Project ExSpaND_version_1

  • Research type

    Research Study

  • Full title

    Understanding difficulties with everyday spatial navigation in people with hydrocephalus

  • IRAS ID

    256557

  • Contact name

    Alastair D. Smith

  • Contact email

    Alastair.Smith@plymouth.ac.uk

  • Sponsor organisation

    University of Plymouth

  • Duration of Study in the UK

    1 years, 11 months, 31 days

  • Research summary

    Hydrocephalus is a common neurological condition. It is characterised by an excess of cerebrospinal fluid, which can exert pressure on the brain and result in widespread neural damage. It accounts for up to 50% of paediatric neurosurgical treatment, and its cognitive effects are seen throughout the lifespan. One such consequence, as indicated by patients, carers, and clinicians, is a difficulty with daily navigation – this is our ability to effectively navigate the space around us (e.g. being able to find our way from home to the shops), without getting lost, and is fundamental to our independence and quality of life. There have, however, been no systematic studies to investigate exactly how hydrocephalus affects navigation. This research project will produce a comprehensive account of navigational difficulties in people with hydrocephalus, including the specific navigational processes that are impaired, as well as the psychological underpinnings of those difficulties. This will not only reveal the cognitive mechanisms that contribute to strengths and weaknesses in daily navigation, but also guide patients and carers towards a greater understanding of the condition, and inform targeted assistive strategies for patients. Building on previous work from our group, we will recruit 60 people with hydrocephalus for two 3-hour testing sessions. During these sessions, we will administer simple behavioural tasks to examine the behaviours that support navigation. These will cover laboratory tasks, such as mental rotation and spatial memory, and real-world activities, such as navigating a route and reading a map.
    Clinicians at the Chelsea & Westminster Spina Bifida and Hydrocephalus clinic will invite patients to take part in this research. Testing will take place at the Chelsea and Westminster hospital; University of Westminster; City, University of London; or University of Plymouth, depending on room availability and participant’s preferences. This research is funded by ESRC.

  • REC name

    South West - Cornwall & Plymouth Research Ethics Committee

  • REC reference

    19/SW/0064

  • Date of REC Opinion

    17 Jun 2019

  • REC opinion

    Further Information Favourable Opinion