex environmentJune 2012 Games for Health Conference www.gamesforhealth.org
    9. 9. FrameworkWhat is needed to actually build a wide range of functional virtualenvironments for cognitive assessment?• Game Engines- Unity, CryEngine, Unreal Engine, etc.• 3D Models – Autodesk, Modo, SketchUp, TuroboSquid, the3DStudio, Dexsoft Games, etc.• Powerful Hardware – PC, Smartphones, Tablets• Interaction Devices – Kinect, PS Move, Wii, Leap, etc.• Clinical Expertise• Need for enhanced assessment and training All of these elements are readily available to build a flexible interactive virtual environmentJune 2012 Games for Health Conference www.gamesforhealth.org
    10. 10. FrameworkJune 2012 Games for Health Conference www.gamesforhealth.org
    11. 11. Framework• Fully interactive environment• Evidence-based, clinically relevant content• Features, Tasks, timings changed easily – Iterate quickly – Experiment – Collect data / feedbackJune 2012 Games for Health Conference www.gamesforhealth.org
    12. 12. Framework• Change context• Individualize contentJune 2012 Games for Health Conference www.gamesforhealth.org
    13. 13. Framework• Cognitive and motor rehabilitation JewelMine, Game-Based Rehab Lab, USC ICTJune 2012 Games for Health Conference www.gamesforhealth.org
    14. 14. AssesSim OfficeJune 2012 Games for Health Conference www.gamesforhealth.org
    15. 15. AssesSim Office• Collaboration with NNL – Kessler Foundation and USC ICT• Assessment of Executive Functions, Attention, Memory in TBI patients• 16 Iterations – Input devices (joystick, mouse/keyboard, kinect?) – Instructions – Data collection – Tasks – Difficulty, TimingsJune 2012 Games for Health Conference www.gamesforhealth.org
    16. 16. AssesSim Office - ExtensionsOnce the framework is in place extensions towards a wide range offunctional context becomes possible. As such, the following extensionshave been built in the past six months:• Navigation / Spatial Orientation• Wheelchair Training• Prospective Memory (To-Do-List)• Attention (Divided / Sustained / Alertness)• Executive Functions (Organize a meeting)• Disaster Management• Motor Rehabilitation (Balance / Reaching)• Change each scenario over time (Generalization)• …June 2012 Games for Health Conference www.gamesforhealth.org
    17. 17. The Future• From “One-offs” to toolkits• Give more control to the clinician by using intuitive controls and interfaces to set up tasks and content difficulty Timeline EditorsJune 2012 Games for Health Conference www.gamesforhealth.org
    18. 18. The Future• Individualized assessment and training• Validation vs. context-sensitivityJune 2012 Games for Health Conference www.gamesforhealth.org
    19. 19. The Future• Collection of metrics (Usability, Content, Difficulty)• Quantitative analysis of patient and clinician interactions with the developed system• Conceptualizing data• Assessment vs. Training – User motivation – Diversity of content, storyline – Input from clinician or patient (or both?)June 2012 Games for Health Conference www.gamesforhealth.org
    20. 20. Summary• Ecological validity• Flexible framework for cognitive assessment• Toolkits versus/with individualized contentJune 2012 Games for Health Conference www.gamesforhealth.org
    21. 21. Thanks to…• USC ICT – Skip Rizzo and Belinda Lange• Kessler Foundation - NNL – Denise Krch, John DeLuca, Nancy Chiaravalloti• HIT Lab New Zealand – Andreas Dünser, Greg Crucian, Christoph Bartneck• Asklepios Rehabilitation Klinik, Schaufling, Germany• Rocketbox Studios GmbH – Markus Wojcik• Craig Hospital, DenverJune 2012 Games for Health Conference www.gamesforhealth.org
    22. 22. Thank You Sebastian Koenig University of Southern California Institute for Creative Technologies skoenig@ict.usc.edu www.AssesSim.com www.virtualgamelab.com June 12-1, 2013 November 5-6, 2012 Boston, MA www.gamesforhealtheurope.orgJune 2012 Games for Health Conference www.gamesforhealth.org

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