The Effectiveness of Home-Based Training Software Designed to Influence Strategic Navigation Preferences in Healthy Subjects

Milan N A van der Kuil; Andrea W M Evers; Johanna M A Visser-Meily; Ineke J M van der Ham

doi:10.3389/fnhum.2020.00076

The Effectiveness of Home-Based Training Software Designed to Influence Strategic Navigation Preferences in Healthy Subjects

Front Hum Neurosci. 2020 Mar 17:14:76. doi: 10.3389/fnhum.2020.00076. eCollection 2020.

Authors

Milan N A van der Kuil¹, Andrea W M Evers¹, Johanna M A Visser-Meily^{2

3}, Ineke J M van der Ham¹

Affiliations

¹ Department of Health, Medical and Neuropsychology, Leiden University, Leiden, Netherlands.
² Center of Excellence in Rehabilitation Medicine, Brain Center, University Medical Center Utrecht, and De Hoogstraat Rehabilitation, Utrecht, Netherlands.
³ Department of Rehabilitation, Physical Therapy Science and Sports, Brain Center, University Medical Center Utrecht, Utrecht, Netherlands.

Abstract

One approach to the rehabilitation of navigation impairments is to train the use of compensatory egocentric or allocentric navigation strategies. Yet, it is unknown whether and to what degree training programs can influence strategic navigation preferences. In validating this approach, the key assumption that strategic preference can be changed by using a navigation training was assessed in a group of healthy participants (n = 82). The training program consisted of a psychoeducation session and a software package that included either allocentric or egocentric navigation exercises in virtual environments. Strategic navigation preference, objective and self-reported spatial abilities were assessed in pre- and post-training sessions. Based on their pre-training strategic preference, participants received either the egocentric training (n = 19) or the allocentric training (n = 21) version of the training. These participants engaged in four training sessions over a period of 2-3 weeks. The second group of participants did not use the training software (n = 43) and served as a control group. The results show that 50% of participants that received the egocentric training shifted from an allocentric to and an egocentric strategic preference. The proportion of participants that switched their strategic preference as a result of the allocentric training was identical to this proportion in the control group (19%). The training did not affect objective and self-reported navigation abilities as measured in the pre- and post-training sessions. We conclude that strategic navigation preferences can be influenced by using home-based training in healthy participants. However, using the current approach, only a preference shift from an allocentric to an egocentric navigation strategy could be achieved. The effectiveness of this navigation strategy training should next be assessed in relevant patient populations.

Keywords: cognitive training; navigation strategy; serious game; spatial navigation; strategy training.