September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Performance of daily living tasks conform to Fitts's law for low vision patients
Author Affiliations & Notes
  • Robert W Massof
    Johns Hopkins Wilmer Eye Inst, Baltimore, Maryland, United States
  • Theresa Smith
    Occupational Therapy, University of Texas Med Branch, Galveston, Texas, United States
  • Kyoko Fujiwara
    Johns Hopkins Wilmer Eye Inst, Baltimore, Maryland, United States
  • Footnotes
    Commercial Relationships   Robert Massof, None; Theresa Smith, None; Kyoko Fujiwara, None
  • Footnotes
    Support  NIH Grant EY022322
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1982. doi:
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      Robert W Massof, Theresa Smith, Kyoko Fujiwara; Performance of daily living tasks conform to Fitts's law for low vision patients. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1982.

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      © 2017 Association for Research in Vision and Ophthalmology.

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Abstract

Purpose : Performance tests used to evaluate functional ability of low vision patients often record both task performance time and errors. The difficulty of task j for person n is the difference between the average difficulty of the task for the population (ρj) and the functional ability of the person (αn). Both task performance time and errors depend on task difficulty and trade off with each other depending on the person's performance incentives (ιn). Thus, the time required for person n to perform task j is governed by a person-specific function of both task difficulty and the person's incentive: Tnj=gnj–αnn), referred to as Fitts's law. Similarly, task performance errors also are governed by a person-specific function of task difficulty and the person's incentive: Enj=hnj–αnn), resulting in the empirical version of Fitts's law Tnj=gn(hn-1[Enj],ιn). This study tests the applicability of Fitts's law to timed IADL performance tests in low vision.

Methods : IADL performance tests (consisting of search, sorting, identifying, brief reading, and manipulation tasks) were administered to 65 low vision patients. Performance time and accuracy were recorded for each of 17 IADL tests. Each test was treated as an "item" and functional ability was estimated for each person (αn) and average difficulty for each item (ρj) from Rasch analysis on task performance times and again on task performance errors.

Results : There is strong agreement between person measures estimated from performance time and measures estimated from performance errors (r = 0.88). When task difficulty for each person is estimated from performance errors, there is a linear relationship between average test performance time and the person measure estimtated from test errors (see figure).

Conclusions : The agreement between person measures estimated from IADL test performance time and test performance errors suggests that differences between people in the time/accuracy incentive parameters (ιn) are relatively small. The linear relationship between average test performance time and person measures estimated from test errors confirms the applicability of Fitts's law to timed IADL tests for low vision patients and validates the use of average IADL test performance time as a measure of functional ability.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

 

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