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Comprehensive neuropsychological assessment is sensitive to impairment but time-intensive and expensive.\u00a0Virtual reality may provide a dynamic and unique understanding of cognitive performance\u00a0and increase the ecological validity of cognitive assessment.\u00a0The use of virtual reality in screening for cognitive function in older persons is promising, but evidence for its use\u00a0remains\u00a0sparse.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>Our primary aim\u00a0was\u00a0to examine the feasibility and acceptability of\u00a0a newly developed,\u00a0virtual reality\u00a0assessment module, \u2018Leaf Caf\u00e9\u2019, a computer-based program that assesses cognition in an engaging, efficient, and ecologically relevant way. The secondary aim was to assess\u00a0the ability of the module to discriminate between performances of younger and older adults.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A cross-sectional study was carried out in Sydney, Australia, targeting adults aged 18\u00a0years and above. Participants completed a traditional cognitive screening tool (Telephone Interview for Cognitive Status-Modified, TICS-M) and Leaf Caf\u00e9, a low-immersive virtual reality module designed to evaluate learning and memory, perceptual-motor function, and executive functioning. The total performance score for each participant, ranging from 0 to 180, was correlated with their cognitive performance assessed by TICS-M, using Pearson\u2019s correlation coefficient. Following module completion, participants were presented with an open and closed-question survey to capture their perceptions, attitudes, and feedback on the module, encompassing practicality, acceptability, and enjoyment. Both descriptive and content analyses were employed to interpret the obtained data.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A sample of 131 participants (mean age 54.9\u00a0years, SD\u2009=\u200920.8, range 20\u201385) took part. The majority were female (71.8%) and born in an English-speaking country (75.8%). The mean amount of time spent in the module was 32.8\u00a0min (SD\u2009=\u200913.3) with a mean module score of 107.6 (SD\u2009=\u200938.7). Most participants completed the highest level (5; 80.5%). There was a significant correlation between Leaf Caf\u00e9 total scores with TICS-M cognitive scores overall, and for both younger (aged 18\u201364\u00a0years) and older adult (aged 65\u2009+\u2009years) groups. No significant difference was found on performance between age groups on TICS-M performance, however, younger adults had significantly better performance on the Leaf Caf\u00e9 module than older adults (M\u2009=\u2009124.1 vs 95.9; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Participants had similar response proportions regarding user experience with most agreeing that the module was easy to use (84%) and to navigate (85%). Compared with younger adults, older adults had lower rates of agreement on the module\u2019s design (36.8% vs 64.3%; <jats:italic>p<\/jats:italic>\u2009=\u2009.020) and support experienced (20.5% vs 53.6%; <jats:italic>p<\/jats:italic>\u2009=\u2009.007). Participants highlighted the significance of practicality and the cognitive challenges presented by the module, in terms of memory strain and user interface concerns. Feedback encompassed different opinions on the usefulness of music, with suggestions for improvements centred around clearer instructions, varied game dynamics, and considerations for diverse user needs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Leaf Caf\u00e9 is a feasible and acceptable tool to be used for screening for cognitive impairment in older adults and has real-world assessment value. Further verification on the game\u2019s utility in detecting cognitive impairment is required.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12911-024-02478-3","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T09:05:16Z","timestamp":1710839116000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Development of a new computer simulated environment to screen cognition: assessing the\u00a0feasibility and acceptability of\u00a0Leaf Caf\u00e9\u00a0in younger and older adults"],"prefix":"10.1186","volume":"24","author":[{"given":"Joyce","family":"Siette","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Guion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Ijaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Strutt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Porte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Savage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Richards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"2478_CR1","unstructured":"World Health Organization. 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