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Background Recognizing that attention is not a unitary system, the Attention Network Test (ANT) and its variants were developed to measure the efficacy of the multiple components of attention. One potential weakness of these tests (ANTs) is that they are unengaging. This poses a problem when particular groups are tested (e.g., young children), when more stable measures of performance are desirable (and can only be achieved in longer testing sessions) and when repeated testing is necessary. New method Here we describe the evolution of a game-like tool, which we call the AttentionTrip©, that is suitable for investigating three isolable attentional networks (alerting, orienting, and executive functions). Results Utilizing this tool we were able to generate reasonable network scores for alerting, executive control (from both the flanker and Simon effects), endogenous orienting and, after some motivated modifications, exogenous orienting. Comparison with existing method(s) Split-half reliabilities of the alerting and executive (flanker) network scores were considerably higher than those reported by MacLeod et al. (2010) in their psychometric review of the ANT. Informal observations (e.g., some participants asking if they could keep doing the task when their session was over) suggesting that the AttentionTrip is considerably more engaging than the traditional ANT have been confirmed in a head-to-head comparison (Vallis & Klein, 2016). Conclusions The AttentionTrip@ is available now for research purposes. A tablet version, which will have greater clinical utility, is under development.

Using orthogonal subtractions of performance in selected conditions the attentional network test (ANT) measures the efficacy of three isolable components of attention: alerting, orienting, and executive control. Ten test sessions, each containing two versions of the ANT (Fan et al., 2002; Callejas et al., 2005), were administered to 10 young adults to examine stability, isolability, robustness, and reliability of the tests. Participants indicated the direction of a target arrow presented either above or below the fixation. The target arrow was accompanied by distracting arrows, either pointing to the same direction (congruent) as or the opposite direction (incongruent) to the target arrow. The arrows were preceded by informative visual cues (central, double, spatial, and no cue) differing in temporal and spatial information (Fan et al.) or by alerting auditory signals (tone and no tone) and uninformative visual cues (valid, invalid, and no cue) (Callejas et al.). All network scores remained highly significant even after nine previous sessions despite some practice effects in the executive and the orienting networks. Some lack of independence among the networks was found. The relatively poor reliability of network scores with one session of data rises to respectable levels as more data is added.

The Attention Network Test (ANT) assesses the networks of attention (alerting, orienting, and executive control). The utility of measuring attention network performances with the repeated administration of the ANT in clinical populations has not yet been explored. In the present study, we administered a variant of the ANT (ANT-I) to 11 multiple sclerosis (MS) patients and 11 controls over six monthly sessions to examine the stability, isolability, robustness, and reliability of the ANT-I. Participants responded through button presses to indicate the direction of a target arrow presented either above or below a fixation cross. The target was accompanied by distracting arrows, pointing either in the same or opposite direction of the target arrow. Target arrows were preceded in some trials by alerting auditory signals and/or by uninformative visual cues. Network scores were calculated using orthogonal subtractions of performance under selected conditions. The MS patients were slower than the controls, though group differences in network performance were rare. Even after five test sessions, the network scores remained stable, despite some practice effects that were the largest under conditions that tested the executive network. The reliabilities of the orienting and executive network effects were good in both groups and increased across sessions, especially with the MS patients. The alerting network was the least reliable, especially for MS patients, but it also became more reliable across sessions. The results suggest that the ANT-I can be used to measure the integrity of attention networks for MS patients in applications that require repeated testing.