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Objective An electroencephalographic brain–computer interface (BCI) can provide a non-muscular means of communication for people with amyotrophic lateral sclerosis (ALS) or other neuromuscular disorders. We present a novel P300-based BCI stimulus presentation – the checkerboard paradigm (CBP). CBP performance is compared to that of the standard row/column paradigm (RCP) introduced by Farwell and Donchin (1988). Methods Using an 8 × 9 matrix of alphanumeric characters and keyboard commands, 18 participants used the CBP and RCP in counter-balanced fashion. With approximately 9–12 min of calibration data, we used a stepwise linear discriminant analysis for online classification of subsequent data. Results Mean online accuracy was significantly higher for the CBP, 92%, than for the RCP, 77%. Correcting for extra selections due to errors, mean bit rate was also significantly higher for the CBP, 23 bits/min, than for the RCP, 17 bits/min. Moreover, the two paradigms produced significantly different waveforms. Initial tests with three advanced ALS participants produced similar results. Furthermore, these individuals preferred the CBP to the RCP. Conclusions These results suggest that the CBP is markedly superior to the RCP in performance and user acceptability. Significance The CBP has the potential to provide a substantially more effective BCI than the RCP. This is especially important for people with severe neuromuscular disabilities.

Objective: The current study evaluates the efficacy of a P300-based brain-computer interface (BCI) communication device for individuals with advanced ALS. Methods: Participants attended to one cell of a N x N matrix while the N rows and N columns flashed randomly. Each cell of the matrix contained one character. Every flash of an attended character served as a rare event in an oddball sequence and elicited a P300 response. Classification coefficients derived using a stepwise linear discriminant function were applied to the data after each set of flashes. The character receiving the highest discriminant score was presented as feedback. Results: In Phase I, six participants used a 6 x 6 matrix on 12 separate days with a mean rate of 1.2 selections/min and mean online and offline accuracies of 62% and 82%, respectively. In Phase II, four participants used either a 6 x 6 or a 7 x 7 matrix to produce novel and spontaneous statements with a mean online rate of 2.1 selections/min and online accuracy of 79%. The amplitude and latency of the P300 remained stable over 40 weeks. Conclusions: Participants could communicate with the P300-based BCI and performance was stable over many months. Significance: BCIs could provide an alternative communication and control technology in the daily lives of people severely disabled by ALS.

This study examines the effects of expanding the classical P300 feature space on the classification performance of data collected from a P300 speller paradigm [Farwell LA, Donchin E. Talking off the top of your head: toward a mental prosthesis utilizing event-related brain potentials. Electroenceph Clin Neurophysiol 1988;70:510-23]. Using stepwise linear discriminant analysis (SWLDA) to construct a classifier, the effects of spatial channel selection, channel referencing, data decimation, and maximum number of model features are compared with the intent of establishing a baseline not only for the SWLDA classifier, but for related P300 speller classification methods in general. By supplementing the classical P300 recording locations with posterior locations, online classification performance of P300 speller responses can be significantly improved using SWLDA and the favorable parameters derived from the offline comparative analysis.

A brain-computer interface (BCI) speller provides non-muscular communication via detection of EEG features. In a non-disabled population, a Checkerboard (CB) stimulus presentation has been shown to improve BCI performance over the standard Row/Column (RC) paradigm. Another improvement is a gray-to-color (CL) paradigm that presents perceptually-salient targets defined by nine unique colors. The current study examines the RC, CB, and CL paradigms in an amyotrophic lateral sclerosis (ALS) population (N = 7). Pilot data suggest improved performance of CB and CL over RC. The results suggest matrices including CB and CL provide more efficient communication and higher user satisfaction in an ALS population.

Brain-Computer Interface is an alternative method of communication. The present BCI operates via eventrelated potentials (ERPs) extracted from the electroencephalograph (EEG). Items (i.e., alphanumeric characters and keyboard commands) attended to by the subject should produce a P300 ERP; unattended items should not. Participants are assigned to either a Motivation condition or a Non-motivation condition. We hypothesized that performance on a copy spelling task will be affected by an individual’s motivation, or drive, to perform well. Before the BCI task is introduced to the subjects in the motivation condition, they are read a paragraph describing the importance of the task. Subjects in the non-motivation condition are introduced to the BCI task and begin the experiment. Mean accuracy in the motivation group was 93%, significantly higher than accuracy in the nonmotivation group, 84% (t < .001). These results show that motivation can be an important factor to successful BCI use. Motivation should be considered as a factor that will influence BCI performance in disabled populatio

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To date, only one study has situationally bolstered attentional resources in an effort to improve P300-BCI performance. The current study implements a 4-week Mindfulness Meditation Training Program (MMTP) as a nonmedicinal means to increase concentrative attention and to reduce lapses of attention; MMTP is expected to improve P300-BCI performance by enhancing attentional resources and reducing distractibility. A second aim is to test the efficacy of the checkerboard paradigm (CBP) against the standard row-column paradigm (RCP). Online results show that MMTP had greater accuracies than CTRL and that CBP outperformed the RCP. MMTP participants provided greater amplitude positive target responses, but these differences were not statistically significant. CBP had greater positive amplitude peaks and negative peaks than RCP. The discussion focuses on potential benefits of MMTP for P300-based BCIs, provides further support for the construct validity of mindfulness, and addresses future directions of the translational applicability of MMTP to in-home settings.