A Haptic Nonverbal Cognitive Test for Children and Adolescents With Visual Impairment

Author:

Cassar Carolina1ORCID,Tambelli Renata1,Pezzuti Lina1,Lecis Donatella2,Castorina Silvia2,Ricci Daniela3,Fortini Stefania3,Amore Filippo M.3,De Crescenzo Franco4,Lucchese Franco1

Affiliation:

1. Department of Dynamic and Clinical Psychology and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Italy

2. Centro Regionale S. Alessio Margherita di Savoia per i Ciechi, Rome, Italy

3. Polo Nazionale di Servizi e Ricerca per la Prevenzione della Cecità e la Riabilitazione Visiva degli Ipovedenti, Rome, Italy

4. Department of Psychiatry, University of Oxford, Oxford, UK

Abstract

Introduction: The objective of the current study was to design and pilot-test a nonverbal intelligence test for children and adolescents with visual impairment (i.e., blindness and low vision) aged 10 to 16 years. Method: A three-dimensional haptic matrix test of nonverbal cognitive abilities (3-DHMT-CA), initially developed for adults with visual impairment, was adapted and administered to 25 juveniles with severe low vision or blindness and 25 sighted peers. The test consisted of 22 tactual matrices with a missing element, and juveniles were asked to understand the logical scheme underlying each matrix and to complete it. Convergent validity was assessed in the sighted group with the Standard Progressive Matrices. Divergent validity was measured with the Verbal Comprehension Index (VCI) and the Working Memory Index (WMI) of the Italian version of the Wechsler Intelligence Scale for Children–Fourth Edition. Between-group differences were analyzed with Student’s t-test and ANOVA. Results: Results show a high correlation with the convergent measure (with the Standard Progressive Matrices), and the moderate correlations with divergent measures (VCI and WMI). Between-group differences showed significantly higher scores for sighted peers than juveniles with visual impairment at 3-DHMT-CA, and non-significant differences at VCI and WMI. Discussion: This haptic nonverbal cognitive test showed good psychometric properties, but it needs to be validated in a larger sample with a qualitative analysis of solution strategies because juveniles with visual impairment seem to use different verbal and working memory strategies. Implications for Practitioners: The 3-DHMT-CA and the haptic two-hands modality seem to be suitable to test nonverbal cognitive abilities in juveniles with visual impairment. Practitioners should focus on empowering verbal and working memory abilities, since they may affect nonverbal cognitive abilities as well.

Funder

National Institute for Health Research (NIHR) Research Professorship to Professor Andrea Cipriani

NIHR Oxford Health Biomedical Research Centre

Publisher

SAGE Publications

Subject

Rehabilitation,Ophthalmology

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