eprintid: 15659 rev_number: 2 eprint_status: archive userid: 1 dir: disk0/00/01/56/59 datestamp: 2023-11-10 03:30:17 lastmod: 2023-11-10 03:30:17 status_changed: 2023-11-10 02:00:02 type: article metadata_visibility: show creators_name: Hafeez, Y. creators_name: Ali, S.S.A. creators_name: Hasan, R.A. creators_name: Adil, S.H. creators_name: Moinuddin, M. creators_name: Ebrahim, M. creators_name: Yusoff, M.S.B. creators_name: Amin, H. creators_name: Al-Saggaf, U. title: Development of Enhanced Stimulus Content to Improve the Treatment Efficacy of EEG-Based Frontal Alpha Asymmetry Neurofeedback for Stress Mitigation ispublished: pub keywords: Electrophysiology; Maps; Stresses; Three dimensional displays, Alpha asymmetry; Clinical practices; FAA; Image color analysis; Neurofeedback; Quantitative electroencephalograms; Stimulus content; Stress Mitigation; Three-dimensional display, Electroencephalography note: cited By 9 abstract: The neurofeedback stimulus content has direct implications for the efficacy of the psychophysiological applications for neurofeedback modality. In particular, enhancements of neurofeedback stimulus content can facilitate improvements in the efficacy of neurofeedback applications in clinical practice. To further elaborate on this aspect, this study introduced systematic enhancements in neurofeedback stimulus content by developing enhanced neurofeedback stimulus content for stress mitigation. The enhancements included the automatic selection of colour of neurofeedback stimulus content environment and instruction messages, as well as, the adaptive selection of threshold of quantitative electroencephalogram (QEEG) features, such as frontal alpha power and frontal alpha asymmetry. The enhancements were based on the outcomes from previous research on the selection of neurofeedback stimulus content for stress mitigation. The improvement in the efficacy of neurofeedback stimulus content was measured statistically by comparing the QEEG and topographic maps. In this study, electroencephalogram data from 20 participants were acquired during multiple sessions of neurofeedback. Analysis of variance and a post hoc test were used to verify the improvement on the efficacy of the neurofeedback application for stress mitigation after the enhancements of the neurofeedback stimulus content; a t-test was used to verify the statistical significance of the stress mitigation by the neurofeedback. The results indicate that the enhancement of the developed neurofeedback stimulus content facilitated stress mitigation during the early sessions of neurofeedback. In conclusion, the efficacy of neurofeedback can be improved using the developed stimulus content with enhancements. © 2013 IEEE. date: 2021 publisher: Institute of Electrical and Electronics Engineers Inc. official_url: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85115726260&doi=10.1109%2fACCESS.2021.3114312&partnerID=40&md5=a7596c7ca75ae66e8a42eee389b2a8d3 id_number: 10.1109/ACCESS.2021.3114312 full_text_status: none publication: IEEE Access volume: 9 pagerange: 130638-130648 refereed: TRUE issn: 21693536 citation: Hafeez, Y. and Ali, S.S.A. and Hasan, R.A. and Adil, S.H. and Moinuddin, M. and Ebrahim, M. and Yusoff, M.S.B. and Amin, H. and Al-Saggaf, U. (2021) Development of Enhanced Stimulus Content to Improve the Treatment Efficacy of EEG-Based Frontal Alpha Asymmetry Neurofeedback for Stress Mitigation. IEEE Access, 9. pp. 130638-130648. ISSN 21693536