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Advanced Neurology                                              Transforming ADHD through interactive gaming



                                                                  distracted by the simulations and small movements in
                                                                  the game, explaining the deviation of the user’s focus
                                                                  from the primary task to such distractions.
                                                               •   Mechanism –  This game includes two ducks, which
                                                                  appear  at  different  times. For example,  at  the  start
                                                                  of the game, a yellow duck appears, but after 15 s, a
                                                                  white duck appears. This mechanism is designed to
                                                                  distract the user from counting the balloons popped,
                                                                  hindering him/her from recalling such information.
                                                               •   Outcome –  If the user correctly names the color of
                                                                  the duck, then it indicates that he/she gazed on the
                                                                  alternative simulations in the scene. If the user fails to
                                                                  name the color of the duck, then it indicates that his/
                                                                  her brain was solely focused on the given task.
                                                               3.2. Additional results

                                                               In this game, once the user’s performance is recorded, the
                                                               results (including the potential signs and symptoms of ADHD)
                                                               are provided to him/her. Specifically, by observing gameplay
            Figure 11. Example of the responses to Question 2. Image created by the   behavior and performance, the user can receive valuable
            authors.
                                                               information  about  his/her  attentional  control,  impulsivity,
                                                               sensory processing, and executive functioning, all of which
            which is another common ADHD symptom. In this      are relevant to ADHD diagnosis and management. However,
            regard, asking the user to recall the VR game scene assesses   it is important to note that Mind Marvel does not officially
            his/her awareness of the virtual surroundings. Here, the   diagnose ADHD, but mainly functions as a screening tool.
            user is given three options and asked to select the correct   In this case, this tool employs a brief questionnaire that
            answer. It is important to note that Question 2 can only   only comprises three questions, with a limited range of
            be  answered  after  answering  Question  1.  Moreover,  the   responses to analyze the user’s performance. This game also
            answer provided by the user can determine the presence of   analyzes these responses and generates one of two possible
            ADHD, depending on his/her answer in Question 1.   results. Table 3 illustrates the relationship between the user’s
            •   Outcome – If the user correctly answers the number of   responses and the corresponding results.
               balloons popped as well as the number of animals in the
               game, then it indicates that his/her brain successfully   4. Discussion
               focused  on  the  assigned  task  and  remained  aware  of
               the surroundings. In addition, the user demonstrates   This study examined the effectiveness of the  Mind Marvel
               commendable attentional prowess, exhibiting strong focus   platform, as a game-based approach toward neurological
               and an impressive capacity to recall past information.   disorders (e.g., ADHD) that integrates a webpage design with
               However, if the user correctly answers the number of   VR technology. The development of this platform was driven
               balloons popped, but cannot recall the number of animals   by the need to identify and address potential ADHD symptoms
               in the game, then it indicates that his/her brain was solely   exhibited by the user. The completed application encompasses
               focused on the given task and avoided the urge to notice   three primary aspects of an ADHD-based game: task-oriented
               other elements in the game. Meanwhile, if the user fails   focus, educational attainment, and  the identification  of
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               to complete the task, but correctly identifies the number   neurological conditions.  Set against a backdrop of dynamic
                                                               surroundings featuring vibrant colors, animated characters,
               of animals, then it indicates impulsivity, a characteristic   and background audio, this game evaluates the user’s attention
               often associated with ADHD. In other words, the user’s   span, impulsivity, hyperactivity, and concentration, all of
               focus shifted from the primary task to the distraction.   which are indicators of potential ADHD.
               This supports the notion that individuals with ADHD
               tend to have difficulty avoiding external distractions, thus   The  Mind Marvel  platform also offers an interactive
               affecting their ability to maintain focus on specific tasks.  educational webpage on ADHD Awareness, with insights
                                                               into understanding ADHD, its signs and symptoms, and
            Question 3 – Can you name the color of the first duck that   facts about the condition. This webpage is structured in
            appeared in the game?                              an easy-to-understand format, ensuring that the user can
            •   Objective – This question determines if the user was   access information about ADHD with a single click. As for


            Volume 3 Issue 4 (2024)                         10                               doi: 10.36922/an.4073
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