Investigating the role of feedback and motivation in clinical reaction time assessment.

Objective: To investigate the influence of performance feedback and motivation during 2 tests of simple visuomotor reaction time (RT).Design: Cross-sectional, observational study.Setting: Outpatient academic physiatry clinic.Participants: Thirty-one healthy adults (mean [SD], 54 ± 15 years).Methods:...

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Publicado en:PM & R: Journal of Injury, Function & Rehabilitation Vol. 3; no. 12; pp. 1092 - 1098
Autores principales: Eckner JT, Chandran S, Richardson JK, Eckner, James T, Chandran, Srikrishna, Richardson, James K
Formato: research randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Dec2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2011
      vid: 3
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1016/j.pmrj.2011.04.022
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        atl: Investigating the role of feedback and motivation in clinical reaction time assessment.
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        au:
          Eckner JT
          Chandran S
          Richardson JK
          Eckner, James T
          Chandran, Srikrishna
          Richardson, James K
        affil: Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48108, USA
      sug:
        subj:
          Motivation
          Motor Skills
          Reaction Time
          Reinforcement (Psychology)
          Adult
          Aged
          Aged, 80 and Over
          Cross Sectional Studies
          Female
          Human
          Male
          Middle Age
          Randomized Controlled Trials
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To investigate the influence of performance feedback and motivation during 2 tests of simple visuomotor reaction time (RT).Design: Cross-sectional, observational study.Setting: Outpatient academic physiatry clinic.Participants: Thirty-one healthy adults (mean [SD], 54 ± 15 years).Methods: Participants completed a clinical test of RT (RT(clin)) and a computerized test of RT with and without performance feedback (RT(compFB) and RT(compNoFB), respectively) in randomly assigned order. They then ranked their degree of motivation during each test. RT(clin) measured the time required to catch a suspended vertical shaft by hand closure after release of the shaft by the examiner. RT(compFB) and RT(compNoFB) both measured the time required to press a computer key in response to a visual cue displayed on a computer monitor. Performance feedback (visual display of the previous trial and summary results) was provided for RT(compFB), but not for RT(compNoFB).Main Outcome Measurements: Means and standard deviations of RT(clin), RT(compFB), and RT(compNoFB) and participants' self-reported motivation on a 5-point Likert scale for each test.Results: There were significant differences in both the means and standard deviations of RT(clin), RT(compFB), and RT(compNoFB) (F(2,60) = 81.66, P < .0001; F(2,60) = 32.46, P < .0001, respectively), with RT(clin) being both the fastest and least variable of the RT measurements. RT(clin) was more strongly correlated with RT(compFB) (r = 0.449, P = .0011) than with RT(compNoFB) (r = 0.314, P = .086). The participants reported similar levels of motivation between RT(clin) and RT(compFB), both of which were reported to be more motivating than RT(compNoFB).Conclusions: The stronger correlation between RT(clin) and RT(compFB) as well as the higher reported motivation during RT(clin) and RT(compFB) testing suggest that performance feedback is a positive motivating factor that is inherent to RT(clin) testing. RT(clin) is a simple, inexpensive technique for measuring RT and appears to be an intrinsically motivating task. This motivation may promote faster, more consistent RT performance compared with currently available computerized programs, which do not typically provide performance feedback.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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