Character Customization With Cosmetic Microtransactions in Games: Subjective Experience and Objective Performance

Free games that are monetized by selling virtual items, such as cosmetic microtransactions for one’s avatar, seem to offer a better gaming experience to paying players. To experimentally explore this phenomenon, the effects of character customization with cosmetic microtransactions on objective and self-estimated player performance, subjective identification with the avatar, fun and the players’ perceived competence were examined in the game League of Legends. This study introduces a new laboratory-based, experimental task to objectively measure within-game player performance. Each participant performed this game-based task in two different conditions: With a character that was customized using a provided set of cosmetic microtransactions and with a default character. Results showed that customization increased subjective identification with the player character. However, objective performance measures were unaffected by this manipulation although the novel experimental approach provided reliable performance results. Additionally, identification was positively related to perceived competence, fun, and self-estimated performance. Implications for the design of cosmetic microtransactions and their influence on competitive gaming are discussed.

Investigating the Use of Task Resumption Cues to Support Learning in Interruption-Prone Environments

The ubiquity of mobile devices in peoples’ everyday life makes them a feasible tool for language learning. Learning anytime and anywhere creates great flexibility but comes with the inherent risk of infrequent learning and learning in interruption-prone environments. No matter the length of the learning break, it can negatively affect knowledge consolidation and recall. This work presents the design and implementation of memory cues to support task resumption in mobile language learning applications and two evaluations to assess their impact on user experience. An initial laboratory experiment (N=15) revealed that while the presentation of the cues had no significant effect on objective performance measures (task completion time and error rate), the users still perceived the cues as helpful and would appreciate them in a mobile learning app. A follow-up study (N=16) investigated revised cue designs in a real-world field setting and found that users particularly appreciated our interactive test cue design. We discuss strengths and limitations of our concept and implications for the application of task resumption cues beyond the scope of mobile language learning.

Clarifying the relationship between trait mindfulness and objective performance

The present study focused on the relationship between trait mindfulness and the outcome component of performance, evaluated with objective indicators. In particular, four objective performance indicators were studied: accuracy, reaction time, variability in reaction times, and detection of unexpected stimuli. Because attention and awareness have been described as core components of mindfulness, and previous research suggests that mindfulness is associated with improved attention skills, this study predicted that trait mindfulness would be positively related to objective indicators of high performance (accuracy, detection of unexpected stimuli) and negatively related to objective indicators of low performance (reaction time, variability in reaction time), on an attention task. Moreover, the study predicted that the relationship between trait mindfulness and objective performance would be modulated by task complexity. University students (139) completed mindfulness, intelligence, and personality questionnaires and completed an adapted Stroop task (Stroop, 1935) in E-prime 2 software. To test our hypotheses, we performed hierarchical multiple regression analyses in SPSS. Our results revealed that trait mindfulness is not related to objective indicators of performance in an attention task, except for the detection of unexpected stimuli. Going further with our analyses, we also confirmed the important role of intelligence in performance outcomes. Finally, task complexity was not playing a moderator role in the relationship between mindfulness and objective performance. Our research contributes to the literature on mindfulness and objective performance, providing empirical evidence for the relationship between trait mindfulness and the detection of unexpected stimuli. Study limitations and avenues for future research are discussed.

Quality assessment of baby wet wipes

A wet wipe is a commercial product made of a fibrous substrate impregnated with a lotion that often comes folded and individually wrapped for convenience. The present work relates to wet wipes’ composition to clean the baby’s body. Wet wipes were produced from two spunlace nonwoven fabrics consisting of polyester/viscose and a wetting solution. Objective performance evaluation was carried out to determine the efficiency of the wipes for manufacturing and end uses. The lotion formula comprising surfactants, a solubilizer, preservative compounds, perfumes, and mainly purified water is selected to deliver the intended benefits of a baby wet wipe. Besides, physical, mechanical characteristics, and moisture management parameters of the wet wipe fabrics were measured. Optimal lotion (oil–water emulsion) stirring conditions were illustrated using optical microscopy. Lotion foamability appears as an undesirable phenomenon upon the manufacturing of the wet wipe. A mixture design, an extreme vertices design, was used to study the influence of the compounds on the foam volume. The relative contribution of each compound in the lotion to generate bath foam was discussed. Because wet media are more effective than dry media for surface cleaning, the optimum wet pick-up ensuring the best wiping efficiency about of 83.2% was found to be about 3 g of lotion for 1 g of fabric. Assuming that a wipe sample could be performed in less than 3 min, it was also confirmed that the developed wipe remains effective with a moisture content of 242% and can be comparable with other commercial wipes.

Validation of Discrete and Regression-Based Performance and Cognitive Fatigability Normative Data for the Paced Auditory Serial Addition Test in Multiple Sclerosis

Cognitive fatigability is an objective performance decrement that occurs over time during a task requiring sustained cognitive effort. Although cognitive fatigability is a common and debilitating symptom in multiple sclerosis (MS), there is currently no standard for its quantification. The objective of this study was to validate the Paced Auditory Serial Addition Test (PASAT) discrete and regression-based normative data for quantifying performance and cognitive fatigability in an Ontario-based sample of individuals with MS. Healthy controls and individuals with MS completed the 3″ and 2″ versions of the PASAT. PASAT performance was measured with total correct, dyad, and percent dyad scores. Cognitive fatigability scores were calculated by comparing performance on the first half (or third) of the task to the last half (or third). The results revealed that the 3″ PASAT was sufficient to detect impaired performance and cognitive fatigability in individuals with MS given the increased difficulty of the 2″ version. In addition, using halves or thirds for calculating cognitive fatigability scores were equally effective methods for detecting impairment. Finally, both the discrete and regression-based norms classified a similar proportion of individuals with MS as having impaired performance and cognitive fatigability. These newly validated discrete and regression-based PASAT norms provide a new tool for clinicians to document statistically significant cognitive fatigability in their patients.

A Multicenter Single-Arm Objective Performance Criteria Trial to Determine the Efficacy and Safety of High-Frequency Irreversible Electroporation as Primary Treatment for Localized Prostate Cancer: A Study Protocol

IntroductionThe classical pathway for the therapy of low- to intermediate-risk localized prostate cancer is radical prostatectomy or radiation therapy, which has shown a high incidence of complications, including erectile dysfunction, urinary incontinence, and bowel injury. An alternative pathway is to perform an ablation by some energy to the localized lesion, known as focal therapy. High-frequency irreversible electroporation (H-FIRE) is nonthermal energy that can be used in cancer ablation to deliver pulsed high-voltage but low-energy electric current to the cell membrane and to invoke cell death. An H-FIRE pathway has been reported to be tissue-selective, which leads to fewer side effects.Methods and AnalysisThis is a multicenter and single-arm objective performance criteria (OPC) study, in which all men with localized prostate cancer are allocated to H-FIRE ablation. This trial will assess the efficacy and safety of the H-FIRE ablation for prostate cancer. Efficacy will be assessed by prostate biopsy 6 months after treatment while safety will be assessed by adverse event reports and questionnaires. The main inclusion criteria are moderate to low-risk prostate cancer in NCCN risk classification and had no previous therapy for prostate cancer. A sample size of 110 participants is required. The primary objective is to determine whether the detection rate of clinically significant cancer by prostate biopsy is less than 20% after the H-FIRE ablation.Ethics and DisseminationThis study has obtained ethical approval by the ethics committee of all participating centers. The results of the study will be submitted for dissemination and publication in peer-reviewed journals.ConclusionsThis multicenter single-arm objective performance criteria trial will evaluate the efficacy and safety of the use of high-frequency irreversible electroporation in treating prostate cancer.Strengths and Limitations of This StudyA comprehensive evaluation of imaging and histopathology is used to determine the effect of treatment. Questionnaires were used to assess the treatment side effects. Multicenter and pragmatic designs capacitate higher generalizability. A limitation of this trial is that the prostate biopsy as an endpoint may not be as accurate as of the specimen from prostate prostatectomy. Another limitation is the 6-month follow-up time, making this trial challenging to come to firm conclusions regarding the efficacy and safety of IRE in the long term.Clinical Trial RegistrationClinicalTrials.gov, NCT03838432

Virtual Versus in-Person Frailty Assessments in Older Adults with Hematologic Malignancies

Introduction : Time and resource barriers limit widespread implementation of frailty assessment in oncology practice, and the COVID-19 pandemic has reduced the number of in-person visits. To overcome these barriers, virtual geriatric assessments (GAs) have been developed, but lack important objective performance measures such as gait speed and cognitive tests-measures that are important predictors for poor outcomes in older patients with blood cancers (Liu et al., Blood, 2019; Hshieh et al., JAMA Oncol., 2018). We adapted an in-person frailty assessment to a virtual format that maintained both patient-reported and objective measures. Methods : Our cohort assessed in-person (February 2015 to March 2020; resumed June 2021 to July 2021) included all transplant-ineligible patients aged 75 years and older who presented to DFCI for initial consultation for their hematologic malignancy. On the same day as their initial consult, a research assistant administered to consented patients a screening geriatric assessment that assessed for 42 aging-related health deficits using patient-reported and objective performance measures spanning the domains of function, cognition, comorbidity, and mobility. From this assessment, frailty was measured using both the phenotypic (Fried et al., J Gerontol A Biol Sci Med Sci, 2001) and deficit-accumulation approaches (Rockwood et al., J Gerontol A Biol Sci Med Sci, 2007). The frailty phenotype uses five criteria to define a syndrome (slow gait speed, weakness [grip strength], self-reported exhaustion, low physical activity, and weight loss). The deficit-accumulation method calculates the proportion of deficits present in an individual out of the total number of possible deficits measured. To virtually adapt our assessment (Figure 1), patient-reported items were readily converted to questions administered over video- or teleconference. Of the objective measures, grip strength was replaced with self-reported grip strength. The Clock-in-the-Box test was changed to a simple clock draw that the patient completes and displays to the video camera for scoring. 4-meter gait speed is collected by teaching a caregiver to administer with a stopwatch and a 4-meter strip of ribbon. If video is unavailable, self-reported gait speed is measured instead. We expanded eligibility of virtual assessments to patients aged 70 and older. Geriatricians (C.D., T.H., and J.D.) and oncologists (G.A. and J.D.) reviewed the virtual GA for content validity. We measured the proportion of patients who consented and completed the virtual assessment. We assessed for differences in the distributions of age and frailty between virtual and in-person frailty assessments in patients 75 and older using Fisher exact (age) and Chi-square (frailty) tests. Results : Since starting our virtual frailty assessments in November 2020 through July 2021, 118 patients were enrolled and 89 (75%) completed assessments. Median age was 77.6 years (SD = 4.21), 55 (62%) were male, 38 (43%) had lymphoma, 32 (36%) had leukemia/myelodysplastic syndrome/myeloproliferative disorders, and 19 (21%) had multiple myeloma. Of the 89 who completed virtual assessments, 67 (75%) completed the assessment over video with the remaining 22 (25%) over telephone. For the objective measures, 68 (76%) participants were able to complete the clock draw and 47 (53%) were able to complete the gait speed tests. The distribution of age (p = 0.78) and frailty categories (p = 0.49) in our virtual assessments was similar to that of our in-person assessments (Table 1). Conclusion : We developed and successfully delivered a virtual frailty assessment for older adults with blood cancers and found no evidence that frail patients or patients of the highest age categories were unable to complete them. These data suggest that virtual frailty assessment will allow decentralization of assessments even beyond the pandemic, potentially reaching more older adults with blood cancers. The ability to scale to more patients and measure frailty where it matters most-in their own homes-could help overcome barriers to frailty assessments in busy oncology clinics. Virtual frailty assessments also allow for serial measurement while on treatment to better understand and track the trajectory of frailty in this population. Figure 1 Figure 1. Disclosures Kim: Alosa Health: Other: Personal Fee; NIH: Other: Grants; Alosa Health: Other: Personal Fee.

Perception of stability correlates with objective performance of dynamic stability for people with chronic ankle instability

Purpose Lateral ankle sprains are one of the most prevalent musculoskeletal injuries, with one of the highest recurrence rates. One in five people develops chronic ankle instability (CAI) after a lateral ankle sprain. CAI is mainly described as a subjective phenomenon, but is associated with recurrent symptoms, reduced dynamic stability, and reduced physical activity and quality of life. Understanding the relationship between perception of stability and effect on performance for people with CAI could inform rehabilitative strategies in clinical practice. This study aimed to investigate the relationship between the perception of stability and objective performance of dynamic stability this population. Methods This study is a sub-analysis of data from four separate studies in Australia and the United Kingdom. Participants were screened and categorised as a CAI, coper, or healthy participant. Each participant completed the Star Excursion Balance Test (SEBT) and Cumberland ankle instability tool (CAIT). Distances reached in the anterior, posterior-medial, and posterior-lateral directions, and average, of the SEBT were analysed. Results Data from 95 participants with CAI, 45 copers, and 101 healthy participants was analysed. There was a significant moderate correlation between CAIT score and SEBT reach distance in all directions for the CAI group (p < 0.001). For copers, there was small significant correlation in the posterior-lateral direction (p < 0.05). Conclusion This study highlights the discrepancies between the perception of stability and objective dynamic stability, and reinforces the importance of using both types of measures for continual assessment in practice to optimise selecting rehabilitative strategies.