Participants
Sample size was estimated using GPower 3.1 (Faul et al., 2009). For a repeated-measures ANOVA with two groups and five measurements, assuming a large effect size (f = 0.5), alpha = 0.05, and power = 0.80, the required sample size was calculated to be 17 participants per group. Thirty-seven healthy participants (18 females, aged 19–25 years; mean age = 20.6) took part in this study. They were right-handed (Edinburgh Handedness Inventory; Oldfield, 1971) college students with normal or corrected-to-normal vision. None of them had a history of neurological or psychiatric disorders. All participants provided written informed consent and were compensated for their time. All experimental procedures were approved by the Ethics Committee for Scientific Research of Shanghai University of Sport. Participants were randomly assigned to one of two groups: the genuine neurofeedback training (NF) group (n = 19) or the sham training group (n = 18). They remained blinded to their group allocation and whether they received real β1 feedback. The NF group received real-time neurofeedback based on their own β1 neural activity recorded at the F3 electrode site, whereas the sham group was presented with pre-recorded, random signals unrelated to their actual cortical activity.
Experimental Design and Procedure
Attention task
The experiment was conducted on a desktop computer, with stimuli presented on a 24-inch LCD monitor at a resolution of 1920×1080 pixels. Participants were seated at a distance of 60 cm from the screen, with their gaze fixed. E-prime 3.0 software was used for stimulus presentation and to record participants' response times (RT) and accuracy (ACC).
In this experiment, the stimulus materials were generated using the ImgInGrid-v1.3-release software, with each image sized at 650×900 pixels against a white background. In the center of each image, there was a 4×6 matrix of blue butterflies, blue ducks, and red butterflies, with an 80mm gap between each two adjacent animal objects. The blue butterflies serve as target stimuli, the blue ducks as non-target stimuli, and the red butterflies as distractor stimuli.
The experiment consisted of 608 trials in total, divided equally into four test sessions, with each session comprising 152 trials. Within each session, 104 trials with a red butterfly were categorized under the interference conditions, and the rest 48 trials without a red butterfly were allocated to the non-interference conditions. An equal number of 76 trials were allocated to the directed and undirected conditions, respectively. In directed conditions, there was an up or down arrow cue in the center of each stimulus picture, indicating participants to focus on only half of the animal objects above or below the cue only. In contrast, there was only a cross “+” in the center of each undirected trial, therefore, participants had to search across all animal objects before making a response. The sequence of trial presentation within each session was pseudo-randomized to guarantee a randomized and unbiased order. The cueing conditions were designed to assess participants' attentional orienting abilities, while the interference conditions were specifically tailored to evaluate their executive control of attention.
For each trial, a cue (a cross or up/down arrow) were first presented for 1000 ms, followed by a stimulus picture for 80 ms, and a blank (inter-trial interval, ITI) lasting for a randomized duration between 2000 ms to 3200 ms. The directional cues (up/down arrows) served to indicate the spatial location (either at the top or bottom) of the forthcoming target stimulus. Once the stimulus appeared, participants were required to identify the target's location (left or right) and respond by clicking the corresponding mouse button (left button for left, right button for right) as fast as possible. The flow of the experimental stimuli is shown in Fig. 1.
Neurofeedback protocol
NFT was carried out using a neurofeedback system developed by Thought Technology. This system employs an infinite impulse response (IIR) filter to extract frequency bands from raw EEG signals, while the brainwave activity data were amplified via the ProComp5 InFinity amplifier. Real-time feedback was presented to participants through a program, developed with the BioGraph InFinity software, which was employed to continuously display the participants’ brainwave activity in a dynamic and visually engaging format. In terms of electrode placement, the device was configured with three precision electrodes. One electrode was placed over the target brain region to capture the specific neural activity of interest, and the other two reference electrodes were positioned on the ears, ensuring accurate signal referencing and reducing potential noise interference. Before each session, electrode-scalp impedance was carefully adjusted and reduced to a level below 5 kΩ to ensure signal quality and reliability.
Participants were randomly assigned to either the NF group or the sham group. Both groups completed a one-week training program, consisting of five sessions. The key difference between the groups was that the NF group received real-time neurofeedback based on their own β1 signal from the F3 electrode, whereas the sham group received randomly generated signals unrelated to actual EEG activity. At the start of the training, participants familiarized themselves with the NFT program. Subsequently, they completed an attention task, during which the β1 power at the F3 electrode was recorded and averaged value was calculated (β1_mean). The individualized training target was set at β1_mean + SD. At the initial stage of training, the BioGraph InFinity software automatically set the training threshold at 80% of the baseline target power. Once the participant achieved a success rate of 80% in the first session—defined as the proportion of time during which the power exceeded the training threshold—the threshold for subsequent sessions was adjusted based on the individual's performance. Specifically, the threshold was modified within a range of 80–100% of the baseline. For example, if the participant reached an 80% success rate in the first session, the threshold for the next session was increased to 90% of the baseline, and so forth, until the participant reached a 100% success rate. If the success rate was lower than 80%, the baseline threshold remained unchanged(Chen et al., 2022). Given that participants generally improve their ability to regulate the target frequency band over time, such threshold adjustments continued dynamically throughout the training period (Cheng et al., 2015; Ros et al., 2013).
Each training session lasted approximately 30 minutes, with a 24-hour interval between consecutive sessions. Each session consisted of four rounds, each lasting 7 minutes and 40 seconds and comprising 20 trials. Within each trial, three distinct phases were incorporated. It commenced with a 2-second fixation screen, featuring a green circle that served as a visual prompt for participants to concentrate their attention. The subsequent 20-second feedback screen presented a purple bar graph, which visually represented the participant's β1 brainwave power. A yellow line on this graph denoted the training threshold. Participants were tasked with the responsibility of self-regulating their brainwave activity, aiming to elevate the bar graph above the established threshold. When successful regulation was achieved, a green light illuminated, accompanied by an auditory cue transmitted through headphones, signaling their accomplishment. The trial concluded with a 2-second blank screen, offering participants a brief respite before the commencement of the next trial. Furthermore, to alleviate potential fatigue, participants were granted a 3- to 5-minute break between sequences of trials.
Pre-/post EEG recordings and processing
Participants first completed a preliminary behavioral task followed by EEG data collection. The pre-test consisted of two sequences from the attention task, each lasting approximately 8 minutes, for a total duration of 16 minutes. After being fitted with EEG equipment, participants performed the attention task while their EEG signals were recorded in real time. A rest period was provided between the two sequences to minimize fatigue. Following the pre-test, participants underwent neurofeedback training. The post-test, conducted after the final training session, was identical to the pre-test.
EEG data were recorded using the BrainAmp Standard system (Brain Products GmbH, Germany) in conjunction with Brain Vision Recorder 2.0 software. EEG signals were acquired from 32 Ag/AgCl electrodes positioned according to the international 10–20 system, with an online sampling rate of 1000 Hz. The FCz electrode served as the online reference point, while the AFz electrode functioned as the ground. Vertical electrooculogram (VEOG) electrodes were placed 1 cm below the left eye, and horizontal electrooculogram (HEOG) electrodes were positioned 1 cm lateral to the outer canthus of the right eye. To ensure signal quality, electrode-scalp impedance was maintained below 10 kΩ prior to data collection.
Data analysis
Behavior Data. Key performance indicators included ACC and RT. Non-responses and extreme values—defined as RT shorter than 300 ms or exceeding the mean by more than three SD—were excluded from the analysis. ACC and RT were calculated for each participant.
NFT Data. Data preprocessing was carried out using the built-in system of the NFT program, during which training data exceeding ± 25 µV were excluded. Complete training data from each session for all participants were exported. To assess changes throughout the training process, we extracted the β1 band (15–18 Hz) amplitude data from the F3 electrode across the four segments of each training session and calculated the average value to represent the data at each time point.
Statistical analysis was conducted using SPSS 24. A 2 (Group: NF, sham) × 2 (Time: baseline, T5) repeated measures ANOVA was performed to examine differences in training effects between the two groups.
EEG Data. EEG data were preprocessed using Matlab (2019b) and the EEGLAB 13.6 toolbox. Preprocessing steps included electrode localization and the removal of unused electrodes. Data were re-referenced offline to the bilateral mastoids and filtered with a low-pass filter at 30 Hz and a high-pass filter at 0.1 Hz, with 50 Hz line noise removed. Eyeblink and movement artifacts were corrected using independent component analysis (ICA), and additional artifacts, such as those from head movements, were thoroughly excluded. The data were segmented using a 200 ms pre-stimulus baseline, followed by baseline correction. The analysis epoch extended to 1000 ms post-stimulus, based on participants' average RT. Trials with incorrect responses or amplitudes exceeding ± 100 µV were excluded from further analysis.
Based on a review of the literature, we focused on analyzing the N1 and N2 components. The N1 component reflects the rapid, intuitive response following stimulus presentation, whereas the N2 component is associated with conflict inhibition processing, predominantly observed in the frontal regions(Hillyard & Anllo-Vento, 1998; Lavric et al., 2004). Guided by topographical maps and previous research, we defined the N1 time window as 100–120 ms post-stimulus onset and analyzed the average amplitude at electrodes F3 and F4 (Luck et al., 2000). Similarly, the N2 time window was set at 250–300 ms post-stimulus onset, and the average amplitude at electrodes F3 and F4 was examined(Folstein & Van Petten, 2008).