PLFest: A Multi-Site Validation of an Open Platform for Visual and Cognitive Assessment

Purpose: To evaluate the feasibility, validity, and scalability of PLFest, an open-source, Unity-based, cross-platform application designed for standardized, multi-site visual and cognitive assessment and training. Methods: Two hundred sixty participants (mean age = 23 years) were recruited across four university sites in the United States. Participants completed a battery of five visual assessments administered through PLFest, including visual acuity, contrast sensitivity, spatial frequency cutoff, contrast sensitivity at spatial-frequency cutoff, and visual search. Five cognitive assessments measuring visuospatial working memory, verbal working memory, fluid reasoning, inhibitory control, and selective attention were also administered. Descriptive statistics and performance distributions were examined and compared with normative data. Results: Visual acuity and contrast sensitivity measures closely matched previously reported normative values obtained using established clinical and psychophysical methods. Spatial frequency cutoff and visual search tasks produced stable threshold estimates while showing substantial inter-individual variability. Performance across all cognitive assessments was consistent with published validation studies of the corresponding tasks. Across the full battery, adaptive procedures demonstrated reliable convergence and generated well-distributed performance measures without evidence of substantial floor or ceiling effects. Importantly, these findings were observed across four geographically distributed testing sites using standardized consumer-grade tablet hardware. Conclusions: PLFest provides reliable and scalable assessment of visual and cognitive function using portable consumer devices. The platform supports standardized data collection across distributed research settings while maintaining performance characteristics consistent with established laboratory and clinical benchmarks. These findings support the use of PLFest as a reliable framework for large-scale studies of vision and cognition. Translational Relevance: By reducing dependence on specialized laboratory infrastructure and trained personnel, PLFest may facilitate broader access to visual and cognitive assessment, enabling large-scale research, screening, and future rehabilitation applications.