Stimulus effects on cancellation task performance in children with and without dyslexia

Both the sensitivity and administration time of a test are important in evaluating visuospatial attention in clinical settings, especially with respect to external validity. The purpose of the present study was to propose an adaptive model that provides a reference for test modification by manipulating target-to-distractor (T/D) ratios and the number of stimuli on the computerized cancellation test system. Tasks with different T/D ratios and numbers of stimuli were presented to two groups--children with and without dyslexia (n = 41 and 65, respectively)--to determine whether their visuospatial attention performance differed on different test forms. In general, there were significant differences between the two groups in hit rates, completion times, and performance quality (PQ) scores. The PQ score of visual attention was affected by the T/D ratios rather than by the number of stimuli. The findings suggested that the T/D ratio has a strong effect on PQ scores, and that it should be taken into consideration in test and task design.