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Berka 2004
Berka 2004
To cite this article: Chris Berka , Daniel J. Levendowski , Milenko M. Cvetinovic , Miroslav M.
Petrovic , Gene Davis , Michelle N. Lumicao , Vladimir T. Zivkovic , Miodrag V. Popovic & Richard
Olmstead (2004) Real-Time Analysis of EEG Indexes of Alertness, Cognition, and Memory Acquired
With a Wireless EEG Headset, International Journal of Human-Computer Interaction, 17:2, 151-170,
DOI: 10.1207/s15327590ijhc1702_3
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INTERNATIONAL JOURNAL OF HUMAN–COMPUTER INTERACTION, 17(2), 151–170
Copyright © 2004, Lawrence Erlbaum Associates, Inc.
Chris Berka
Daniel J. Levendowski
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Milenko M. Cvetinovic
Miroslav M. Petrovic
Gene Davis
Michelle N. Lumicao
Vladimir T. Zivkovic
Advanced Brain Monitoring, Inc., Carlsbad, CA
Miodrag V. Popovic
Faculty of Electrical Engineering, University of Belgrade, Belgrade, Serbia & Montenegro
Richard Olmstead
Veterans Affairs Greater Los Angeles Healthcare System
The integration of brain monitoring into the man–machine interface holds great prom-
ise for real-time assessment of operator status and intelligent allocation of tasks be-
tween machines and humans. This article presents an integrated hardware and soft-
ware solution for acquisition and real-time analysis of the electroencephalogram
(EEG) to monitor indexes of alertness, cognition, and memory. Three experimental
paradigms were evaluated in a total of 45 participants to identify EEG indexes associ-
ated with changes in cognitive workload: the Warship Commander Task (WCT), a
simulated navy command and control environment that allowed workload levels to
be systematically manipulated; a cognitive task with three levels of difficulty and con-
sistent sensory inputs and motor outputs; and a multisession image learning and rec-
We thank Tim Zavora and Roy Dalati for their assistance in data collection and analysis, and Philip
Westbrook for his editorial comments. We also thank Mark St. John, Dave Kobus, Jeff Morrison, and
their colleagues at Pacific Science and Engineering for organizing and hosting the pre-TIE and TIE data
acquisition sessions.
This research was supported by grants and contracts from DARPA and the National Institute of Neu-
rological Disease and Stroke, the National Institute of Mental Health, and the National Heart Lung and
Blood Institute divisions of the National Institutes of Health.
Requests for reprints should be sent to Chris Berka, Advanced Brain Monitoring, Inc., 2850 Pio Pico
Drive, Suite A, Carlsbad, CA 92008. E-mail: chris@b-alert.com
152 Berka et al.
ognition memory test. Across tasks and participants, specific changes in the EEG were
identified that were reliably associated with levels of cognitive workload. The EEG in-
dexes were also shown to change as a function of training on the WCT and the learn-
ing and memory task. Future applications of the system to augment cognition in mili-
tary and industrial environments are discussed.
1. INTRODUCTION
The technical complexity and 24-hr schedule of contemporary industrial and mili-
tary operations increasingly demand rapid skill acquisition and the ability to sus-
tain high levels of performance for extended periods of time (Moore–Ede, 1993). Ef-
ficient and reliable interfaces between human operators and machines are required
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cently developed wireless EEG sensor headset achieves this goal by combining
battery-powered hardware with a sensor placement system to provide a light-
weight, easy-to-apply method to acquire and analyze six channels of high-quality
EEG (Figure 1). The EEG sensor headset requires no scalp preparation and pro-
vides a comfortable and secure sensor-scalp interface for 12 to 24 hr of continu-
ous use. The headset was designed with fixed sensor locations for three sizes
(e.g., small, medium, and large). Sensor placement was determined using a data-
base of over 225 participants so that each sensor is no more than one centimeter
from the international 10 to 20 system coordinates. The workload studies de-
scribed in this article required only three EEG channels. The remaining channels
are utilized to monitor other cognitive states including attention, learning, and
memory.
Amplification, digitization, and radio frequency (RF) transmission of the signals
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FIGURE 1 Wireless EEG sensor headset: (a) Front view, (b) Rear view, and (c) Aug-
mented-Cognition Technical Integration Experiment participant.
154 Berka et al.
with data acquired from three baseline conditions. The B-Alert® model was devel-
oped and evaluated for its capability to provide early warnings of the onset of
drowsiness. The B-Alert® system was validated in sleep deprivation studies with
performance in a driving simulator (Levendowski, Berka, Olmstead, & Jarvik,
1999), accuracy and reaction time during a psychomotor vigilance task, behavioral
evidence as measured by cessation of finger tapping, visually scored observations
of facial signs of drowsiness (eye closures, head nods), and responses to a subjec-
tive sleepiness questionnaire (Levendowski et al., 2001; Levendowski, Olmstead,
Konstantinovic, Berka, & Westbrook, 2000). The B-Alert® model was independ-
ently validated with visual inspection of the EEG signals and observations of facial
signs of drowsiness conducted by two board-certified sleep specialists
(Levendowski et al., 2000; Mitler et al., 2002). The model was demonstrated to be ef-
fective in characterizing excessive daytime drowsiness in patients with sleep apnea
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(Westbrook et al., 2002). Analysis of the B-Alert® indexes during 44 hr of sleep de-
privation revealed that changes in the indexes could predict performance deficits
(Mitler et al., 2002) and confirmed the previously reported observation (Balkin,
2001; Doran, Van Dongen, & Dinges, 2001) that individuals differ in their vulnera-
bility to sleep deprivation. Sleep deprivation studies (Levendowski et al., 2000;
Mitler et al., 2002) revealed that highly engaging or difficult tasks induce higher
overall levels of vigilance as measured by B-Alert®, suggesting that the B-Alert® in-
dexes may have utility in monitoring cognitive workload.
Other investigators have reported EEG measures of workload that reflected dif-
ferences in task-related cognitive resource allocation, task mastery, and task over-
load (Byrne & Parasuraman, 1996; Kramer, 1991; Pope, Bogart, & Bartolome, 1995;
Prinzel, Freeman, Scerbo, Mikulka, & Pope, 2000; Sterman, 1995). The EEG vari-
ables employed in these models to monitor workload included alpha suppression,
increased beta, increased frontal midline theta, and ratios such as beta–alpha plus
theta and alpha plus theta–beta. The B-Alert® model incorporates information
from the alpha, beta, and theta bands in assigning a class to each 1-sec of EEG. It
was hypothesized that increasing the workload would result in increasing levels of
high vigilance as measured by the percentage of B-Alert® high vigilance.
The studies presented in this article were conducted to evaluate the efficacy
of the sensor headset and B-Alert® system in monitoring mental workload dur-
ing complex cognitive tasks for the Defense Advance Research Projects Agency
(DARPA) Augmented Cognition (Aug-Cog) program. Figure 1c presents a par-
ticipant during a typical Aug-Cog data acquisition session with the EEG sensor
headset, eye tracking and pupillometry (Marshall, St. John, Knust, & Binning,
2003), and functional near infrared imaging headgear (Onaral, 2003). Three cog-
nitive test paradigms were employed to evaluate workload measures. The War-
ship Commander Task (WCT) simulated a multitasking Navy command and
control environment and allowed workload levels to be systematically manipu-
lated (St. John, Kobus, & Morrison, 2002). A cognitive task with three levels of
difficulty provided consistent sensory inputs and motor outputs while varying
workload levels (Mathiak et al., 2002). Image Learning and Recognition Mem-
ory Tests (Levendowski et al., 2002) were utilized to evaluate the B-Alert® in-
dexes during learning and recognition memory.
Real-Time EEG Indexes of Cognition 155
2. METHODS
The sensor headset acquires six channels of EEG or electrooculography (EOG) us-
ing either a unipolar or bipolar montage. Data are sampled at 256 samples per sec-
ond with a bandpass from 0.5 Hz and 65 Hz (at 3 dB attenuation) obtained digitally
with Sigma-Delta A/D converters. The RF link is frequency-modulated to transmit
at a rate of 57 kBaud in the 915 MHz ISM band. When utilized in the bidirectional
mode, the firmware allows the host computer to initiate impedance monitoring of
the sensors, select the transmission channel (so two or more headsets can be used in
the same room), and monitor battery power of the headset. Data are acquired
across the RF link on a host computer via an RS232 interface. Data acquisition soft-
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ware stores the EEG data and synchronizes event codes generated by the cognitive
tasks in the EEG record for ERP analysis. For all of the results presented later, the
standard hardware montage includes bipolar recordings from Fz to POz and Cz to
POz (required for the B-Alert® system), unipolar recordings from Fz, Cz, and POz
referenced to linked mastoids (available for ERP analysis), and a bipolar configura-
tion for horizontal and vertical EOG (to confirm the accuracy of the eye blink iden-
tification and decontamination algorithm).
The four-class model was developed with data from three 5-min baseline condi-
tions (i.e., baseline conditions = finger-tapping with eyes open [EO] and eyes
closed [EC] and three-choice psychomotor vigilance task [PVT]) and sleepy epochs
selected from sleep-deprivation data using a database of 150 healthy participants.
For each epoch from these four conditions, five variables were computed for each
1-Hz bin between 3 Hz and 40 Hz (5 variables × 38 bins) for each channel: the
logged PSD, the relative power compared to the total power between 3 Hz and 40
Hz, and the z scores for EO, EC, and PVT. The z scores were computed using the
means and standard deviations from each of the three baseline conditions. The
identification of fast blinks was also used as a predictive variable. A total of 381
variables were available for each epoch based on a two-channel classification
model (i.e., 190 variables each for FzPOz and CzPOz, plus fast-blink).
The variables from each artifact-free epoch for the four conditions were submit-
ted to stepwise analysis to select those variables most predictive in a four-class
model (high vigilance, low vigilance, relaxed wakefulness, and sleepy). A total of
19 variables were selected. The most predictive variables were as follows: (a) the z
score of the 10 Hz bin from CzPOz relative to the PVT task (partial r2 = 0.46), (b) the
presence of a fast blink (partial r2 = 0.09), and (c) the z score of 11 Hz from CzPOz
relative to eyes closed (partial r2 = 0.06). The r2 for each of the remaining 16 vari-
ables was less than 0.03.
The approach developed for the B-Alert® system was to utilize population data
to establish the underlying model and then refine the discriminant function by ad-
justing for individual differences in the EEG using data from the three baseline con-
ditions. Although baseline data could be readily acquired for development of the
classification models for new individuals, sleep data could not be obtained a priori.
Rather, the mean values of all variables from the three baseline conditions (190 vari-
ables × two channels × three conditions) for all participants in the database were
submitted to stepwise linear regressions to derive equations to predict the
discriminant function coefficients for the “sleepy” classification for the each of the
19 predictive variables. Matrices were then derived using the aforementioned anal-
yses to fit the four-class model to the individual and compute the probability of cor-
Real-Time EEG Indexes of Cognition 157
rect classification into each of the four output classes on a second-by-second basis
offline or in real time.
The WCT requires the user to monitor groups (“waves”) of incoming aircraft
(“tracks”), to identify tracks as friendly or hostile, and to warn and then destroy
hostile tracks. Each wave is 75 sec in duration with workload level manipulated by
increasing numbers of tracks per wave (6, 12, 18, or 24 tracks). The learning curve
for WCT is steep due to the complexity of task demand. Performance measures
computed for each wave, including reaction times to identify, warn, and destroy
tracks and total game scores (as a percentage of possible points), correlate directly
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with workload levels (number of tracks) and can be used as behavioral measures of
participant workload (St. John et al., 2002).
Of a total of 15 “novices” evaluated in an initial study, one was eliminated from
the study for fatigue and another for failing to reach proficiency on WCT, leaving a
total of 13 participants in the analysis. Novices were given 35 min of training to
achieve sufficient proficiency to complete the basic protocol that included three
waves of 6, 12, and 18 tracks. As part of the DARPA Augmented Cognition Techni-
cal Integration Experiment (TIE), 10 participants were studied with additional lev-
els of WCT training, ranging from 1 hr to over 300 hr. This group of 10 participants
completed multiple sessions with 3 waves of 6, 12, 18, and 24 tracks (presented in
the order 6, 18, 12, 24).
One of the limitations of the WCT in validating a cognitive workload measure was
the fact that the number of stimuli and the amount of required motor activity (mouse
and keypress) varied directly as a function of the “workload” manipulations. To
evaluate the B-Alert® EEG indexes without the sensory and motor confounds associ-
ated with workload levels in the WCT, a three-level cognitive task, developed as part
of the DARPAAugmented Cognition project (Mathiak et al., 2002), was evaluated in
16 healthy participants. In this task, both the stimuli and motor demands are kept
constant during three levels of increasing task difficulty (easy, moderate, hard) by
employing the same number of stimuli and targets for each level of difficulty. For
each level of difficulty, 250 trials of single integers between 1 and 8 are presented with
a 1.6-sec Interstimulus Interval (ISI). The order of the digit presentation is identical
for each of the levels of difficulty to maintain consistent visual inputs. For level 1
(easy), participants are instructed to press the space bar with the index finger of both
hands only when they see the number 5. In level 2 (moderate), participants respond
only after any three consecutive even numbers and for level 3 (hard), they respond
only to a number the same as the number 2 trials earlier (2-back task). Performance
158 Berka et al.
measures, including reaction times and percentage of correct responses, were com-
puted to verify the levels of task difficulty.
images. Each participant completed two recognition memory sessions with two
different image categories.
2.7. Participants
3. RESULTS
B-Alert® percentage high vigilance (HV) and WCT performance measures were
averaged across the three waves for each of the workload levels (i.e., 6, 12, 18
tracks) by and across participants. A repeated-measures analysis of variance
(ANOVA) applied across the three WCT workload levels revealed an increasing
percentage of HV classifications as a result of increasing workload with a signifi-
cant main effect for workload (F = 7.369, p < 0.005; Figure 2). Significance levels
reflect an adjustment to the degrees of freedom using the Greenhouse–Geisser
procedure to correct for violations of the sphericity assumption in repeated-mea-
sures designs, when appropriate.
Post hoc comparisons between the easy, moderate, and hard levels of the WCT
revealed significant differences for easy versus moderate (F = 5.095, p < 0.05) and
easy versus hard (F = 10.423, p < 0.01), with the moderate versus hard (F = 4.074, p <
0.066) approaching significance. As expected, repeated measures ANOVAs across
Real-Time EEG Indexes of Cognition 159
FIGURE 2 Mean ± SE percentage of EEG epochs classified as high vigilance (% HV) dur-
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ing WCT in 13 novices for easy, moderate, and hard levels (6, 12, and 18 tracks, respectively).
the three levels showed significant increases in the reaction time to identify tracks
(WCT-Rtiff; F = 88.913, p < 0.001) and decreases in the game scores (WCT-%score; F
= 117.78, p < 0.001) across the three levels (Figure 3). The Pearson product correla-
tions between HV and at least one of the WCT performance measures were r ≥ 0.85
in the majority of participants.
Repeated measures ANOVAs across the four WCT workload levels revealed an in-
creasing percentage of high vigilance classifications (Figure 4; F = 3.573, p < 0.001),
significant increases in the reaction time to identify tracks (WCT-Rtiff; F = 27.485, p
< 0.001), and decreases in the game scores (WCT-%score; F = 14.585, p < 0.001)
across the four levels of increasing workload with a significant main effect for
FIGURE 3 Mean ± SE percentage game scores (%Score) and reaction time (RTiff) during
WCT in 13 novices for easy, moderate, and hard levels (6, 12, and 18 tracks, respectively).
160 Berka et al.
ing WCT in 10 Technical Integration Experiment participants for 6, 12, 18, and 24
tracks.
FIGURE 5 Mean reaction time (RTiff) and percentage of epochs classified as high
vigilance (% HV) across 12 waves in 10 Technical Integration Experiment participants
during WCT.
workload. Figure 5 presents the wave-by-wave relation between the mean B-Alert®
indexes and mean WCT-RTiff across participants, illustrating that the B-Alert® in-
dexes maintained the temporal characteristics of the WCT protocol. The correlation
between B-Alert® indexes and the WCT-RTiff across waves and participants was
significant but weak (r = .432, p < 0.01) as a result of within- and between-subject
variability.
FIGURE 6 Percentage epochs classified as high vigilance (% HV) in 6, 12, 18, and 24
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tracks for four participants with 0.6, 5, 10, and 200 hr of WCT training, respectively.
creasing levels of WCT training: 35-min training, 5-hr training, 10-hr training, and
over 40 hr of training. The workload effect is demonstrated by an increasing per-
centage of high vigilance at each of the levels and the training effect is indicated by
an overall decrease in the percentage of HV. These findings suggest that differences
in training among the TIE participants (ranging from 1 hr to 300 hr) might explain
some of the between-subject variability. To investigate this hypothesis, the 10 TIE
participants were stratified into three groups based on amount of WCT training
(i.e., 1–3 hr, n = 3; 6–8 hr, n = 4; and 40–300 hr, n = 3), group means were calculated
for the percentage of HV, and an ANOVA was applied across workload levels by
group (see Figure 7). Despite the small sample size, the results revealed a signifi-
cant interaction between level of expertise and workload level (number of tracks; F
= 3.118, p < 0.01).
Figure 7 illustrates that the B-Alert® percentage HV increases across WCT work-
load levels for all three groups, however, the overall levels of HV across the four
workload levels decreased dramatically across groups as a result of training. This
suggests that as participants gain expertise, the level of vigilance is modulated to
meet task demands. For the participants with over 40 hr of training, there were no
statistically significant differences between the 12- to 18-track and 24-track condi-
tions (Figure 7). Due to the small sample size (n = 3), it is premature to draw any
conclusions from these data.
The mean percentage of B-Alert® HV classifications for each of the three difficulty
levels is illustrated in Figure 8. Repeated measures ANOVAs across the three levels
of difficulty revealed a significant increase in the percentage of high vigilance clas-
sifications as a result of increasing task difficulty (F = 21.962, p < 0.001). Compari-
sons between the easy, moderate, and hard levels revealed significant differences
for easy versus moderate (F = 6.419, p < 0.05), easy versus hard (F = 24.608, p <
0.001), and moderate versus hard (F = 27.321, p < 0.001). Repeated measures
ANOVAs across the three difficulty levels revealed significant increases in reaction
time (F = 17.267, p < 0.001) and decreases in the percentage of correct responses (F =
38.217, p < 0.001), confirming the actual increase in the levels of task difficulty (Fig-
ure 9). The correlations between HV and at least one of the performance measures
were r ≥ 0.85 in the majority of participants.
FIGURE 9 Mean ± SE for percentage of correct responses (% correct) and reaction time
(RT) during easy, moderate, and hard difficulty levels of a three-level cognitive task.
Mean performance (percentage of correct responses) was computed for each of the
two sessions. Mean percentages of B-Alert® HV classifications were computed for
the image memorization period and the recognition memory period for each of the
two sessions of the memory test. Comparison of the performance results between
the two sessions revealed significant improvements in performance between ses-
sion 1 and session 2 (Figure 10), suggesting a practice effect (t = –2.983, p < .01). Sim-
ilar practice-related results were obtained for the B-Alert® indexes with percentage
HV decreasing from session 1 to session 2 (t = 4.765, p < .001). In addition, signifi-
FIGURE 11 Mean ± SE percentage of epochs classified as high vigilance (% HV) for the
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image memorization period and the recognition memory period for the two sessions.
4. DISCUSSION
The wireless sensor headset provided a reliable method for EEG acquisition and
analysis even within the constraints of the challenging TIE environment (see Figure
1c). Although previous investigators have reported high quality EEG acquisition in
operational settings including airplane cockpits, long haul truck cabins, and train
operator quarters (Caldwell, 1995; Kecklund & Akerstedt, 1993; Miller, 1995;
Mitler, Miller, Lipsitz, Walsh, & Wylie, 1997; Sterman & Mann, 1995), the wireless
sensor headset represents a significant advance in technology for operational mon-
itoring. The limited channel montage has now been demonstrated effective for the
detection of EEG indexes of alertness–drowsiness (Levendowski et al., 2001;
Levendowski et al., 2000), attention- and memory-related ERPs (Levendowski et
al., 2000; Mitler et al., 2002), and the quantification of cognitive workload during
the WCT and the three-level cognitive task. The limited channel approach has also
been utilized by other investigators to achieve highly sensitive and reliable correla-
tions between EEG and performance, including the ability to predict performance
on a second-by-second basis (Makeig & Inlow, 1993; Makeig & Jung, 1995, 1996;
Sterman & Mann, 1995; Torsvall & Akerstedt, 1987).
The B-Alert® system was designed to detect and predict vigilance decrements,
and was validated in sleep deprivation studies using a variety of objective and sub-
jective measures to confirm its sensitivity and reliability (Levendowski et al., 1999;
Levendowski et al., 2001; Levendowski et al., 2000). In studies of more than 400
healthy participants and sleep disorder patients, a number of tonic influences on
the B-Alert® indexes were observed including homeostatic and circadian effects,
Real-Time EEG Indexes of Cognition 165
ing to drowsiness and sleep onset, these data suggested that the B-Alert® indexes
may have utility for monitoring workload.
The three-level cognitive task allowed a more precise definition of the validity of
the B-Alert® indexes in the measurement of workload by keeping constant the
number and type of stimuli as well as the motor demands while manipulating the
cognitive requirements. The combined results from these two tasks confirm that
the B-Alert® indexes are related to cognitive effort associated with task difficulty
and not to the number of sensory inputs or the amount of motor output required
for the different levels.
The image memory and recognition task offered a third paradigm for evaluating
the B-Alert® indexes. The percentage of B-Alert® HV was significantly higher dur-
ing the image memorization period when compared to the recognition memory pe-
riod (Figure 11), presumably as a result of increased effort during the encoding pe-
riod in comparison to the less demanding recognition period.
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Although the WCT experiments were not designed specifically to evaluate changes
in EEG parameters as a function of training, the level of WCT expertise clearly had
a substantial impact on the B-Alert® indexes, with overall high vigilance percent-
ages decreasing dramatically as a result of training. Thus, in the context of the
WCT, the B-Alert® indexes reflect changes in task difficulty as well as the total ef-
fort expended by the operator. These results, in conjunction with performance data
and subjective reports, confirm that the cognitive, and by inference, neural, re-
sources required for WCT decrease as a function of practice and are consistent with
current theories in cognitive skill acquisition (Fisk & Schneider, 1984; Schneider &
Fisk, 1982; Schneider & Shiffrin, 1977). Similarly, brain imaging studies show a re-
duction in the distribution and the magnitude of cortical activation as skill acquisi-
tion progresses (Haier et al., 1992; Raichle et al., 1994). Further investigation is re-
quired to determine whether the B-Alert® indexes can be used as predictive
variables to estimate, for example, the number of tracks that can be successfully
handled by an operator at a specified time. Interestingly, the WCT “workload ef-
fect” appeared to diminish after 40 to 300 hr of training. It would be of value for
practical applications to determine whether additional training would ultimately
eliminate this distinction.
The image learning and recognition memory tests provide additional support
for the B-Alert® indexes reflecting practice effects that were correlated with im-
proved performance (Figures 10 and 11). It is tempting to speculate that these data
imply that the B-Alert® indexes reflect practice-related changes in cognitive re-
source allocation and that, as participants gain expertise, the level of “vigilance” as
measured by B-Alert® is modulated to meet task demands. To support this conclu-
sion, additional studies are required utilizing repeated measures testing on indi-
viduals at regular intervals during the skill acquisition process.
If the B-Alert® indexes related to skill acquisition can be replicated in a con-
trolled experiment, they may have utility for monitoring progress during a variety
of computer-based training exercises. An intelligent brain-computer interface
could be designed to assure that trainees move efficiently through various levels of
Real-Time EEG Indexes of Cognition 167
5. CONCLUSION
The wireless sensor headset and the B-Alert® EEG analysis software provide a ro-
bust and reliable method for monitoring alertness and cognitive workload in oper-
ational environments. The B-Alert indexes are sensitive to long-term and tran-
sient fluctuations in the neural activity involved in alertness and cognitive
workload. In future applications, the global B-Alert indexes could be applied in
combination with other analytic techniques such as ERPs (Fabiani et al., 2000; Kok,
2001; Levendowski et al., 2000) or event-related desynchronization (Klimesch,
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Russegger, Doppelmayr, & Pachinger, 1998) to capture a more detailed image of in-
formation processing in the brain.
Additional research is required to develop an intelligent interface that utilizes
the outputs from the B-Alert® to drive an adaptive automation system. The data
suggest that in addition to predicting performance decrements resulting from ex-
cessive workload, the B-Alert® EEG indexes could have utility in optimizing the
speed and efficiency of computer-based training programs.
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