Attention and salience in visual search: A paper-and-pencil approach

In the clinical setting, attention is classically assessed by tasks that do not take into account theoretically important aspects, such as the salience-based guidance of visual search. The aim of this study was to develop a paced paper-and-pencil task for clinical use based on strong theoretical accounts that would assess salience-based visual search and that would meet the psychometric requirements for the assessment of attention. Participants were required to search and cancel targets of varying visual saliences as quickly and as accurately as possible during a predefined short period of time. The targets were intermixed with distractors. In agreement with theories of salience-based visual search, the results showed that the most salient targets were detected more easily than less salient targets. The task exhibited a quite acceptable test-retest reliability, and two construct validity studies showed that different scores involve different processes. This new task fully complies with the major theories of salience-based guidance of attention during visual search. It also meets the requirements of a plausible clinical task since its psychometric qualities are quite good. Preliminary normative data (n = 863) are presented for clinical use.