TY - JOUR AU - Shen, Jiabin AU - Xiang, Henry AU - Luna, John AU - Grishchenko, Alice AU - Patterson, Jeremy AU - Strouse, Robert V AU - Roland, Maxwell AU - Lundine, Jennifer P AU - Koterba, Christine H AU - Lever, Kimberly AU - Groner, Jonathan I AU - Huang, Yungui AU - Lin, En-Ju Deborah PY - 2020 DA - 2020/8/25 TI - Virtual Reality–Based Executive Function Rehabilitation System for Children With Traumatic Brain Injury: Design and Usability Study JO - JMIR Serious Games SP - e16947 VL - 8 IS - 3 KW - traumatic brain injury KW - virtual reality KW - neurological rehabilitation KW - executive function KW - cognitive rehabilitation AB - Background: Traumatic brain injury (TBI) poses a significant threat to children’s health. Cognitive rehabilitation for pediatric TBI has the potential to improve the quality of life following the injury. Virtual reality (VR) can provide enriched cognitive training in a life-like but safe environment. However, existing VR applications for pediatric TBIs have primarily focused on physical rehabilitation. Objective: This study aims to design and develop an integrative hardware and software VR system to provide rehabilitation of executive functions (EF) for children with TBI, particularly in 3 core EF: inhibitory control, working memory, and cognitive flexibility. Methods: The VR training system was developed by an interdisciplinary team with expertise in best practices of VR design, developmental psychology, and pediatric TBI rehabilitation. Pilot usability testing of this novel system was conducted among 10 healthy children and 4 children with TBIs. Results: Our VR-based interactive cognitive training system was developed to provide assistive training on core EF following pediatric TBI. Pilot usability testing showed adequate user satisfaction ratings for both the hardware and software components of the VR system. Conclusions: This project designed and tested a novel VR-based system for executive function rehabilitation that is specifically adapted to children following TBI. SN - 2291-9279 UR - http://games.jmir.org/2020/3/e16947/ UR - https://doi.org/10.2196/16947 UR - http://www.ncbi.nlm.nih.gov/pubmed/32447275 DO - 10.2196/16947 ID - info:doi/10.2196/16947 ER -