# PWR-066 — Contrast sensitivity: learner worksheet

Release: Revision 7T · Full Tutorial Edition
Estimated time: Estimated 27 min reading and worksheet pass
Difficulty: Intermediate
Equipment: Basic stationery or digital tools — An exact patch recipe for a helper using a slide or drawing program. Make every patch 8 cm square with ten equal stripes and a mean grey of RGB 128/128/128. Alternate stripe greys by level: 1 = 64 and 192; 2 = 96 and 160; 3 = 112 and 144; 4 = 120 and 136; 5 = 124 and 132; 6 = 126 and 130. Rotate the same stripe tile to horizontal H, vertical V or 45-degree diagonal D; export all patches at one pixel size with no labels visible to the learner.; Two folded 18-trial keys. Set A is 1H,1V,1D,2V,2D,2H,3D,3H,3V,4H,4V,4D,5V,5H,5D,6D,6V,6H. Set B is 1D,1H,1V,2H,2V,2D,3V,3D,3H,4D,4H,4V,5H,5D,5V,6V,6H,6D. The helper inserts an unscored level-1 catch patch after trials 4, 8, 12 and 16, with concealed H/V/D order.; A fixed viewing-distance marker and ordinary correction.; Answer key and trial sheet.
Space: Desk / seated

Automated structural checklist: 10 of 10 structural checks present
Evidence quality/context: G2; Deep research depth
Automated method-quality band: Comprehensive
Method-rating basis: Structure coverage, instruction/check specificity, alternative distinctness, source troubleshooting, comparison depth and whether purpose/check fields are authored rather than derived.

Editorial review: Pending manual editorial sign off

## Before you begin
- [ ] I read the tutorial authority and stop conditions.
- [ ] I have the required equipment/space or a declared accessible alternative.

## Canonical source context

Contrast sensitivity can be trained in some clinical settings, but a better test threshold is not generally enhanced vision. This fixture teaches contrast discrimination for one pattern set. The learner begins with obvious stripes, reports orientation before feedback, descends a fixed ladder and retests unfamiliar items. It is not a clinical contrast-sensitivity function and should not be used to clear night driving. The learner also uses catch trials at clearly visible contrast to tell a true low-contrast limit from loss of attention or a habitual orientation response.

Target outcome: The learner completes two novel contrast ladders and reports correct orientation by level, false guesses, configuration and symptoms.

### Authority and setup conditions

- Set comfortable room light and eliminate screen glare.
- Fix display brightness, colour mode, zoom and viewing distance.
- Use the ordinary correction for that distance.
- Do not use the fixture during migraine aura, acute eye symptoms or a photosensitive episode.

### Required or supplied materials

- An exact patch recipe for a helper using a slide or drawing program. Make every patch 8 cm square with ten equal stripes and a mean grey of RGB 128/128/128. Alternate stripe greys by level: 1 = 64 and 192; 2 = 96 and 160; 3 = 112 and 144; 4 = 120 and 136; 5 = 124 and 132; 6 = 126 and 130. Rotate the same stripe tile to horizontal H, vertical V or 45-degree diagonal D; export all patches at one pixel size with no labels visible to the learner.
- Two folded 18-trial keys. Set A is 1H,1V,1D,2V,2D,2H,3D,3H,3V,4H,4V,4D,5V,5H,5D,6D,6V,6H. Set B is 1D,1H,1V,2H,2V,2D,3V,3D,3H,4D,4H,4V,5H,5D,5V,6V,6H,6D. The helper inserts an unscored level-1 catch patch after trials 4, 8, 12 and 16, with concealed H/V/D order.
- A fixed viewing-distance marker and ordinary correction.
- Answer key and trial sheet.

## 1. Fix luminance and geometry

Record screen, brightness, room light, patch size and viewing distance.

Why: Contrast depends on background luminance and display behaviour.

Success check: All configuration fields are filled.

Accessible alternative: A spoken or tactile version of “Record screen, brightness, room light, patch size and viewing distance.” can rehearse the response sequence, but it removes the declared visual stimulus and is therefore a related activity, not an equivalent attempt at Contrast sensitivity. To preserve the target, keep the authored visual stimulus and adapt only non-target access such as response input, instructions, breaks or support; retain this success check: “All configuration fields are filled.”

Alternative relationship: Related alternative changes trained or measured target

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 2. Learn orientations

Practise naming the high-contrast horizontal, vertical and diagonal patches.

Why: The response labels must be known before contrast falls.

Success check: All practice orientations are named correctly.

Accessible alternative: Complete “Practise naming the high-contrast horizontal, vertical and diagonal patches.” in shorter passes, or use keyboard input, dictation or a support person, while preserving this success check: “All practice orientations are named correctly.” Provide non-glare surrounds and breaks while keeping the tested contrast values unchanged.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 3. Begin above threshold

Start with an obvious contrast level and view each patch for the same declared time.

Why: Starting easy confirms the task and avoids immediate guessing.

Success check: The first two trials are correct without strain.

Accessible alternative: Complete “Start with an obvious contrast level and view each patch for the same declared time.” in shorter passes, or use keyboard input, dictation or a support person, while preserving this success check: “The first two trials are correct without strain.” Use spoken orientation answers or switches without adding a speed score.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 4. Answer before feedback

State orientation and confidence, then reveal the key.

Why: A committed response preserves discrimination data.

Success check: Every trial has a pre-feedback answer.

Accessible alternative: Complete “State orientation and confidence, then reveal the key.” in shorter passes, or use keyboard input, dictation or a support person, while preserving this success check: “Every trial has a pre-feedback answer.” Increase the physical patch size only as a declared new accessibility configuration.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 5. Descend the ladder

Present the three concealed H/V/D patches at level 1, then levels 2 through 6 in the supplied set order. Give one H, V or D answer per patch and do not skip a level after an error.

Why: A fixed adaptive rule and mixed directions reduce pattern guessing.

Success check: Each level has exactly one valid H, V and D trial before the next level begins.

Accessible alternative: Complete “Present the three concealed H/V/D patches at level 1, then levels 2 through 6 in the supplied set order. Give one H, V or D answer per patch and do not skip a level after an error.” in shorter passes, or use keyboard input, dictation or a support person, while preserving this success check: “Each level has exactly one valid H, V and D trial before the next level begins.” Provide non-glare surrounds and breaks while keeping the tested contrast values unchanged.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 6. Stop at repeated uncertainty

Stop after level 6 or earlier for glare, headache, visual disturbance or a missed level-1 catch trial that remains wrong after rest; do not raise brightness or repeat faint patches.

Why: Changing brightness invalidates contrast and chasing faint items adds strain.

Success check: The stop reason is recorded.

Accessible alternative: A spoken or tactile version of “Stop after level 6 or earlier for glare, headache, visual disturbance or a missed level-1 catch trial that remains wrong after rest; do not raise brightness or repeat faint patches.” can rehearse the response sequence, but it removes the declared visual stimulus and is therefore a related activity, not an equivalent attempt at Contrast sensitivity. To preserve the target, keep the authored visual stimulus and adapt only non-target access such as response input, instructions, breaks or support; retain this success check: “The stop reason is recorded.”

Alternative relationship: Related alternative changes trained or measured target

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 7. Retest novel patterns

After a delay, use a new orientation order at identical settings.

Why: Novel order distinguishes task learning from memorising the sequence.

Success check: Settings match and items are unfamiliar.

Accessible alternative: Complete “After a delay, use a new orientation order at identical settings.” in shorter passes, or use keyboard input, dictation or a support person, while preserving this success check: “Settings match and items are unfamiliar.” Increase the physical patch size only as a declared new accessibility configuration.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 8. Insert visible catch trials

After every four difficult patches, present one clearly visible patch in a concealed orientation. If that catch trial is wrong, pause and mark the preceding difficult group as attention-affected rather than lowering contrast again.

Why: A high-contrast catch trial should remain easy. Missing it suggests fatigue, response-key confusion or a lapse rather than a new contrast threshold.

Success check: Catch-trial orientation is correct, or the affected group is labelled and the learner rests before continuing.

Accessible alternative: A supported, seated, reduced-range or slower version of “After every four difficult patches, present one clearly visible patch in a concealed orientation. If that catch trial is wrong, pause and mark the preceding difficult group as attention-affected rather than lowering contrast again.” is equivalent only when it keeps the same trained or measured target, declared configuration and success check: “Catch-trial orientation is correct, or the affected group is labelled and the learner rests before continuing.” If any of those change, record it as a related alternative rather than an equivalent repetition.

Alternative relationship: Conditional equivalence requires target and configuration check

Learner notes:

________________________________________________________________________________

Completed: [ ]

## Reflection

What changed?

________________________________________________________________________________

What remains difficult?

________________________________________________________________________________

What will I repeat, adapt, ask for help with, or stop?

________________________________________________________________________________

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Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.
