Sustained Auditory Attention Ability Test - SAAAT

Technical Manual

Script Author: Katja Borchert, Ph.D. (katjab@millisecond.com), Millisecond

Created: January 06, 2023

Last Modified: January 25, 2024 by K. Borchert (katjab@millisecond.com), Millisecond

Script Copyright © Millisecond Software, LLC

Background

This script implements Millisecond's computerized version of the Sustained Auditory Attention Ability Test (SAAAT), a variant of an auditory continuous performance test to measure auditory vigilance and sustained attention (Lemos & Feniman, 2010). The SAAAT was originally developed for children (age group: 6-11 years old).

References

Lemos, I.C.C. & Feniman, M.R. (2010). Sustained Auditory Attention Ability Test (SAAAT) in seven year- old children with cleft lip and palate. Braz J Otorhinolaryngol, 76(2): 199-205.

José, M. R., Mondelli, M. F. C. G., Correia, J. B., Bohn, V., Lauris, J. R. P., Zeigelboim, B. S., & Feniman, M. R. (2021). Adult Perfomance on the Sustained Auditory Attention Skill Test. International Archives of Otorhinolaryngology, 25(2), e249–e254. https://doi.org/10.1055/s-0040-1712481

Duration

15 minutes

Description

Participants hear a sequence of words with a new word being played every 1second. Anytime participants hear the word 'no', they are instructed to press the Spacebar. For any other word, they are instructed to simply wait for the next word. The test runs a total of 600 word without a break (6 blocks of 100 trials each).

Procedure

(1) Practice: 1 block of 50 trials (max number of practice blocks: 2)
- 10 go-trials (with word 'NO')
- 40 nogo trials (each of the 20 nogo stim is presented 2 times)
If performance is lower than parameters.minPracticeACC (default: 85% correct) at the end of the final
practice block, the script prematurely terminates.
Participants receive error feedback during practice.

(2) Test: 6 blocks of 100 trials (words) with no break
- each block runs 20 'no' trials (go-stims) and 80 nogo-trials (each of the 20 nogo stim is presented 4 times)
- the word SOA is 1000ms (response window equals SOA) - editable parameter
- Word Sequence:
- this script provides the following 2 options
Option1: the same fixed but randomly-generated sequence of the words is used for each block (see list.stimSequence)
Option2: each block randomly presents a new order of the words
see parameters.randomStimOrder

Trial Sequence:
word1 (1000ms) -> word2 (1000ms) ->....word100 (1000ms)

Stimuli

The test contains 21 monosyllabic words taken from Lemos & Feniman (2010) with the exception of the word
'flower' and 'now'. The word 'flower' (two syllables) was replaced with the word 'fall'
and the word 'now' (too close to no) was replaced by the word 'soon' by Millisecond.

All soundfiles were played binaurally.

All words were recorded with the English Google Translate Fairy by Millisecond and converted
to *wav files in Audacity - can be edited under section 'Editable Stimuli'

Instructions

provided by Millisecond - can be edited under section 'Editable Instructions'

Summary Data

File Name: saaat_summary*.iqdat

Data Fields

NameDescription
inquisit.version Inquisit version number
computer.platform Device platform: win | mac |ios | android
startDate Date the session was run
startTime Time the session was run
subjectId Participant ID
groupId Group number
sessionId Session number
elapsedTime Session duration in ms
completed 0 = Test was not completed
1 = Test was completed
goTrialCountOverall Number of go-trials ('signal trials') overall
hitRateOverall Overall hit rate (responding on go-trials) - correct response
omissionRateOverall Overall omission rate (not responding on go-trials) - error response
noGoTrialCountOverall Number of nogo-trials ('noise trials') overall
commissionRateOverall Overall commission rate (responding on nogo-trials) - error response
corrRejectRateOverall Overall correct rejection rate (not responding on nogo-trials) - correct response
Signal Detection Measures
zHitRate The calculate z-score of the hitRate during Phase X
zFARate The calculated z-score of the falseAlarm/commission rate during Phase X
*Adjustments to z-scores as recommended by
Gregg, A. & Sedikides, C. (2010). Narcissistic Fragility
Rethinking Its Links to Explicit and Implicit Self-esteem, Self and Identity, 9:2, 142-161 (p.148)
=> Adjustments are made if the FArate (hitRate) = 0 (increased to 0.005) or 1 (decreased to 0.995)*
dPrime Computes d' (parametric measure of discriminability btw. signals and noise)
=> Range (in this script)
-5.1516586840152740479 <= dprime <= 5.1516586840152740479 (=perfect performance)
=> The higher the value, the better signals (go stims) were overall distinguished from noise (nogo stims)
(d' = 0: chance performance; negative d-primes: participant treated nontargets as targets and targets as nontargets)
c C-criterion in signal detection:The absolute value of c provides an indication of the strength of
the response bias/response style
negative: participant more likely to report that signal is present (liberal response style)
may favor faster responding in speed-accuracy trade-off response paradigms
positive: favoring caution (conservative response style)
omissionErrorsOverall Total number of times participant made an omission Error
-> missed response to a target 'no'
(out of a total of 120 targets = 6blocks * 20targetsPerBlock)
=> Lemos & Feniman (2010): measure of inattention
commissionErrorsOverall Total number of times participant made a commission Error
-> response to a non-target
(out of 480 nontargets)
=> Lemos & Feniman (2010): measure of impulsivity
totalErrorsOverall Sum of all errors (out of 600)
vigilanceReduction The difference in (hits from block1 - hits in block6)
=> Lemos & Feniman (2010): measure of sustained attention
Per Block
goTrialCount1 Number of go-trials in block1
noGoTrialCount1 Number of nogo-trials in block1
propCorrect1 Proportion correct responses in block1
omissions1 Number of omission errors made in block1 (missed responses to targets); out of 20 targets
commissions1 Number of commission errors made in block1 (responses to non-targets); out of 80 nontargets
errors1 Sum of omission and commission errors in block1
hitRT1 Mean hit response time (in ms) in block1
(same for block2-block6)

Raw Data

File Name: saaat_raw*.iqdat

Data Fields

NameDescription
build Inquisit version number
computer.platform Device platform: win | mac |ios | android
date Date the session was run
time Time the session was run
subject Participant ID
group Group number
session Session number
blockCode Name of the current block
blockNum Number of the current block
trialCode Name of the current trial
trialNum Number of the current trial
phase Practice vs. test
blockCounterPerPhase Counts the number of blocks run in the current phase
trialCounterPerBlock Counts the number of trials run in the current block
trialType "target" vs. "noTarget"
stim Stores the itemnumber of the presented soundfile
stimulusItem Presented soundfile
response The response of participant
respCategory "hit", "miss", "correctReject", "falseAlarm"
corrResp Stores the correct response for the current trial
correct Correctness of response (1 = correct, 0 = error)
latency Response latency (in ms); measured from: onset of trial

Parameters

The procedure can be adjusted by setting the following parameters.

NameDescriptionDefault
randomStimOrder True: a new random stim/word order is run for each block
false: the semi-randomly pregenerated list.stimSequence is used for each block
and run in fixed order
false
maxNumberOfPracticeBlocks The maximum number of practice blocks that are run2
minPracticeAcc The minimum percent correct practice performance at the end of practice
that needs to be achieved to continue with the test
0.85
Timing Parameters
stimSOAMS The stimulus onset asynchrony (in ms) of each spoken word1000