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2 "Near-infrared spectroscopy"
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Case Study
Feasibility of utilizing functional near-infrared spectroscopy to measure the cognitive load of paramedicine students undertaking high-acuity clinical simulations in Australia: a case study  
Jason Betson, Erich Christian Fein, David Long, Peter Horrocks
J Educ Eval Health Prof. 2024;21:38.   Published online December 10, 2024
DOI: https://doi.org/10.3352/jeehp.2024.21.38
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AbstractAbstract PDFSupplementary Material
Purpose
Paramedicine education often uses high-fidelity simulations that mimic real-life emergencies. These experiences can trigger stress responses characterized by physiological changes, including alterations in cerebral blood flow and oxygenation. Functional near-infrared spectroscopy (fNIRS) is emerging as a promising tool for assessing cognitive stress in educational settings.
Methods
Eight final-year undergraduate paramedicine students completed 2 high-acuity scenarios 7 days apart. Real-time continuous recording of cerebral blood flow and oxygenation levels in the prefrontal cortex was undertaken via fNIRS as a means of assessing neural activity during stressful scenarios.
Results
fNIRS accurately determined periods of increased cerebral oxygenation when participants were undertaking highly technical skills or making significant clinical decisions.
Conclusion
fNIRS holds potential for objectively measuring the cognitive load in undergraduate paramedicine students. By providing real-time insights into neurophysiological responses, fNIRS may enhance training outcomes in paramedicine programs and improve student well-being (Australian New Zealand Clinical Trials Registry: ACTRN12623001214628).
Research Article
Prefrontal hemodynamic responses and the degree of flow experience among occupational therapy students during their performance of a cognitive task  
Kazuki Hirao
J Educ Eval Health Prof. 2014;11:24.   Published online September 30, 2014
DOI: https://doi.org/10.3352/jeehp.2014.11.24
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  • 7 Web of Science
  • 7 Crossref
AbstractAbstract PDF
Purpose
Although flow experience is positively associated with motivation to learn, the biological basis of flow experience is poorly understood. Accumulation of evidence on the underlying brain mechanisms related to flow is necessary for a deeper understanding of the motivation to learn. The purpose of this study is to investigate the relationship between flow experience and brain function using near-infrared spectroscopy (NIRS) during the performance of a cognitive task. Methods: Sixty right-handed occupational therapy (OT) students participated in this study. These students performed a verbal fluency test (VFT) while 2-channel NIRS was used to assess changes in oxygenated hemoglobin concentration (oxygenated hemoglobin [oxy-Hb]) in the prefrontal cortex. Soon after that, the OT students answered the flow questionnaire (FQ) to assess the degree of flow experience during the VFT. Results: Average oxy-Hb in the prefrontal cortex had a significant negative correlation with the satisfaction scores on the FQ. Conclusion: Satisfaction during the flow experience correlated with prefrontal hemodynamic suppression. This finding may assist in understanding motivation to learn and related flow experience.

Citations

Citations to this article as recorded by  
  • Effective engagement in computerized cognitive training for older adults
    Anna Luiza Guimarães, Feng V. Lin, Rogerio Panizzutti, Adam Turnbull
    Ageing Research Reviews.2025; 104: 102650.     CrossRef
  • Physical exercise induces mental flow related to catecholamine levels in noncompetitive, but not competitive conditions in men
    István Karsai, Zsófia Nagy, Tamás Nagy, Ferenc Kocsor, András Láng, Emese Kátai, Attila Miseta, Gábor Fazekas, János Kállai
    Scientific Reports.2023;[Epub]     CrossRef
  • Immersion in Substance-Related and Behavioural Addictions: Neural Systems and Neurochemical Substrates
    Fiza Arshad, Luke Clark
    Current Behavioral Neuroscience Reports.2022; 9(1): 1.     CrossRef
  • The brain in flow: A systematic review on the neural basis of the flow state
    Clara Alameda, Daniel Sanabria, Luis F. Ciria
    Cortex.2022; 154: 348.     CrossRef
  • A neurocognitive model of flow states and the role of cerebellar internal models
    Joshua Gold, Joseph Ciorciari
    Behavioural Brain Research.2021; 407: 113244.     CrossRef
  • Prefrontal cortex hypoactivity distinguishes severe from mild-to-moderate social anxiety as revealed by a palm-sized near-infrared spectroscopy system
    Hiroyuki Uchida, Kazuki Hirao
    Journal of Neural Transmission.2020; 127(9): 1305.     CrossRef
  • A Review on the Role of the Neuroscience of Flow States in the Modern World
    Joshua Gold, Joseph Ciorciari
    Behavioral Sciences.2020; 10(9): 137.     CrossRef

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