Evaluation of Eyelander: a video game designed to engage children and young people with homonymous visual field loss in compensatory training

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dc.contributor.authorWaddington, Jonathan
dc.contributor.authorLinehan, Conor
dc.contributor.authorGerling, Kathrin
dc.contributor.authorWilliams, Cathy
dc.contributor.authorRobson, Leonie
dc.contributor.authorEllis, Richard
dc.contributor.authorHodgson, Timothy
dc.contributor.funderTechnology Strategy Boarden
dc.contributor.funderMedical Research Councilen
dc.contributor.funderWESC Foundation, United Kingdom
dc.date.accessioned2018-12-17T12:54:07Z
dc.date.available2018-12-17T12:54:07Z
dc.date.issued2018-12
dc.date.updated2018-12-17T12:34:27Z
dc.description.abstractIntroduction: Rehabilitation can improve visual outcomes for adults with acquired homonymous visual field loss. However, it is unclear whether (re)habilitation improves visual outcomes for children because previous training schedules have been tiresome, uninteresting, and failed to keep them engaged. In this study we assessed whether children and young people with homonymous visual field loss would adhere to six weeks of unsupervised compensatory training using a specialised video game. Methods: Participants aged between 7 and 25 with homonymous visual field loss completed table-top assessments of visual search across four site visits. Two baseline assessments separated by four weeks evaluated spontaneous improvements before training began. Participants were then given a copy of the video game to use unsupervised at home for six weeks. Two follow-up assessments separated by four weeks were then conducted to evaluate immediate and acutely maintained effects of training. Results. 15 candidates met the inclusion-exclusion criteria, 9 participated, and 8 completed the study. Participants completed an average of 5.6 hours training unsupervised over the six weeks. Improvements on in-game metrics plateaued during week 3 of training. The time taken to find objects during table-top activities improved by an average of 24% (95% CI [2%, 46%]) after training. Discussion: The findings demonstrate that children and young people with homonymous visual field loss will engage with gamified compensatory training, and can improve visual outcomes with less time commitment than adults have required with non-gamified training in previous studies. Appropriately powered, randomised controlled trials are required to evaluate the validity and generalisability of observed training effects. Implications for practitioners: We conclude that (re)habilitation specialists can use specialist video games and gamification to engage children and young people with homonymous visual field loss in long-term unsupervised training schedules.en
dc.description.sponsorshipMedical Research Council (Knowledge Transfer Partnership Ref: KTP008989)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleidjvib120607
dc.identifier.citationWaddington, J., Linehan, C., Gerling, K., Williams, C., Robson, L., Ellis, R. and Hodgson, T. (2018) 'Evaluation of Eyelander, a Video Game Designed to Engage Children and Young People with Homonymous Visual Field Loss in Compensatory Training', Journal of Visual Impairment & Blindness, 112(6), pp. 717-730. doi: 10.1177/0145482x1811200607en
dc.identifier.doi10.1177/0145482x1811200607
dc.identifier.eissn1559-1476
dc.identifier.endpage730
dc.identifier.issn0145-482X
dc.identifier.issn1559-1476
dc.identifier.issn0145-482X
dc.identifier.issued6en
dc.identifier.journaltitleJournal of Visual Impairment and Blindnessen
dc.identifier.startpage717
dc.identifier.urihttps://hdl.handle.net/10468/7230
dc.identifier.volume112en
dc.language.isoenen
dc.publisherSage Publications; American Foundation for the Blinden
dc.relation.urihttps://journals.sagepub.com/doi/abs/10.1177/0145482X1811200607en
dc.rights© 2018, American Foundation for the Blind. All rights reserved. Reprinted by permission of SAGE Publications.en
dc.subjectHomonymous visual field lossen
dc.subjectSpecialised video gameen
dc.subjectGamified compensatory trainingen
dc.subjectGamificationen
dc.subjectComputer gamesen
dc.subjectHemianpiaen
dc.subjectTrainingen
dc.subjectNeuroscienceen
dc.subjectSpecial educationen
dc.titleEvaluation of Eyelander: a video game designed to engage children and young people with homonymous visual field loss in compensatory trainingen
dc.typeArticle (peer-reviewed)en
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