Results

19 ADD children and 16 controls participated in the current study.  All participants were male.  Ages ranged from eight to fourteen years.  There were no significant differences in age between groups with the ADD group reporting a mean of 10.5 years (SD=1.74) and control group mean of 10.1 years (SD=.89) t(27.6)=.822, p=.418.

Of the 19 ADD participants, 11 had taken medication that day.  There were no significant differences between those on or off medication on any measures. 

Virtual Reality Classroom

            Given the high similarity between the Virtual Reality Classroom and Vigil, a strong correlation was anticipated and found r(34)=923, p=.000.  Both the percent correct in the VR Classroom t(24.4)=-3.18,p=.004 and Vigil t(26)=-2.36,p=.026 were significant  (See Figure 1).  There was a significant difference in the number of omissions committed in the classroom between the ADD and control group t(22.7)=2.92,p=.008 whereas the difference in the number of omission errors committed in Vigil approached, but did not reach, significance t(24.9)=1.98,p=.058 (See Figure 2).

There was a difference between the two groups approaching significance on the number of commission errors made during the Vigil t(19.14)=1.97, p=.064.  This was not found on number of commission errors made in the classroom t(32)=1.43, p=.148.

Participants were asked how much they liked the Virtual Reality Classroom on a likert type scale from 1 to 7, one being not at all and seven being a lot.  The mean score was 5.6 (SD=1.59).  There were no differences between groups t(34)=-9.67, p=.340. 

Eye-tracking

On and off task fixations in the presence or absence of a primer were the behaviors of interest. Two independent raters coded each video for these behaviors, and inter-rater reliability estimates based on the percentage of agreement between the observers were calculated (A. Grenga, personal communication, November 16, 2004).  Data collected from the first observer was used in analysis. 

Significant differences between the two groups existed on the number of times participants went off task when there was a primer (“A”) on the board t(12.1)=2.23,p=.045 with ADD subjects going off task a mean of seven times (SD=6.07) and control subjects going off task an average of 2.23 times (SD=2.45). When there was no primer on the board there was not a significant difference between the number of times of times the ADD group (M=27.8, SD=20.57) and control (M=15.22, SD=16.17) went off-task, t(17)=1.47, p=1.60 (See Figure 3)

Correlations were run to determine the relationship between off-task fixations and overall performance scores in the Virtual Reality Classroom.  There was a significant relationship between the number of off-task fixations when A was present and the overall score on the virtual reality classroom r(18)=-.841,p=.000 and the Vigil r(18)=-.728,p=.000.  There was also a significant relationship between the number of off-task fixations when no A was present and the overall score on the virtual reality classroom r(18)=-.657,p=.002 and the Vigil r(18)=-.660, p=.002.

Correlations were run to determine the relationship between off-task eye-gaze fixations and head turn variance.  Head turn variance was broken into 3 blocks of 2 minutes in length.  For participants with ADD there was a significant relationship between the number of off-task fixations when an A was present and head turn variance for block 2 r(5)=.885,p=.019, and block 3 r(5)=.926, p=.008, but not for block 1 r(5)=.664,p=.150.  There was also a significant relationship between the number of off-task fixations when an no A was present and head turn variance for block 1 r(5)=.821,p=.045, block 2 r(5)=.956, p=.003, and block 3 r(5)=.957, p=.003.  However, no such relationships were found for the control group.

Head turn variance                                                     

Four extreme outliers were excluded.  When the means were computed without the outliers such outliers would have been at least six standard deviations above the mean and in some cases were as many as 35 standards deviations above the mean. 

 With the outliers excluded, there were no significant differences between the ADD and control groups on head turn block 1 t(25)=1.05, p=.303) block 2 t(25)=.645, p=.525) or block 3 t(11.7)=1.42,p=.182 (See Figure 4).

            Correlations were run to determine the relationship between head turn variance and overall scores.  Head turn variance was broken into 3 blocks of 2 minutes in length.  Significant correlations were not found between the Virtual Reality Classroom and head turn block 1 r(25)=-.343,p=.079 but were found for block 2 r(25)=-.700,p=.000 and block 3 r(25)=-.684,p=.000. 

BASC

On the attention problem scale there was a significant difference between the ADD (M=96.05, S=5.17) and control (M=31.81, S=23.9) groups t(16.19)=10.55,p=.000.  On the hyperactivity subscale there was a significant difference between the ADD (M=90.79, S=18.51) and control (M=22.88, S=18.22) groups t(33)=10.89,p=.000.  On the interpersonal problems subscale there was a significant difference between the ADD (M=67.63, S=25.54) and control (M=38.75, S=30.38) groups t(33)=3.06,p=.004.  On the adaptive skills subscale there was a significant difference between the ADD (M=36.95, S=28.55) and control (M=69.06, S=27.13) groups t(33)=-3.39,p=.002 (See Figure 5).

            Correlations were run on to determine the relationship between BASC scores and measures of sustained attention.  Correlations were found between the Virtual Reality classroom and the BASC subscales of attention problems r(32)=-.513,p=.002, hyperactivity r(32)=-.483, p=.004, and adaptive skills r(34)=.448,p=.008.  Correlations were found between the Vigil and the BASC subscales of attention problems r(32)=-.452, p=.007, hyperactivity r(32)=-.408,p=.017 and adaptive skills r(32)=3.51,p=.042.  No correlations were found between subscales on the BASC and measures of head turn variance or eye-tracking for the ADD group.


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