Attention and working memory training: A feasibility study in children with neurodevelopmental disorders
Abstract
The current study investigated the efficacy of a game-based process specific intervention for improving attention and working memory in children with Fetal Alcohol Spectrum Disorders (FASD) and Autism Spectrum Disorders (ASD). The Caribbean Quest (CQ) is a 'serious game' that consists of five hierarchically structured tasks, delivered in an adaptive format, targeting different aspects of attention and/or working memory. In addition to game play, the intervention incorporates metacognitive strategies provided by trained educational assistants (EAs), to facilitate generalization and far transfer to academic and daily skills. EAs delivered the intervention to children (ages 6-13) during their regular school day, providing children with instruction in metacognitive strategies to improve game play, with participants completing approximately 12 hours of training over an 8 to 12 school week period. Pre- and post-test analyses revealed significant improvement on measures of working memory and attention, including reduced distractibility and improved divided attention skills. Additionally, children showed significant gains in performance on an academic measure of reading fluency, suggesting that training-related gains in attention and working memory transferred to classroom performance. Exit interviews with EAs revealed that the intervention was easily delivered within the school day, that children enjoyed the intervention, and that children transferred metacognitive strategies learne…
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Previous studies of this nature showed a medium effect size.
“Previous studies of this nature showed a medium effect size [42-45]; however, owing to the differences in method and there not being interventionists involved in the training sample, size calculations were done for a small (d=0.2) effect size.”
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Louw, J. G., Olivier, L., Skeen, S., van Heerden, A., & Tomlinson, M. (2019) · JMIR Research Protocols · doi:10.2196/14489 · Cited by 8 · see citing works
- Authors
- Kerns, K. A., Macoun, S., MacSween, J., Pei, J., & Hutchison, M.
- Affiliations
- University of Victoria (CA)
- University of Alberta (CA)
- Corresponding author
- Kerns, Kimberly A.
- Venue
- Applied Neuropsychology: Child
- Publisher
- Informa UK Limited
- Published
- 2016-04-06
- Volume
- 6
- Issue
- 2
- Pages
- 120-137
- ISSN
- 2162-2965 (ISSN-L)
- 2162-2973
- OpenAlex
- W2332911463
- Cited by
- 88
- References
- 110
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 12 · 2023: 13 · 2022: 11 · 2021: 9 · 2020: 12 · 2019: 7 · 2018: 3 · 2017: 2
- FWCI
- 6.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied Neuropsychology Child (publishedVersion)
- PubMed (publishedVersion)
- Funders
- This study was generously supported by grants from Canada's National Centres for Excellence: NueroDevNet and GRAND.
- Topics
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- attention training, working memory training, serious games, game-based intervention, fetal alcohol spectrum disorders, autism spectrum disorder, neurodevelopmental disorders, metacognitive strategies, teaching assistants, far transfer, reading fluency, divided attention, distractibility, children
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Attention, Child, Educational Status, Feasibility Studies, Female, Humans, Learning, Male, Memory, Short-Term, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome, Fetal Alcohol Spectrum Disorders, Neurodevelopmental Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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