Exploring N -Back Cognitive Training for Children With ADHD
Open accessAbstract
Objective: The efficacy of n-back training for children with attention deficit hyperactivity disorder (ADHD) was tested in a randomized controlled trial. Method: 41 children aged 7 to 14 years with ADHD were trained on an n-back task, and their performance was compared with that of an active control group ( n = 39) who were trained on a general knowledge and vocabulary task. Results: The experimental group demonstrated transfer of training to a nontrained n-back task as well as to a measure of inhibitory control. These effects were correlated with the magnitude of training gains. Conclusion: Our results suggest that n-back training may be useful in addressing some of the cognitive and behavioral issues associated with ADHD.
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Written from the paper’s full text.
TL;DR
In a randomized controlled trial, children with ADHD who trained on an adaptive visuospatial n-back task showed transfer to an untrained n-back task and to a lab measure of inhibitory control, with effects correlated with training gains. The authors conclude n-back training may help address some cognitive/behavioral issues in ADHD, though effects were small and delayed parent-reported symptom reductions were marginal.
Key findings
- At immediate posttest, the n-back group outperformed the active control group on a non-trained n-back task (F(1,77) = 11.41, p = 0.001, η²p = 0.13, BF = 29.50) and on inhibitory control measured by the CPT (F(1,77) = 6.48, p = 0.01, η²p = 0.08, BF = 3.73).
- At 3-month delayed posttest, group differences remained but were less pronounced and did not survive correction for multiple comparisons (non-trained n-back: F(1,54) = 4.56, p = 0.04, η²p = 0.08, BF = 1.74; CPT: F(1,54) = 4.34, p = 0.04, η²p = 0.07, BF = 1.55).
- Parent-reported ADHD symptoms showed only marginal reduction (F(1,43) = 3.38, p = 0.07, η²p = 0.07, BF = 1.11), and no significant group transfer was found for working memory composite, matrix reasoning, or school-related tasks.
- Training gain predicted transfer on several measures, including CPT (b = −6.93, p = 0.03, BF = 1.34), parent-reported inattention/hyperactivity (b = −0.26, p = 0.02, BF = 2.58), school tasks (b = 0.14, p = 0.04, BF = 0.26), matrix reasoning at posttest (b = 0.21, p = 0.05, BF = 0.93), and matrix reasoning at delayed posttest (b = 0.36, p = 0.01, BF = 3.90).
Methods
- Randomized controlled trial: 108 children with ADHD recruited; after exclusions, final sample was 80 children aged 7–14 (mean age 10.14 years, SD 2.02; 25 girls), matched on fluid reasoning, age, gender, and ADHD symptom severity, then randomly assigned to n-back training (n = 41) or active general knowledge/vocabulary control training (n = 39).
- Training required 20 sessions over about 5 weeks: once daily at home with parent supervision plus one weekly researcher-supervised session; assessments occurred at pretest, immediate posttest, and 3-month delayed posttest.
- Main analyses used ANCOVA with pretest as covariate, multiple regression to test whether training gain predicted transfer, and Bayesian analyses; outcome measures included an untrained object n-back task, CPT, verbal working memory composite, parent questionnaires (CBCL, BRIEF, CPRS–R:L), Woodcock-Johnson III school tasks, and matrix reasoning.
Limitations
- Stated by the authors: outcome measures were either lab-based or parent report; lab measures may lack ecological validity, while parent report has ecological validity but may not be fully objective.
- Stated by the authors: attrition/dropout was an issue—21 participants (20.79%) did not complete training or failed to adhere to the schedule—though this rate was lower than in similar non-ADHD samples, and excluded participants did not vary systematically from included participants.
- Evident in the text: the sample was small, especially for delayed and parent-report analyses (e.g., delayed CPT/n-back F tests used df = 54; parent ADHD symptom analysis used df = 43), effect sizes were small, and the marginal parent-report finding did not survive multiple-comparison correction.
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Claims the paper makes
0 of 79 cited sources checked · 0 supported · 0 flagged
- Findingown data
The size of training gains was correlated with the transfer effects.
“These effects were correlated with the magnitude of training gains.”
Quote in the paperNot a substantial claim - Findingown data
In children with ADHD, n-back training transferred to an untrained n-back task.
“The experimental group demonstrated transfer of training to a non-trained n-back task as well as to a measure of inhibitory control.”
Quote in the paperSubstantial claim - Findingown data
In children with ADHD, n-back training transferred to a measure of inhibitory control.
“as well as well as substantial evidence for group differences in the measure of inhibitory control (CPT; F(1, 77) = 6.48, p = 0.01, η2p = 0.08, BF = 3.73).”
Quote in the paperSubstantial claim - Findingown data
At posttest, there was substantial evidence of group differences on the CPT measure of inhibitory control (F(1,77)=6.48, p=0.01, η2p=0.08, BF=3.73).
“as well as well as substantial evidence for group differences in the measure of inhibitory control (CPT; F(1, 77) = 6.48, p = 0.01, η2p = 0.08, BF = 3.73).”
Quote in the paperSubstantial claim - Findingown data
There was anecdotal evidence of reduced parent-reported ADHD symptoms (F(1,43)=3.38, p=0.07, η2p=0.07, BF=1.11).
“We also observed anecdotal evidence of reduced ADHD symptoms as reported by the parents (F(1, 43) = 3.38, p = 0.07, η2p = 0.07, BF = 1.11; see figure 2).”
Quote in the paperNot a substantial claim
- Findingown data
At posttest, there was strong evidence of group differences on the non-trained n-back task (F(1,77)=11.41, p=0.001, η2p=0.13, BF=29.50).
“at post-test, we observed strong evidence of group differences in the non-trained n-back task (F(1,77) = 11.41, p = 0.001, η2p = 0.13, BF = 29.50)”
Quote in the paperSubstantial claim - Findingown data
Medicated and unmedicated training children did not differ significantly in training gain (medicated mean = .55, SD = .85; unmedicated mean = .84, SD = .77; p = .31, d = .36).
“There was no significant training gain difference between groups (medicated: mean gain = .55, SD = .85; not medicated: mean gain = .84, SD = .77; p = .31, d = .36)”
Quote in the paperNot a substantial claim - Findingown data
The parent-rated symptom reduction was not significant after multiple-comparison adjustment.
“this latter finding, which approached significance when uncorrected, failed to reach significance when adjusted for multiple comparisons.”
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The groups did not differ significantly on the trivia quiz.
“no significant differences were found between the two groups.”
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Greater training improvement predicted posttest matrix reasoning (b = 0.21, p = 0.05, BF = 0.93).
“matrix reasoning at posttest (b = 0.21, p = 0.05, BF = 0.93)”
Quote in the paperNot a substantial claim - Findingown data
Training children's mean enjoyment rating was 3.27 (SD = 0.84).
“the average rating of the training group was 3.27 (SD = 0.84)”
Quote in the paperSubstantial claim - Findingown data
n-back training produced large gains on a non-spatial n-back variant.
“n-back training that targets both working memory and inhibition resulted in substantial improvements in a non-spatial variant of the n-back task”
Quote in the paperSubstantial claim - Findingown data
Control children's mean effort rating was 3.25 (SD = 1.13).
“The average rating of the control group was 3.25 (SD = 1.13)”
Quote in the paperNot a substantial claim - Findingown data
Parent-rated inattention and hyperactivity were marginally reduced three months after training.
“marginally reduced parent-reported symptoms of inattention and hyperactivity three months after training completion”
Quote in the paperSubstantial claim - Findingown data
Control children reported greater enjoyment than training children (p = 0.004; d = 0.66).
“The difference between the groups was significant (p = 0.004; d = 0.66), indicating that the control group enjoyed their task more than the training group.”
Quote in the paperNot a substantial claim - Findingown data
Pretest ADHD severity did not significantly predict training gain (b = −.04, p = .08).
“ADHD severity did not significantly predict training gain (b = −.04, p = .08).”
Quote in the paperNot a substantial claim - Findingown data
Greater training improvement predicted lower parent-rated inattention and hyperactivity (b = −0.26, p = 0.02, BF = 2.58).
“parent-reported ADHD symptoms of inattention and hyperactivity (b = −0.26, p = 0.02, BF = 2.58)”
Quote in the paperSubstantial claim - Findingown data
Training gain was not significantly related to object n-back performance.
“the regression analysis revealed no significant relationship between the amount of training gain on the object n-back performance.”
Quote in the paperNot a substantial claim - Findingown data
The groups differed significantly on the object n-back near-transfer task.
“On the near transfer measure, the object n-back task, there was a significant difference between groups, as predicted.”
Quote in the paperSubstantial claim - Findingown data
Greater training improvement predicted better posttest CPT performance (b = −6.93, p = 0.03, BF = 1.34).
“The analyses suggested that training performance was predictive for transfer in several measures, specifically, in CPT at posttest (b = −6.93, p = 0.03, BF = 1.34)”
Quote in the paperSubstantial claim - Findingown data
Training children's average n-back level on the first training day was 2.4.
“For all participants in the training group, the average n-back level on the very first day of training was 2.4.”
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The working memory composite showed no significant group differences.
“Our composite measure of working memory yielded no significant differences between groups.”
Quote in the paperSubstantial claim - Findingown data
The groups did not differ significantly in self-rated effort (p = 0.92; d = 0.02).
“The difference between the groups was not significant (p = 0.92; d = 0.02)”
Quote in the paperNot a substantial claim - Findingown data
Control children's mean enjoyment rating was 3.84 (SD = 0.89).
“The average rating of the control group was 3.84 (SD = 0.89)”
Quote in the paperSubstantial claim - Findingown data
Greater training improvement predicted delayed-posttest matrix reasoning (b = 0.36, p = 0.01, BF = 3.90).
“matrix reasoning on delayed posttest (b = 0.36, p = 0.01, BF = 3.90)”
Quote in the paperSubstantial claim - Findingown data
Greater training improvement predicted posttest school-task performance (b = 0.14, p = 0.04, BF = 0.26).
“posttest school-related tasks (b = 0.14, p = 0.04, BF = 0.26)”
Quote in the paperNot a substantial claim - Findingown data
The training group had a marginally significant reduction in parent-rated inattention and hyperactivity.
“the training group’s marginally significant reduction in parent-reported symptoms of inattention and hyperactivity has practical relevance”
Quote in the paperSubstantial claim - Findingown data
Twenty-one participants (20.79%) did not finish training or follow the schedule.
“Twenty-one participants (20.79%) did not complete the training or failed to adhere to the training schedule”
Quote in the paperNot a substantial claim - Findingown data
No transfer was found to matrix reasoning or school-related tasks.
“we found transfer to neither matrix reasoning nor school-related tasks.”
Quote in the paperSubstantial claim - Findingcitation
This attrition rate is lower than in similar interventions with non-ADHD samples.
“it is lower than what has been reported in studies using similar interventions with non-ADHD samples (e.g., Jaeggi, Buschkuehl, Shah, & Jonides, 2014; Redick et al., 2013)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Jaeggi, Buschkuehl, Shah, & Jonides, 2014
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- cites Redick et al., 2013
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- Findingown data
Children with ADHD who completed training showed better lab-based inhibitory control than controls.
“Children with ADHD who completed the training demonstrated improved inhibitory control relative to their peers in the control condition as assessed by lab-based measures.”
Quote in the paperSubstantial claim - Premisecitation
Children with ADHD exhibit deficits across multiple working memory and executive control tasks.
“Children with ADHD show impairments on a variety of working memory-related and executive control tasks.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Karatekin & Asarnow, 1998
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- cites McInnes et al., 2003
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- cites Westerberg et al., 2004
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- Premisecitation
Children with ADHD tend to score lower than typically developing children on standard working memory tasks.
“On average, children with ADHD perform worse than typically developing children on standard working memory tasks (Karatekin & Asarnow, 1998; McInnes, Humphries, Hogg-Johnson, & Tannock, 2003; Sonuga-Barke, Dalen, Daley, & Remington, 2002; Westerberg, Hirvikoski, Forssberg, & Klingberg, 2004)”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Karatekin & Asarnow, 1998
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- cites McInnes et al., 2003
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- cites Westerberg et al., 2004
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- Interpretationown data
N-back training may help address some cognitive and behavioral problems associated with ADHD.
“Our results suggest that n-back training may be useful in addressing some of the cognitive and behavioral issues associated with ADHD.”
Quote in the paperSubstantial claim - Premisecitation
Some CWMT studies in children with ADHD report improvements in ADHD-related symptoms after training.
“Some studies of CWMT in children with ADHD have shown improvements in ADHD-related symptoms as a function of training (Beck, Hanson, Puffenberger, Benninger, & Benninger, 2010; Klingberg et al., 2005; Klingberg, Forssberg, & Westerberg, 2002; Mezzacappa & Buckner, 2010)”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Beck et al., 2010
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- cites Klingberg et al., 2005
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- cites Mezzacappa & Buckner, 2010
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- Premisecitation
Working memory and inhibitory skills are involved in academic and non-academic achievement.
“As inhibitory and working memory skills are implicated in scholastic and non-scholastic achievement (Friso-Van Den Bos, Van Der Ven, Kroesbergen, & Van Luit, 2013; Mcvay & Kane, 2012; St Clair-Thompson & Gathercole, 2006)”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Friso-Van Den Bos et al., 2013
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- cites Mcvay & Kane, 2012
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- cites St Clair-Thompson & Gathercole, 2006
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- Interpretationreasoning
These executive function deficits in ADHD are probably caused by reduced working memory capacity and cognitive control.
“This is likely due to lower working memory capacity and reduced cognitive control in individuals with ADHD.”
Quote in the paperSubstantial claim - Premisecitation
ADHD medications frequently cause side effects such as appetite loss and sleep problems.
“they are often associated with side effects such as reduced appetite and sleep disturbances (Banaschewski et al., 2004).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Banaschewski et al., 2004
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- Premisecitation
ADHD medication does not work for up to 30% of individuals with the condition.
“Although medication can be of great help, they are ineffective for up to 30% of individuals with ADHD (Banaschewski, Roessner, Dittmann, Santosh, & Rothenberger, 2004).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Banaschewski et al., 2004
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- Premisecitation
Meta-analytic evidence indicates that intervention design and individual differences can limit the effectiveness of behavioral therapies.
“new meta-analytic work suggests that although behavioral therapies may be successful in individual studies, a variety of factors related to both the design of the intervention and individual difference factors across participants may limit their effectiveness (Sonuga-Barke et al., 2013).”
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ADHD medications often appear effective in laboratory settings but have less effect on daily functioning.
“though ADHD medications are often seemingly effective in laboratory contexts, they seem to have less impact on everyday functional outcomes (Pelham et al., 2017).”
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- Interpretationown data
These prior results suggest n-back training may be especially beneficial for children with ADHD because of their inhibitory control problems.
“These results suggest that n-back training may be especially beneficial for children with ADHD, given that they are thought to suffer from underlying issues of inhibitory control.”
Quote in the paperSubstantial claim- Rests on an assumption: Inhibitory control is a mechanism underlying self-regulation and cognitive/achievement deficits in children with ADHD.
- Premisecitation
In Jaeggi et al. (2011), children in the n-back training group made fewer CPT commission errors than controls.
“On average, children in the n-back training group exhibited fewer errors of commission compared to peers in a control condition.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Jaeggi et al., 2011
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- Premisecitation
The authors' earlier work found transfer to inhibition from an n-back task in young adults and typically developing children.
“Specifically, we have demonstrated transfer to inhibition via an inhibition and working memory-demanding executive functioning task, the n-back task, in young adults (Hsu, Buschkuehl, Jonides, & Jaeggi, 2013) and typically developing children (Jaeggi, Buschkuehl, Jonides, & Shah, 2011).”
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- cites Jaeggi et al., 2011
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- Premisecitation
Prior research found improvements in working memory and fluid reasoning in typically developing young adults after n-back training.
“Previous work has demonstrated improvements in working memory and fluid reasoning in typically-developing young adults following n-back training (Au, Sheehan, et al., 2015; Au, Buschkuehl, Duncan, & Jaeggi, 2016).”
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- cites Au et al., 2016
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- Premisecitation
Other cognitive interventions that affect academic achievement often do so only after a delay.
“Indeed, other cognitive interventions that impact academic achievement often do so only after delay (e.g., Klauer & Phye, 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Klauer & Phye, 2008
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- Premisecitation
A large randomized controlled trial of inhibitory control training found no evidence of training or transfer effects.
“Conversely, a recent large, randomized controlled trial of inhibitory control training found no evidence for training and transfer effects (Enge et al., 2014).”
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- Premisecitation
Evidence indicates that not all participants benefit equally from cognitive training.
“there is evidence that in cognitive training not all participants benefit equally from training (Hussey & Novick, 2012; Katz, Jones, Shah, Buschkuehl, & Jaeggi, 2016; Jaeggi et al., 2011).”
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- cites Katz et al., 2016
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- cites Jaeggi et al., 2011
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- Study design and conductown data
There were no significant pretest differences between groups on any variables of interest (all ps > .20).
“Note that there were no significant differences between groups on any of the variables of interest at pretest (all ps > .20).”
Quote in the paperSubstantial claim - Premisecitation
Children with ADHD tend to have difficulty overcoming frustration.
“children with ADHD, who tend to struggle with overcoming frustration (Seymour, Macatee, & Chronis-Tuscano, 2016).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Seymour et al., 2016
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- Study design and conductcitation
All participants had a clinician diagnosis of ADHD according to DSM-IV criteria.
“Additionally, all participants had been diagnosed with ADHD by a clinician (i.e., pediatrician, psychologist or psychiatrist), according to Diagnostic and Statistical Manual of Mental Disorders (DSM-IV Diagnostic and Statistical Manual of Mental Disorder, 1994) criteria.”
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- Study design and conductown data
Both groups completed an equivalent number of training sessions.
“Both groups completed an equivalent number of training sessions (experimental group: mean: 19.15; SD: 2.69; control group: mean: 19.62, SD: 1.71; t(78) = −0.93, p = 0.36, d = 0.21).”
Quote in the paperNot a substantial claim - Premisecitation
Participants who perform well on the training task tend to gain more, including on untrained reasoning and reading comprehension tasks.
“Those who perform well on the training task tend to benefit more from the training, demonstrating greater improvements on untrained tasks such as reasoning and reading comprehension (Hussey & Novick, 2012; Jaeggi, et al., 2011).”
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- cites Jaeggi et al., 2011
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- Study design and conductcitation
All participants met diagnostic criteria on the CPRS-R:L or CBCL.
“All participants met diagnostic criteria on the The Conners’ Parent Questionnaire – Revised: Long Form (CPRS–R:L; Conners, Sitarenios, Parker, & Epstein, 1998; Conners, 2001) or the The Child Behavior Checklist (CBCL; Achenbach, 1991; Chang, Wang, & Tsai, 2016).”
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- cites Conners, 2001
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- cites Achenbach, 1991
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- Interpretationcitation
Transfer from n-back to digit span and following directions may be limited because those tasks require active recall rather than updating and recognition.
“both of which seem to require active recall rather than updating and recognition, which are primarily involved in n-back, and thus, transfer from n-back to those tasks might be limited (Jaeggi, Studer-Luethi, et al., 2010; Jaeggi, Buschkuehl, Perrig, & Meier, 2010).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Jaeggi, Studer-Luethi, et al., 2010
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- cites Jaeggi, Buschkuehl, Perrig, & Meier, 2010
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- Premisecitation
How much training improves is relevant to transfer.
“the extent to which training is effective is relevant for transfer (Jaeggi, Buschkuehl, Jonides, Shah, et al., 2011).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Jaeggi, Buschkuehl, Jonides, Shah, et al., 2011
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- Interpretationown data
Group differences cannot be explained by the training group enjoying the task more than controls.
“This suggests that any differences between groups cannot be attributed to the experimental group enjoying their task more than the control group.”
Quote in the paperNot a substantial claim - Study design and conductown data
The small sample made comparing medicated and unmedicated training children difficult.
“Although our limited sample size makes it difficult to compare children in the training group who were medicated (n=19) to children in the training group who were not medicated (n=15)”
Quote in the paperNot a substantial claim - Interpretationreasoning
The link between training gain and parent reports suggests the findings were probably not due to parent expectations.
“The fact that training gain was associated with parent reports of behavior suggests that the findings were not likely due to parent expectations.”
Quote in the paperSubstantial claim - Interpretationreasoning
The null training-gain/object n-back relationship is unsurprising because that task was fixed at 2-back.
“the lack of such a finding on this particular measure may not be, in retrospect altogether surprising, because the object n-back task was fixed at a 2-back level.”
Quote in the paperNot a substantial claim - Study design and conductown data
Because general knowledge was not measured before training, the explanations for the trivia-quiz null cannot be evaluated.
“As we have no pretest measure of general knowledge, we cannot evaluate these potential explanations.”
Quote in the paperNot a substantial claim - Interpretationown data
The training program was equally beneficial for medicated and unmedicated children.
“suggesting that the training program was equally beneficial for children who were and were not taking medication for their ADHD symptoms.”
Quote in the paperNot a substantial claim - Interpretationown data
Neither group was more engaged than the other.
“suggesting that neither group was more engaged than the other.”
Quote in the paperSubstantial claim - Premisecitation
Children with ADHD are more likely to become discouraged by difficult cognitive tasks.
“they are more likely to be discouraged when facing challenging cognitive tasks (Seymour et al., 2016).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Seymour et al., 2016
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- Premisecitation
Without actual improvement during training, practice alone should not produce transfer.
“If students do not actually improve throughout training, one would not expect that practice per se would yield any transfer (Solomon & Perkins, 1989).”
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- Premisecitation
Little transfer is expected across separate working memory subsystems, based on prior findings.
“One might reasonably expect little transfer across these distinct working memory subsystems, especially also given previous literature that has shown larger correlations between n-back and visual WM tasks as compared to verbal WM tasks (Waris et al., 2017), as well as limited transfer to verbal domains in general (Au et al., 2015; Buschkuehl et al., 2008; Colom et al., 2013).”
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- cites Au et al., 2015
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- cites Buschkuehl et al., 2008
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- Interpretationown data
The study supports the theory that inhibitory control underlies inattention and hyperactivity in ADHD.
“It provides support for the theory that inhibitory control underlie issues associated with ADHD, namely inattention and hyperactivity.”
Quote in the paperSubstantial claim - Study design and conductnone given
All outcome measures were lab-based or parent-reported.
“outcome measures were all either lab based or parent report.”
Quote in the paperNot a substantial claim - Interpretationown data
Improving inhibitory control through n-back training may reduce ADHD symptoms.
“Our data suggest that improving inhibitory control via n-back training may result in decreased ADHD symptoms.”
Quote in the paperSubstantial claim - Interpretationreasoning
n-back training may benefit children with ADHD who have inhibition, attention, and hyperactivity difficulties.
“This has the potential to be beneficial for children with ADHD who struggle with inhibition, attention, and hyperactivity.”
Quote in the paperSubstantial claim - Premisecitation
ADHD models treat inhibitory control as a core deficit.
“models of ADHD consider inhibitory control to be an underlying core deficit in ADHD (Barkley, 1997).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Barkley, 1997
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- Premisecitation
A recent n-back training meta-analysis found smaller working memory transfer effects than traditional working memory training paradigms.
“In a recent meta-analysis of n-back cognitive training by Soveri, Antfolk, Karlsson, Salo, and Laine (2017), transfer to working memory tasks yielded smaller effect sizes as compared to the effect sizes found following cognitive training using more traditional working memory training paradigms (Melby-Lervåg & Hulme, 2013; Weicker, Villringer, & Thöne-Otto, 2015; Schwaighofer, Fischer, & Bühner, 2”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Soveri, Antfolk, Karlsson, Salo, and Laine (2017)
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- cites Melby-Lervåg & Hulme, 2013
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- cites Weicker, Villringer, & Thöne-Otto, 2015
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- Premisecitation
The CPT used here has been shown to predict ADHD symptoms well.
“the CPT used in our study has been shown to be highly predictive to ADHD symptomatology (Perugini, Harvey, Lovejoy, Sandstrom, & Webb, 2000).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Perugini, Harvey, Lovejoy, Sandstrom, & Webb, 2000
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- Classified as probably not a substantial claim. 30
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Findingown dataAt delayed posttest, group differences on the CPT remained but were less pronounced and did not survive multiple-comparison correction (F(1,54)=4.34, p=0.04, η2p=0.07, BF=1.55).
“At delayed post-test, the group differences remained, however, the effects were less pronounced than at post-test, and furthermore, they did not survive corrections for multiple comparisons (non-trained n-back: F(1, 54) = 4.56, p = 0.04, η2p = 0.08, BF = 1.74; CPT: (F(1, 54) = 4.34, p = 0.04, η2p = 0.07, BF = 1.55), see figure 1.”
Quote in the paperSubstantial claimMay combine two claims.
FindingcitationOn average, children with ADHD improved by about half an n-back level, slightly less than typically developing children.
“On average, children with ADHD improved by approximately half an n-back level, which is slightly below the improvement that has been observed in typically developing children (Jaeggi et al., 2011).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Jaeggi et al., 2011
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May combine two claims.
Findingown dataAt delayed posttest, group differences on the non-trained n-back task remained but were less pronounced and did not survive multiple-comparison correction (F(1,54)=4.56, p=0.04, η2p=0.08, BF=1.74).
“At delayed post-test, the group differences remained, however, the effects were less pronounced than at post-test, and furthermore, they did not survive corrections for multiple comparisons (non-trained n-back: F(1, 54) = 4.56, p = 0.04, η2p = 0.08, BF = 1.74; CPT: (F(1, 54) = 4.34, p = 0.04, η2p = 0.07, BF = 1.55), see figure 1.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataTraining children's mean effort rating was 3.23 (SD = 1.17).
“the average rating of the experimental group was also 3.23 (SD = 1.17)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataTraining gain predicted transfer on CPT, inattention/hyperactivity, school tasks, and matrix reasoning.
“Our regression analyses revealed that the amount of training gain predicted the amount of transfer for CPT, inattention and hyeractivity, school tasks, and matrix reasoning (see Table 5).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataInhibitory control improved on the CPT, with small effect sizes.
“we observed improved inhibitory control (as measured by the CPT), albeit with small effect sizes”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSustained attention and inhibitory control can improve through n-back training.
“the highlight of this study is the finding that sustained attention and inhibitory control can be improved via n-back training.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataTransfer occurred to objective executive-function measures (inhibition and some working memory) but not to parent-rated ADHD executive-function symptoms.
“Although we found transfer to objective measures of executive functioning, namely inhibition and, to some extent, working memory, we found no transfer to parent-reported executive functioning symptoms of ADHD.”
Quote in the paperSubstantial claimMay combine two claims.
Findingnone givenThe ADHD children's performance levels were below those of typically developing children and adults.
“The levels achieved by these children with ADHD were lower than those typically achieved by children without ADHD and even certainly lower than typical adult performance.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe two working memory outcomes were verbal, while the training task was spatial.
“both working memory outcome measures were verbal tasks while the training task was spatial.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationChildren with ADHD show deficits on several executive function tasks, including the Wisconsin Card Sorting Test, verbal fluency, Stroop, task-switching, and Tower of London.
“a number of studies have documented impairments among children with ADHD in executive function tasks, including the Wisconsin Card Sorting Test (Pineda et al., 1998; Reeve & Schandler, 2001), verbal fluency tasks (Pineda et al., 1998), the Stroop task (Reeve & Schandler, 2001), task-switching (Cepeda, Cepeda, & Kramer, 2000; White & Shah, 2006), and the Tower of London task (Cornoldi, Barbieri, Ga”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Pineda et al., 1998
Not checked in the free run.
- cites Reeve & Schandler, 2001
Not checked in the free run.
- cites Cornoldi et al., 1999
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAbout one fifth of people with ADHD stop taking stimulants within a year.
“approximately 20% of individuals with ADHD cease stimulant use within the first year of taking them (Toomey, Sox, Rusinak, & Finkelstein, 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Toomey et al., 2012
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA study by Bigorra et al. (2016) reported reduced inhibitory control as indexed by CPT commission errors.
“a recent study by Bigorra, Garolera, Guijarro, and Hervas (2016) demonstrated reductions in inhibitory control, as measured by CPT errors of commission.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bigorra et al., 2016
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationBehavioral therapies are generally regarded as the most effective non-pharmacological treatments for ADHD symptoms.
“While behavioral therapies are generally considered the most effective non-pharmacological approaches for addressing ADHD symptomatology (Evans et al., 2013; Fabiano et al., 2009)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Evans et al., 2013
Not checked in the free run.
- cites Fabiano et al., 2009
Not checked in the free run.
May combine two claims.
PremisecitationOther studies did not replicate those CWMT findings, producing conflicting reviews and meta-analyses.
“However, others have failed to replicate those findings, leading to conflicting reviews and meta-analyses (Chacko et al., 2013; van der Donk, Hiemstra-Beernink, Tjeenk-Kalff, van der Leij, & Lindauer, 2015; Shipstead, Hicks, & Engle, 2012).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Chacko et al., 2013
Not checked in the free run.
- cites van der Donk et al., 2015
Not checked in the free run.
- cites Shipstead et al., 2012
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationRecent meta-analyses identified cognitive training as an area needing further study.
“a recent meta-analysis of cognitive training (Cortese et al., 2015) and non-pharmacological interventions for ADHD more broadly (Sonuga-Barke et al., 2013), cognitive training was identified as an area that requires further exploration.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Cortese et al., 2015
Not checked in the free run.
- cites Sonuga-Barke et al., 2013
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationBehavioral management therapy is the most common non-drug intervention for children with ADHD.
“The most widely used non-pharmacological interventions for children with ADHD is behavioral management therapy (Evans, Owens, & Bunford, 2013; Wolraich et al., 2011).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Evans et al., 2013
Not checked in the free run.
- cites Wolraich et al., 2011
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May combine two claims.
PremisecitationShavlev et al. (2002) found improved attention and academic outcomes after attentional control training.
“Shavlev, Tsal, & Mevorach (2002), found improvements in attention and academic outcomes following an attentional control training program.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Shavlev et al., 2002
Not checked in the free run.
May combine two claims.
PremisecitationIt may still be possible to train inhibition, particularly alongside working memory, because the two domains overlap substantially.
“Although some of the evidence is mixed, it may remain possible to train inhibition, especially if it occurs in combination with training working memory, as there seems to be considerable overlap between the domains of working memory and inhibitory control (Hsu, Jaeggi, & Novick, 2017).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hsu et al., 2017
Not checked in the free run.
May combine two claims.
PremisecitationCWMT has drawbacks including long sessions, the need for a coach, and high cost.
“Additional challenges regarding CWMT include lengthy sessions (approximately 40 minutes per day over the course of 5 weeks), the necessity of a coach, and the significant cost (Chacko et al., 2014).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Chacko et al., 2014
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationTypically developing children who improved on the n-back task also improved on fluid reasoning measures.
“typically-developing children who showed improvement on the n-back task also demonstrated improvements on measures of fluid reasoning (Jaeggi, Buschkuehl, Jonides, Shah, et al., 2011).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Jaeggi et al., 2011
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe CPT is commonly used as a diagnostic measure for ADHD in neuropsychological testing.
“Furthermore, the CPT is often used as a diagnostic measure for ADHD in neuropsychology testing (e.g., Corkum & Siegel, 1993).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Corkum & Siegel, 1993
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataThe two groups were continuously matched on fluid reasoning, age, gender, and ADHD symptom severity by a researcher not involved in testing or training.
“participants in the two groups were continuously matched on measures of fluid reasoning (TONI and SPM), age, gender and ADHD symptom severity (as measured by parent rated CPRS–R:L Comprehensive Behavior Rating Scales) by a researcher who was neither involved in testing nor in training of the participants.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe study received ethics committee approval and followed the 1964 Declaration of Helsinki and later amendments.
“This study was approved by the appropriate ethics committee and performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe CPT has reported split-half reliability of 0.83, with a range of 0.66 to 0.95.
“Split-half reliability for the CPT has been reported as 0.83 (range 0.66 to 0.95; Conners et al., 2000; 1994).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Conners et al., 2000
Not checked in the free run.
- cites Conners et al., 1994
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe CPRS-R:L has reported Cronbach's alpha from 0.75 to 0.95.
“Cronbach’s alpha for the scales range from 0.75–0.95 (Conners et al., 1998).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Conners et al., 1998
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe TONI has reported Cronbach's alpha in the 0.80 to 0.90 range.
“Cronbach’s alpha for TONI is reported in the 0.80 and 0.90 range (Brown, 2003).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Brown, 2003
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe BRIEF has reported Cronbach's alpha from 0.80 to 0.98.
“Cronbach’s alpha for the scales range from 0.80–0.98 (Gioia et al., 2000).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gioia et al., 2000
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Woodcock Johnson III has reported split-half reliabilities of 0.80 or higher.
“Individual test reliabities using a split half method are reported as 0.80 or higher (Grenwelge, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Grenwelge, 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe CBCL has reported Cronbach's alpha of 0.83 for narrow scales and 0.94 for broad scales.
“Cronbach’s alpha for the narrow scales (syndrome and DSM-oriented) is reported as 0.83, and for the broad scales (internalizing, externalizing, and total problems), it is 0.94 (Bullard, Griss, Greene, & Gekker, 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bullard et al., 2013
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe study reported uncorrected p-values, Hochberg-Benjamini corrected p-values, and Bayesian analyses with default priors.
“This includes uncorrected p-values and p-values corrected for multiple comparisons using the Hochberg-Benjamini method (Hochberg & Benjamini, 1990), and in addition, we conducted Baysean analyses using default priors in JASP, which allow us to report Bayes Factors that quantify evidence for and against the null hypothesis (Wagenmakers et al., 2017).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Hochberg & Benjamini, 1990
Not checked in the free run.
- cites Wagenmakers et al., 2017
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataInformed consent was obtained from all participants.
“Informed consent was obtained from all individual participants included in the study.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataAll analyses met ANCOVA assumptions except school-related skills at posttest, which violated homogeneity of slopes and was analyzed as ANOVA without a covariate.
“All analyses met the assumptions for ANCOVA with the exception of school-related skills at posttest, which violated the assumption of homogeneity of slopes. The analysis for this particular measure was therefore performed as an Analysis of Variance without a covariate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe SPM has an odd-even split-half corrected reliability of 0.96.
“The odd-even split-half corrected coefficient of reliability for SPM is 0.96 (Raven, 2000)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Raven, 2000
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataAfter matching, participants were randomly assigned to n-back training or an active control condition.
“Based on this matched pairing, participants were randomly assigned to one of two conditions: n-back training (n=41) or an active knowledge training control condition (n=39).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAll delayed posttest analyses met ANCOVA assumptions.
“All these analyses met the assumptions for ANCOVA, and the results are presented in table 4.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductown dataThe regression assumptions were checked and satisfied.
“Assumptions for multiple regressions were tested and met.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningParents probably did not know whether their child improved on the training task because training was home-based and families did not interact.
“they are likely to be unaware of whether they actually improved on the training task, as the training was completed in the home and as there was no interaction between the participating families.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningEven low-performing training children had enough 2-back practice, so higher performers had no advantage on object n-back.
“Thus, even low-performing participants who did not achieve high levels of n-back training still had ample practice at 2-back, providing no advantage to the higher-performing participants on this particular measure.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningBoosting cognitive training effectiveness may require keeping participants engaged and helping them learn from practice.
“It also suggests that one way of boosting effectiveness of cognitive training interventions is to ensure that participants maintain engagement with training tasks and are able to learn from their practice.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe active control group trained on a general knowledge and trivia program.
“Participants in the active control training group completed a general knowledge and trivia program as used before (Jaeggi, Buschkuehl, Jonides, Shah, et al., 2011), in which they answered questions about vocabulary, history, and general-knowledge facts.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Jaeggi et al., 2011
Not checked in the free run.
Classified as probably not a substantial claim.
Interpretationown dataThe insufficient-inhibition-improvement explanation fits the correlation between training gain and parent ratings.
“This second interpretation is consistent with our finding that training gain is correlated with the parent ratings; if training gains were larger, it is possible we would have seen significant improvements in parent ratings.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
InterpretationreasoningThe absence of group differences may reflect ADHD-related attention problems needed for matrix reasoning, math, and reading.
“The failure to observe group differences could reflect the fact that children with ADHD struggle with attention, which is strongly required in tests of matrix reasoning, math, and reading ability.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisereasoningParent-report measures have ecological and clinical value but may not be fully objective.
“parent report measures offer a great deal of ecological validity and clinical relevance, but may not be fully objective.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningNo improvement in achievement areas is unsurprising because the intervention did not target crystallized knowledge.
“As our intervention did not target crystalized knowledge, it is perhaps unsurprising that we did not find improvements in those areas.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based). May combine two claims.
Interpretationnone givenThe intervention can be done at home without a trained professional and distributed cheaply.
“it can be completed at home in the absence of a trained professional and can be easily distributed at minimal cost to families of children who struggle with ADHD.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe study provides theoretical support for cognitive training and insight into training gain-transfer links.
“It also offers theoretical support for cognitive training more broadly, and provides insight into the relationship between training gains and transfer.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataExcluded and included participants did not differ systematically, reducing selection-bias concerns.
“the excluded participants did not vary systematically from the included participants; alleviating concerns regarding selection bias (see Table 2).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Premisenone givenLab-based measures often lack ecological validity and relevance to daily life.
“Lab-based measures often lack in ecological validity and thus have limited bearing on everyday life”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductreasoningThe intervention was completed at home by children and supervised by parents in an ecologically valid setting.
“ours was done at home by participants and supervised by parents in an ecologically valid setting.”
Quote in the paperSubstantial claim
The paper relies on this without support.
The active control training task only minimally engages working memory or controlled attention.
“This game also had levels and was adaptive, but only minimally implicated working memory or controlled attention.”
The paper relies on this without support.
The n-back task requires active maintenance and updating of items in working memory and inhibition of responses to lures.
“The n-back task requires both active maintenance and updating of items in working memory as well as deleting items that are further back in a sequence. It also requires inhibiting responses to near target items, or lures.”
The paper relies on this without support.
Inhibitory control is a mechanism underlying self-regulation and cognitive/achievement deficits in children with ADHD.
“because inhibitory control is purported to be a mechanism underlying self-regulation and cognitive/achievement deficits in children with ADHD”
The paper relies on this without support.
Cognitive training works best when learners are actively engaged and try hard.
“This approach was guided by our hypothesis that cognitive training is most effective when participants are actively engaged and put effort into doing their best.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is no consensus on transfer to inhibitory control measures, with some WM training studies reporting benefits and others not.
“there is no consensus regarding transfer to inhibitory control measures, with some WM training studies reporting training-related benefits59,60,71,72, yet others failing to find evidence of transfer51,73.”
From Near transfer to an unrelated N-back task mediates the effect of N-back working memory training on matrix reasoning (2022) · cites this paper as [72]
The citation is attached to the studies said to have failed to find transfer to inhibitory control. In the Discussion (page unavailable), this paper instead reports improved inhibitory control after n-back training in children with ADHD, albeit with small effects. Its background section describes mixed findings from other studies, but its own result is not a failure to find transfer. (LLM, conf=0.86)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(78) = -0.93reported p = .36 · recomputed p = .355
“t(78) = −0.93, p = .36”
- ConsistentF(1, 77) = 11.41reported p = .001 · recomputed p = .001
“F(1,77) = 11.41, p = .001”
- ConsistentF(1, 77) = 6.48reported p = .01 · recomputed p = .013
“F(1, 77) = 6.48, p = .01”
- ConsistentF(1, 54) = 4.56reported p = .04 · recomputed p = .037
“F(1, 54) = 4.56, p = .04”
- ConsistentF(1, 54) = 4.34reported p = .04 · recomputed p = .042
“F(1, 54) = 4.34, p = .04”
- ConsistentF(1, 43) = 3.38reported p = .07 · recomputed p = .073
“F(1, 43) = 3.38, p = .07”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Abstract says both transfer effects tracked training gains, but the n-back effect did not
MajorThe abstract refers to the non-trained n-back and inhibitory-control effects as correlated with training gains. The discussion states that training gain had no significant relationship with performance on the non-trained object n-back task.
“These effects were correlated with the magnitude of training gains.”
“However, the regression analysis revealed no significant relationship between the amount of training gain on the object n-back performance.”
Home-training session counts disagree
MinorThe procedure first says children were required to train at home for 20 sessions, but its parenthetical breakdown specifies only 16 sessions at home and four supervised sessions.
“Participants were required to train at home once per day for 20 sessions with parent supervision”
“(16 sessions at home, 4 sessions supervised, over the course of about 5 weeks)”
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2022) · doi:10.1176/appi.books.9780890425787 · Cited by 23,476 · see citing works
More powerful procedures for multiple significance testing
Hochberg, Y., & Benjamini, Y. (1990) · Statistics in Medicine · doi:10.1002/sim.4780090710 · Cited by 2,715 · cited 1× · see citing works
“This includes uncorrected p values and p values corrected for multiple comparisons using the Hochberg-Benjamini method (Hochberg & Benjamini, 1990), and in addition, we conducted Baysean analyses using default priors in JASP, which allow us to report Bayes Factors that quantify evidence for and…”
MethodIntegrative Guide for the 1991 CBCL/4-18, Ysr, and Trf Profiles
Achenbach, T. M. (1991) · Medical Entomology and Zoology · Cited by 2,454 · see citing works
FARAONE, S. V., BIEDERMAN, J., & MICK, E. (2006) · Psychological Medicine · doi:10.1017/s003329170500471x · Cited by 2,267 · see citing works
Improving fluid intelligence with training on working memory
Jaeggi, S. M., Buschkuehl, M., Jonides, J., & Perrig, W. J. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0801268105 · Cited by 2,187 · see citing works
Self-citationSubcommittee on Attention-Deficit/Hyperactivity Disorder, S. C. O. Q. I. A. M. (2011) · Pediatrics · doi:10.1542/peds.2011-2654 · Cited by 2,185 · see citing works
Computerized training of working memory in children with ADHD – a randomized, controlled trial
Klingberg, T., Fernell, E., Olesen, P. J., Johnson, M., Gustafsson, P., Dahlström, K., Gillberg, C. G., Forssberg, H., & Westerberg, H. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200502000-00010 · Cited by 1,949 · cited 2× · see citing works
“…with ADHD have shown improvements in ADHD-related symptoms as a function of training (Beck, Hanson, Puffenberger, Benninger, & Benninger, 2010; Klingberg et al., 2005; Klingberg, Forssberg, & Westerberg, 2002; Mezzacappa & Buckner, 2010), and a recent study by Bigorra, Garolera, Guijarro, and…”
BackgroundTEST REVIEW behavior rating inventory of executive function.
Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000) · Child Neuropsychology · doi:10.1076/chin.6.3.235.3152 · Cited by 1,925 · cited 1× · see citing works
“Cronbach’s alpha for the scales range from 0.80 to 0.98 (Gioia et al., 2000).”
BackgroundInfluentialPolanczyk, G. V., Willcutt, E. G., Salum, G. A., Kieling, C., & Rohde, L. A. (2014) · International Journal of Epidemiology · doi:10.1093/ije/dyt261 · Cited by 1,822 · see citing works
Is working memory training effective? A meta-analytic review
Melby-Lervåg, M., & Hulme, C. (2013) · Developmental Psychology · doi:10.1037/a0028228 · Cited by 1,782 · cited 1× · see citing works
“…transfer to working memory tasks yielded smaller effect sizes as compared with the effect sizes found following cognitive training using more traditional working memory training paradigms (Melby-Lervåg & Hulme, 2013; Schwaighofer, Fischer, & Bühner, 2015; Weicker, Villringer, & ThöneOtto, 2015).”
ResultConners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998) · Journal of Abnormal Child Psychology · doi:10.1023/a:1022602400621 · Cited by 1,772 · cited 1× · see citing works
“Cronbach’s alpha for the scales range from 0.75 to 0.95 (Conners et al., 1998).”
BackgroundInfluentialBayesian inference for psychology. Part II: Example applications with JASP
Wagenmakers, E., Love, J., Marsman, M., Jamil, T., Ly, A., Verhagen, J., Selker, R., Gronau, Q. F., Dropmann, D., boutin, B., et al. (2017) · Psychonomic Bulletin & Review · doi:10.3758/s13423-017-1323-7 · Cited by 1,705 · cited 1× · see citing works
“This includes uncorrected p values and p values corrected for multiple comparisons using the Hochberg-Benjamini method (Hochberg & Benjamini, 1990), and in addition, we conducted Baysean analyses using default priors in JASP, which allow us to report Bayes Factors that quantify evidence for and against the null hypoth…”
MethodThe Use of Psychological Testing for Treatment Planning and Outcome Assessment
Maruish, M. E., & Leahy, R. L. (2000) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.14.2.205 · Cited by 1,634 · cited 1× · see citing works
“Split-half reliability for the CPT has been reported as 0.83 (range 0.66 to 0.95; Conners, 1994; Conners et al., 2000).”
BackgroundInfluentialBehavior Rating Inventory for Executive Function
Gioia, G. A., Isquith, P. Κ., & Roth, R. M. (2017) · Springer eBooks · doi:10.1007/978-3-319-56782-2_1881-2 · Cited by 1,571 · see citing works
Woodcock-Johnson III Tests of Achievement
(2012) · Springer eBooks · doi:10.1007/springerreference_180722 · Cited by 1,565 · cited 1× · see citing works
“For analyses, a composite score for academic ability was created using z scores from the Woodcock Johnson III Passage Comprehension, Math Applied Problem-Solving, and Reading Fluency subtests (Woodcock et al., 2003).”
MethodThe Raven's Progressive Matrices: Change and Stability over Culture and Time
Raven, J. (2000) · Cognitive Psychology · doi:10.1006/cogp.1999.0735 · Cited by 1,560 · cited 3× · see citing works
“As they were recruited, participants in the two groups were continuously matched on measures of fluid reasoning (Test of Nonverbal Intelligence [TONI] and Ravens Standard Progressive Matrices [SPM]), age, gender, and ADHD symptom severity (as measured by parent rated CPRS–”
MethodInfluentialExecutive functions and achievements in school: Shifting, updating, inhibition, and working memory
St Clair-Thompson, H. L., & Gathercole, S. E. (2006) · Quarterly Journal of Experimental Psychology · doi:10.1080/17470210500162854 · Cited by 1,278 · see citing works
Visser, S. N., Danielson, M. L., Bitsko, R. H., Holbrook, J. R., Kogan, M. D., Ghandour, R. M., Perou, R., & Blumberg, S. J. (2014) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.09.001 · Cited by 1,263 · see citing works
Training of Working Memory in Children With ADHD
Klingberg, T., Forssberg, H., & Westerberg, H. (2002) · Journal of Clinical and Experimental Neuropsychology · doi:10.1076/jcen.24.6.781.8395 · Cited by 1,225 · see citing works
Barkley, R. A., Fischer, M., Smallish, L., & Fletcher, K. (2002) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.111.2.279 · Cited by 1,199 · cited 1× · see citing works
“As a result, ADHD often contributes to academic, social, and employment difficulties throughout the lifespan (Barkley et al., 2002).”
BackgroundSonuga-Barke, E. J. S., Brandeis, D., Cortese, S., Daley, D., Ferrin, M., Holtmann, M., Stevenson, J., Danckaerts, M., van der Oord, S., Döpfner, M., et al. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.12070991 · Cited by 1,167 · cited 4× · see citing works
“Indeed, a recent metaanalysis of cognitive training (Cortese et al., 2015) and nonpharmacological interventions for ADHD more broadly (Sonuga-Barke et al., 2013) identified cognitive training as an area that requires further exploration.”
BackgroundInfluentialThe concurrent validity of the <i>N</i> -back task as a working memory measure
Jaeggi, S. M., Buschkuehl, M., Perrig, W. J., & Meier, B. (2010) · Memory · doi:10.1080/09658211003702171 · Cited by 981 · see citing works
Self-citationAdaptive training leads to sustained enhancement of poor working memory in children
Holmes, J., Gathercole, S. E., & Dunning, D. L. (2009) · Developmental Science · doi:10.1111/j.1467-7687.2009.00848.x · Cited by 961 · see citing works
Short- and long-term benefits of cognitive training
Jaeggi, S. M., Buschkuehl, M., Jonides, J., & Shah, P. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1103228108 · Cited by 769 · cited 5× · see citing works
“Based on previous work with typically developing young adults and children, we tentatively predicted transfer of n-back training to our composite measure of matrix reasoning, especially for children who improved in the task (Jaeggi et al., 2011; Jaeggi, Buschkuehl, Shah, & Jonides, 2014).”
BackgroundMethodInfluentialSelf-citationEvans, S. W., Owens, J. S., & Bunford, N. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.850700 · Cited by 728 · cited 1× · see citing works
“Although behavioral therapies are generally considered the most effective nonpharmacological approaches for addressing ADHD symptomatology (Evans et al., 2014; Fabiano et al., 2009), many issues prevent these interventions from being available and effective for all children.”
BackgroundTest of Nonverbal Intelligence
Brown, L. (2003) · Springer eBooks · doi:10.1007/978-1-4615-0153-4_10 · Cited by 673 · cited 4× · see citing works
“The cut-off for the Ravens was 10 min, and the cut-off for the TONI was three incorrect answers out of a sequence of five items.”
MethodInfluentialImproving fluid intelligence with training on working memory: a meta-analysis
Au, J., Sheehan, E., Tsai, N., Duncan, G. J., Buschkuehl, M., & Jaeggi, S. M. (2015) · Psychonomic Bulletin & Review · doi:10.3758/s13423-014-0699-x · Cited by 671 · cited 2× · see citing works
“Previous work has demonstrated improvements in working memory and fluid reasoning in typically developing young adults following n-back training (Au, Buschkuehl, Duncan, & Jaeggi, 2016; Au et al., 2015).”
BackgroundSelf-citationRadiocarbon and DNA evidence for a pre-Columbian introduction of Polynesian chickens to Chile
Storey, A. A., Ramírez, J. M., Quiroz, D., Burley, D. V., Addison, D. J., Walter, R., Anderson, A. J., Hunt, T. L., Athens, J. S., Huynen, L., et al. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0703993104 · Cited by 645 · see citing works
Cortese, S., Ferrin, M., Brandeis, D., Buitelaar, J., Daley, D., Dittmann, R. W., Holtmann, M., Santosh, P., Stevenson, J., Stringaris, A., et al. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.12.010 · Cited by 627 · cited 3× · see citing works
“Specifically, one might question the objectivity of parent-reported measures, arguing that a parent could figure out whether his or her child was in the training or the control group and that this knowledge would bias questionnaire responses (Cortese et al., 2015).”
BackgroundMoffitt, T. E., Houts, R., Asherson, P., Belsky, D. W., Corcoran, D. L., Hammerle, M., Harrington, H., Hogan, S., Meier, M. H., Polanczyk, G. V., et al. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2015.14101266 · Cited by 618 · cited 4× · see citing works
“…years (i.e., 6.4 million) had ever been diagnosed with ADHD and 9% of children had a current diagnosis of ADHD (Visser et al., 2014) though prevalence rates vary across studies and hover around 6% in international samples (Moffitt et al., 2015; Polanczyk, Willcutt, Salum, Kieling, & Rohde, 2014).”
BackgroundInfluentialRedick, T. S., Shipstead, Z., Harrison, T. L., Hicks, K. L., Fried, D. E., Hambrick, D. Z., Kane, M. J., & Engle, R. W. (2013) · Journal of Experimental Psychology: General · doi:10.1037/a0029082 · Cited by 617 · see citing works
A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder
Fabiano, G. A., Pelham, W. E., Coles, E. K., Gnagy, E. M., Chronis-Tuscano, A., & O'Connor, B. C. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.11.001 · Cited by 588 · cited 1× · see citing works
“Although behavioral therapies are generally considered the most effective nonpharmacological approaches for addressing ADHD symptomatology (Evans et al., 2014; Fabiano et al., 2009), many issues prevent these interventions from being available and effective for all children.”
BackgroundWorking memory and mathematics in primary school children: A meta-analysis
den Bos, I. F., van der Ven, S. H. G., Kroesbergen, E. H., & Luit, J. E. H. V. (2013) · Educational Research Review · doi:10.1016/j.edurev.2013.05.003 · Cited by 587 · see citing works
Barkley, R. A. (1997) · Psychological Bulletin · doi:10.1037//0033-2909.121.1.65 · Cited by 580 · cited 2× · see citing works
“Our findings have significant implications given that models of ADHD consider inhibitory control to be an underlying core deficit in ADHD (Barkley, 1997).”
BackgroundMcVay, J. C., & Kane, M. J. (2012) · Journal of Experimental Psychology: General · doi:10.1037/a0025250 · Cited by 562 · cited 1× · see citing works
“…memory skills are implicated in scholastic and nonscholastic achievement (Friso-Van Den Bos, Van Der Ven, Kroesbergen, & Van Luit, 2013; Mcvay & Kane, 2012; St. Clair-Thompson & Gathercole, 2006), interventions specifically targeting these mechanisms could be of great benefit for…”
BackgroundRelations Between Continuous Performance Test Performance Measures and ADHD Behaviors
Epstein, J. N., Erkanli, A., Conners, C. K., Klaric, J., Costello, J. E., & Angold, A. (2003) · Journal of Abnormal Child Psychology · doi:10.1023/a:1025405216339 · Cited by 520 · cited 1× · see citing works
“Our task was modeled after Conners et al. (2003), consisting of 18 blocks with 20 trials each (360 total trials).”
MethodJaeggi, S. M., Studer-Luethi, B., Buschkuehl, M., Su, Y.-F., Jonides, J., & Perrig, W. J. (2010) · Intelligence · doi:10.1016/j.intell.2010.09.001 · Cited by 509 · see citing works
Self-citationContinuous Performance Test Performance in a Normative Epidemiological Sample
Conners, C. K., Epstein, J. N., Angold, A. C., & Klaric, J. (2003) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1025457300409 · Cited by 441 · cited 1× · see citing works
“Our task was modeled after Conners et al. (2003), consisting of 18 blocks with 20 trials each (360 total trials).”
MethodThe role of individual differences in cognitive training and transfer
Jaeggi, S. M., Buschkuehl, M., Shah, P., & Jonides, J. (2014) · Memory & Cognition · doi:10.3758/s13421-013-0364-z · Cited by 432 · see citing works
Self-citationEncyclopedia of Clinical Neuropsychology
Bullard, S. E., Griss, M. E., Greene, S. F., & Gekker, A. (2012) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acs103 · Cited by 383 · see citing works
Corkum, P. V., & Siegel, L. S. (1993) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1993.tb01784.x · Cited by 378 · cited 1× · see citing works
“Furthermore, the CPT is often used as a diagnostic measure for ADHD in neuropsychology testing (e.g., Corkum & Siegel, 1993).”
MethodObserved Classroom Behavior of Children with ADHD: Relationship to Gender and Comorbidity
Abikoff, H. B., Jensen, P. S., Arnold, L. L. E., Hoza, B., Hechtman, L., Pollack, S., Martin, D., Alvir, J., March, J. S., Hinshaw, S., et al. (2002) · Journal of Abnormal Child Psychology · doi:10.1023/a:1015713807297 · Cited by 367 · cited 1× · see citing works
“Given the prevalence of ADHD, the chances are high that classrooms with 20 or more students include at least one individual with ADHD (Abikoff et al., 2002).”
BackgroundWorking memory training revisited: A multi-level meta-analysis of n-back training studies
Soveri, A., Antfolk, J., Karlsson, L., Salo, B., & Laine, M. (2017) · Psychonomic Bulletin & Review · doi:10.3758/s13423-016-1217-0 · Cited by 350 · see citing works
Does Working Memory Training Transfer? A Meta-Analysis Including Training Conditions as Moderators
Schwaighofer, M., Fischer, F., & Bühner, M. (2015) · Educational Psychologist · doi:10.1080/00461520.2015.1036274 · Cited by 332 · see citing works
Rubia, K., Alegria, A. A., Cubillo, A. I., Smith, A. B., Brammer, M. J., & Radua, J. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.10.016 · Cited by 315 · cited 1× · see citing works
“It is not our aim to report a thorough overview on this topic but interested readers may refer to Rubia et al. (2014) for a meta-analysis.”
BackgroundA Controlled Trial of Working Memory Training for Children and Adolescents with ADHD
Beck, S. J., Hanson, C. A., Puffenberger, S. S., Benninger, K. L., & Benninger, W. B. (2010) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2010.517162 · Cited by 311 · see citing works
Impact of working memory training on memory performance in old-old adults.
Buschkuehl, M., Jaeggi, S. M., Hutchison, S., Perrig‐Chiello, P., Däpp, C., Müller, M., Breil, F., Hoppeler, H. H., & Perrig, W. J. (2008) · Psychology and Aging · doi:10.1037/a0014342 · Cited by 306 · cited 1× · see citing works
“…given the previous literature that has shown larger correlations between n-back and visual working memory tasks as compared with verbal working memory tasks (Waris et al., 2017), as well as limited transfer to verbal domains in general (Au et al., 2015; Buschkuehl et al., 2008; Colom et al., 2013).”
BackgroundSelf-citationInductive Reasoning: A Training Approach
Klauer, K. J., & Phye, G. D. (2008) · Review of Educational Research · doi:10.3102/0034654307313402 · Cited by 305 · cited 1× · see citing works
“Indeed, other cognitive interventions that impact academic achievement often do so only after delay (e.g., Klauer & Phye, 2008).”
BackgroundMcInnes, A., Humphries, T., Hogg-Johnson, S., & Tannock, R. (2003) · Journal of Abnormal Child Psychology · doi:10.1023/a:1023895602957 · Cited by 273 · see citing works
Sonuga-Barke, E. J. S., Dalen, L., Daley, D., & Remington, B. (2002) · Developmental Neuropsychology · doi:10.1207/s15326942dn2103_3 · Cited by 250 · see citing works
Cogmed working memory training: Does the evidence support the claims?
Shipstead, Z., Hicks, K. L., & Engle, R. W. (2012) · Journal of Applied Research in Memory and Cognition · doi:10.1016/j.jarmac.2012.06.003 · Cited by 249 · see citing works
Chacko, A., Bedard, A. C., Marks, D. J., Feirsen, N., Uderman, J. Z., Chimiklis, A., Rajwan, E., Cornwell, M., Anderson, L., Zwilling, A., et al. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12146 · Cited by 244 · cited 1× · see citing works
“Additional challenges regarding CWMT include lengthy sessions (approximately 40 min per day over the course of 5 weeks), the necessity of a coach, and the significant cost (Chacko et al., 2014).”
BackgroundShalev, L., Tsal, Y., & Mevorach, C. (2006) · Child Neuropsychology · doi:10.1080/09297040600770787 · Cited by 240 · see citing works
August, G. J., Realmuto, G. M., MacDonald, A. W., Nugent, S. M., & Crosby, R. D. (1996) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf01670101 · Cited by 237 · see citing works
Task Switching and Attention Deficit Hyperactivity Disorder
Cepeda, N. J., Cepeda, M. L., & Kramer, A. F. (2000) · Journal of Abnormal Child Psychology · doi:10.1023/a:1005143419092 · Cited by 231 · see citing works
Using Route and Survey Information to Generate Cognitive Maps
Steyvers, F., & Kooijman, A. C. (2008) · Institutional Research Information System University of Turin (University of Turin) · doi:10.1002/acp · Cited by 227 · see citing works
Visuo-Spatial Working Memory Span: A Sensitive Measure of Cognitive Deficits in Children With ADHD
Westerberg, H., Hirvikoski, T., Forssberg, H., & Klingberg, T. (2004) · Child Neuropsychology · doi:10.1080/09297040409609806 · Cited by 225 · see citing works
Connelly, V., Campbell, S., MacLean, M., & Barnes, J. (2006) · Developmental Neuropsychology · doi:10.1207/s15326942dn2901_9 · Cited by 204 · see citing works
Academic Outcomes 2 Years After Working Memory Training for Children With Low Working Memory
Roberts, G., Quach, J., Spencer‐Smith, M. M., Anderson, P. J., Gathercole, S. E., Gold, L. H., Sia, K.-L., Mensah, F. K., Rickards, F., Ainley, J., et al. (2016) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2015.4568 · Cited by 195 · cited 1× · see citing works
“It is marketed to schools and clinicians as a tool for improving cognitive abilities, such as attention and reasoning (Roberts et al., 2016).”
Non?stimulant medications in the treatment of ADHD
Banaschewski, T., Roessner, V., Dittmann, R. W., Janardhanan Santosh, P., & Rothenberger, A. (2004) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-004-1010-x · Cited by 183 · cited 1× · see citing works
“In addition, they are often associated with side effects such as reduced appetite and sleep disturbances (Banaschewski et al., 2004).”
BackgroundWorking memory in childhood-onset schizophrenia and attention-deficit/hyperactivity disorder
Karatekin, C., & Asarnow, R. F. (1998) · Psychiatry Research · doi:10.1016/s0165-1781(98)00061-4 · Cited by 163 · cited 1× · see citing works
“On average, children with ADHD perform worse than typically developing children on standard working memory tasks (Karatekin & Asarnow, 1998; McInnes, Humphries, Hogg-Johnson, & Tannock, 2003; SonugaBarke, Dalen, Daley, & Remington, 2002; Westerberg, Hirvikoski, Forssberg, & Klingberg, 2004), and a…”
BackgroundWeicker, J., Villringer, A., & Thöne-Otto, A. (2016) · Neuropsychology · doi:10.1037/neu0000227 · Cited by 147 · see citing works
Bigorra, A., Garolera, M., Guijarro, S., & Amaia Hervas, G. (2015) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-015-0804-3 · Cited by 146 · see citing works
Katz, B., Jaeggi, S., Buschkuehl, M., Stegman, A., & Shah, P. (2014) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2014.00242 · Cited by 142 · see citing works
Self-citationDiagnostic Accuracy of Rating Scales for Attention-Deficit/Hyperactivity Disorder: A Meta-analysis
Chang, L., Wang, M.-Y., & Tsai, P.-S. (2016) · PEDIATRICS · doi:10.1542/peds.2015-2749 · Cited by 129 · see citing works
Chacko, A., Feirsen, N., Bedard, A.-C., Marks, D., Uderman, J. Z., & Chimiklis, A. (2013) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.787622 · Cited by 128 · cited 1× · see citing works
“However, others have failed to replicate those findings, leading to conflicting reviews and meta-analyses (Chacko et al., 2013; van der Donk, Hiemstra-Beernink, Tjeenk-Kalff, van der Leij, & Lindauer, 2015; Shipstead, Hicks, & Engle, 2012).”
ResultADHD in DSM-5: a field trial in a large, representative sample of 18- to 19-year-old adults
Matte, B., Anselmi, L., Salum, G. A., Kieling, C., Gonçalves, H., Menezes, A., Grevet, E. H., & Rohde, L. A. (2015) · Psychological Medicine · doi:10.1017/s0033291714001470 · Cited by 119 · cited 2× · see citing works
“, 2014), generally continue through adolescence, and persist into adulthood for 30% to 60% of individuals diagnosed (Barkley, 1997; Barkley, Fischer, Smallish, & Fletcher, 2002; Faraone, Biederman, & Mick, 2005; Matte et al., 2015; Moffitt et al., 2015).”
BackgroundWhy Do Children With ADHD Discontinue Their Medication?
Toomey, S. L., Sox, C. M., Rusinak, D., & Finkelstein, J. A. (2012) · Clinical Pediatrics · doi:10.1177/0009922812446744 · Cited by 118 · see citing works
Au, J., Buschkuehl, M., Duncan, G. J., & Jaeggi, S. M. (2015) · Psychonomic Bulletin & Review · doi:10.3758/s13423-015-0967-4 · Cited by 112 · cited 2× · see citing works
“Previous work has demonstrated improvements in working memory and fluid reasoning in typically developing young adults following n-back training (Au, Buschkuehl, Duncan, & Jaeggi, 2016; Au et al., 2015).”
BackgroundSelf-citationColom, R., Román, F. J., Abad, F. J., Shih, P. C., Privado, J., Froufe, M., Escorial, S., Martínez, K., Burgaleta, M., Quiroga, M. A., et al. (2013) · Intelligence · doi:10.1016/j.intell.2013.09.002 · Cited by 112 · cited 2× · see citing works
“, 2017), as well as limited transfer to verbal domains in general (Au et al., 2015; Buschkuehl et al., 2008; Colom et al., 2013).”
BackgroundSelf-citationMezzacappa, E., & Buckner, J. C. (2010) · School Mental Health · doi:10.1007/s12310-010-9030-9 · Cited by 107 · cited 1× · see citing works
“…a function of training (Beck, Hanson, Puffenberger, Benninger, & Benninger, 2010; Klingberg et al., 2005; Klingberg, Forssberg, & Westerberg, 2002; Mezzacappa & Buckner, 2010), and a recent study by Bigorra, Garolera, Guijarro, and Hervas (2016) demonstrated reductions in inhibitory control, as…”
BackgroundPerugini, E. M., Harvey, E. A., Lovejoy, D. W., Sandstrom, K. A., & Webb, A. H. (2000) · Child Neuropsychology · doi:10.1076/chin.6.2.101.7059 · Cited by 107 · see citing works
Enge, S., Behnke, A., Fleischhauer, M., Küttler, L., Kliegel, M., & Strobel, A. (2014) · Journal of Experimental Psychology: Learning, Memory, and Cognition · doi:10.1037/a0036165 · Cited by 102 · cited 1× · see citing works
“Conversely, a recent large, randomized controlled trial of inhibitory control training found no evidence for training and transfer effects (Enge et al., 2014).”
BackgroundExecutive Dysfunctions in Children with Attention Deficit Hyperactivity Disorder
Pineda, D. A., Ardila, A., Rosselli, M., Cadavid, C., Mancheno, S., & Mejía-Arango, S. (1998) · International Journal of Neuroscience · doi:10.3109/00207459808986466 · Cited by 100 · see citing works
van der Donk, M. L. A., Hiemstra‐Beernink, A., Kalff, A. C., van der Leij, A., & Lindauer, R. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01081 · Cited by 96 · see citing works
Hsu, N. S., Jaeggi, S. M., & Novick, J. M. (2017) · Brain and Language · doi:10.1016/j.bandl.2016.12.006 · Cited by 95 · see citing works
Self-citationTraining Attention-Switching Ability in Adults With ADHD
White, H. A., & Shah, P. (2006) · Journal of Attention Disorders · doi:10.1177/1087054705286063 · Cited by 83 · cited 1× · see citing works
“…Card Sorting Test (Pineda et al., 1998; Reeve & Schandler, 2001), verbal fluency tasks (Pineda et al., 1998), the Stroop task (Reeve & Schandler, 2001), taskswitching (Cepeda, Cepeda, & Kramer, 2000; White & Shah, 2006), and the Tower of London task (Cornoldi, Barbieri, Gaiani, & Zocchi, 1999).”
BackgroundSelf-citationComoldi, C., Barbieri, A., Gaiani, C., & Zocchi, S. (1999) · Developmental Neuropsychology · doi:10.1080/87565649909540739 · Cited by 72 · see citing works
The Benefits of Executive Control Training and the Implications for Language Processing
Hussey, E. K., & Novick, J. M. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00158 · Cited by 72 · cited 2× · see citing works
“Finally, there is evidence that in cognitive training not all participants benefit equally from training (Hussey & Novick, 2012; Jaeggi et al., 2011; Katz, Jones, Shah, Buschkuehl, & Jaeggi, 2016).”
BackgroundFrontal lobe functioning in adolescents with attention deficit hyperactivity disorder.
Reeve, W. V., & Schandler, S. L. (2001) · PubMed · Cited by 69 · see citing works
Domain-specific and domain-general training to improve kindergarten children’s mathematics
Ramani, G. B., Jaeggi, S. M., Daubert, E. N., & Buschkuehl, M. (2017) · Journal of Numerical Cognition · doi:10.5964/jnc.v3i2.31 · Cited by 59 · see citing works
Self-citationFrustration Tolerance in Youth With ADHD
Seymour, K. E., Macatee, R. J., & Chronis-Tuscano, A. M. (2016) · Journal of Attention Disorders · doi:10.1177/1087054716653216 · Cited by 54 · cited 1× · see citing works
“This issue may be especially important for studies of children with ADHD as they are more likely to be discouraged when facing challenging cognitive tasks (Seymour et al., 2016).”
BackgroundA Latent Factor Analysis of Working Memory Measures Using Large-Scale Data
Waris, O., Soveri, A., Ahti, M., Hoffing, R. C., Ventus, D., Jaeggi, S. M., Seitz, A. R., & Laine, M. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01062 · Cited by 51 · cited 2× · see citing works
“working memory tasks as compared with verbal working memory tasks (Waris et al., 2017), as well as limited transfer to verbal domains in general (Au et al.”
BackgroundSelf-citationIndividual Differences and Motivational Effects
Katz, B., Jones, M. R., Shah, P., Buschkuehl, M., & Jaeggi, S. M. (2016) · Cognitive Training · doi:10.1007/978-3-319-42662-4_15 · Cited by 41 · see citing works
Self-citationPelham, W. E., Smith, B. H., Evans, S. W., Bukstein, O., Gnagy, E. M., Greiner, A. R., & Sibley, M. H. (2017) · Journal of Attention Disorders · doi:10.1177/1087054712474688 · Cited by 27 · see citing works
Grenwelge, C. (2009) · Journal of Psychoeducational Assessment · doi:10.1177/0734282908327944 · Cited by 10 · cited 1× · see citing works
“Individual test reliabities using a split half method are reported as 0.80 or higher (Grenwelge, 2009).”
MethodInfluentialPotential Mechanisms Underlying Working Memory Training and Transfer
Hsu, N. S., Buschkuehl, M., Jonides, J., et al. (2013) · PsycEXTRA Dataset · doi:10.1037/e633262013-607 · Cited by 4 · see citing works
Self-citation
Flagged first, then by citations
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Traut, H. J., Guild, R. M., & Munakata, Y. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.662139 · Cited by 100 · see citing works
Qiu, H. J., Liang, X., Wang, P., Zhang, H., & Shum, D. (2023) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2023.103692 · Cited by 74 · see citing works
Meyer, K. N., Santillana, R. M., Miller, B., Clapp, W., Way, M., Bridgman-Goines, K., & Sheridan, M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0241352 · Cited by 45 · see citing works
“One study specifically elected to implement a working memory training that also had an inhibitory control component, the nback task, and found that this training impacted performance on untrained working memory and inhibitory control tasks with marginal impact on parent reported ADHD symptoms [48].”
BackgroundWiest, G. M., Rosales, K. P., Looney, L., Wong, E. H., & Wiest, D. J. (2022) · Brain Sciences · doi:10.3390/brainsci12020141 · Cited by 52 · see citing works
“Specifically, the use of n-back tasks (those that require individuals to examine whether a stimulus is the same as one presented in a previous trial) that address aspects of WM have been shown to decrease WM deficits over time [49].”
BackgroundPahor, A., Seitz, A. R., & Jaeggi, S. M. (2022) · Nature Human Behaviour · doi:10.1038/s41562-022-01384-w · Cited by 34 · see citing works
Self-citationCervantes, J.-A., López, S., Cervantes, S., et al. (2023) · Brain Sciences · doi:10.3390/brainsci13081172 · Cited by 29 · see citing works
Salmi, J., Soveri, A., Salmela, V. R., Alho, K., Leppämäki, S., Tani, P., Koski, A., Jaeggi, S. M., & Laine, M. (2020) · Human Brain Mapping · doi:10.1002/hbm.25164 · Cited by 22 · see citing works
Self-citationSalmi, J., Vilà‐Balló, A., Soveri, A., Rostán, C., Rodríguez‐Fornells, A., Lehtonen, M., & Laine, M. (2019) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2019.107085 · Cited by 25 · see citing works
Individual Differences in Cognitive Training Research
Katz, B., Jones, M. R., Shah, P., Buschkuehl, M., & Jaeggi, S. M. (2020) · Springer eBooks · doi:10.1007/978-3-030-39292-5_8 · Cited by 27 · see citing works
Self-citationAttention Networks in ADHD Adults after Working Memory Training with a Dual n-Back Task
Dotare, M., Bader, M., Mesrobian, S. K., Asai, Y., Villa, A. E. P., & Lintas, A. (2020) · Brain Sciences · doi:10.3390/brainsci10100715 · Cited by 21 · see citing works
“Additional randomization of the patients’ assignment in subgroups taking into account motivational factors and ADHD developmental factors in patients’ life course would certainly contribute to better identification of the attention network components liable to be influenced by WMT [36,125,132,133].”
BackgroundNo Evidence for Expectation Effects in Cognitive Training Tasks
Vodyanyk, M. M., Cochrane, A., Corriveau, A., Demko, Z., & Green, C. S. (2021) · Journal of Cognitive Enhancement · doi:10.1007/s41465-021-00207-6 · Cited by 21 · see citing works
“For example, investigators in some studies have utilized an N-back working memory task as the experimental intervention and an explicit long-term memory task (e.g., learning trivia) as the control intervention (Jones et al. 2018).”
ResultMiller, A. L., Lo, S. L., Albright, D. K., Lee, J. M., Hunter, C. M., Bauer, K. W., King, R. B., Clark, K. M., Chaudhry, K., Kaciroti, N., et al. (2020) · BMC Pediatrics · doi:10.1186/s12887-020-2012-7 · Cited by 18 · see citing works
Self-citationA Frontal Account of False Alarms
Festini, S. B., & Katz, B. (2021) · Journal of Cognitive Neuroscience · doi:10.1162/jocn_a_01683 · Cited by 15 · see citing works
Self-citationStuder-Luethi, B., Törmänen, M. R. K., Margelisch, K., Hogrefe, A. B., & Perrig, W. J. (2022) · Journal of Cognitive Enhancement · doi:10.1007/s41465-022-00242-x · Cited by 19 · see citing works
Chen, S., Yu, J., Zhang, Q., Zhang, J. C., Zhang, Y., & Wang, J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.810298 · Cited by 17 · see citing works
Lee, S., Hill, T. R., Johnson, B. P., Testa, R., Priya, V., Spencer‐Smith, M. M., & Coghill, D. (2022) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2022.0028 · Cited by 18 · see citing works
Trapp, W., Heid, A., Röder, S., Wimmer, F., & Hajak, G. (2022) · Brain Sciences · doi:10.3390/brainsci12060683 · Cited by 18 · see citing works
Zhang, B., & Robb, N. (2021) · JMIR Serious Games · doi:10.2196/27036 · Cited by 16 · see citing works
“An n-back task is used extensively in the literature as a working memory (WM) training task [43,44].”
Zhang, B., & Robb, N. (2021) · SAGE Open · doi:10.1177/21582440211014507 · Cited by 15 · see citing works
“…verify the transfer results, which may reveal more scientifically significant finding on (Jaeggi et al., 2010a; Jaeggi et al., 2007, 2008, 2009; Jones et al., 2018), this study, therefore, did not include a non-WM training control group to compare whether the trainings were effective in either…”
BackgroundMethodResultRichmond, S., Kirk, H., Gaunson, T., Bennett, M. L., Bellgrove, M. A., & Cornish, K. M. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-055385 · Cited by 17 · see citing works
The Role of Executive Functions in Reading Comprehension by Adolescents with ADHD
Avramovich, A., & Yeari, M. (2022) · Reading & Writing Quarterly · doi:10.1080/10573569.2022.2103054 · Cited by 14 · see citing works
Computer-based multiple component cognitive training in children with ADHD: a pilot study
Wu, Y., Xu, L., Wu, Z.-M., Cao, X., Xue, G., Wang, Y., & Yang, B. (2023) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-022-00553-z · Cited by 13 · see citing works
“From previous literature review [9, 16] and preliminary user test data, we expected that the drop-out rate of AET would be higher than that of GET.”
BackgroundZhang, D., Johnstone, S. J., Sauce, B., Arns, M., Sun, L., & Jiang, H. (2023) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2023.110802 · Cited by 14 · see citing works
Investigating the Role of Individual Differences in Adherence to Cognitive Training
Tullo, D., Feng, Y., Pahor, A., Cote, J. M., Seitz, A. R., & Jaeggi, S. M. (2023) · Journal of Cognition · doi:10.5334/joc.315 · Cited by 11 · see citing works
Self-citationWilens, T. E., Stone, M., Lanni, S. R., Berger, A. F., Wilson, R. L. H., Lydston, M., & Surman, C. B. H. (2024) · Journal of Attention Disorders · doi:10.1177/10870547231218925 · Cited by 12 · see citing works
Exploring the n-back task: insights, applications, and future directions
Huang, S., Chen, C., Mo, Y., Zhao, Y., Zhu, Y., Dong, K., & Xu, T. (2025) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2025.1721330 · Cited by 16 · see citing works
Kirk, H., Richmond, S., Gaunson, T., Bennett, M., Herschtal, A., Bellgrove, M., & Cornish, K. (2024) · Journal of Attention Disorders · doi:10.1177/10870547241256269 · Cited by 7 · see citing works
“…non-pharmacological digital therapeutics that have minimal side effects, reduce the demands on parents, and offer the potential to promote long-term changes in both behavioral and cognitive functioning (e.g., Jones et al., 2020; Kollins et al., 2020; Minder et al., 2019; van der Donk et al., 2015).”
InfluentialLooney, L., Wong, E. H., Rosales, K. P., Bacon, J. M., & Wiest, D. J. (2024) · Education Sciences · doi:10.3390/educsci14010089 · Cited by 15 · see citing works
Jaquerod, M. E., Mesrobian, S. K., Villa, A. E. P., Bader, M., & Lintas, A. (2020) · Brain Sciences · doi:10.3390/brainsci10010038 · Cited by 11 · see citing works
“This effect is strong in controls, but it is absent in our ADHD group, thus suggesting that the kind of WMT performed by our group of patients only confers benefits for those tasks that were trained [15,62,113].”
BackgroundNeuropsychological Study on the Effects of Boxing Upon Athletes' Memory
Teng, Y., Yu, Q.-C., Yu, X., Zhan, L., & Wang, K. (2020) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000003909 · Cited by 10 · see citing works
“Among them, n-back is considered to be an experimental paradigm for functional neuroimaging research on working memory (4,19,21), whereas CALT can effectively recognize cognitive changes early and has high predictive value (3,12,39).”
BackgroundZhou, J., Jiang, W., Wang, J., & Dou, J. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.05.028 · Cited by 9 · see citing works
Lo, S. L., Gearhardt, A. N., Fredericks, E. M., Katz, B., Sturza, J. S., Kaciroti, N., Gonzalez, R., Hunter, C. M., Sonneville, K. R., Chaudhry, K., et al. (2021) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2021.105157 · Cited by 9 · see citing works
Self-citationAvramovich, A., & Yeari, M. (2023) · Reading & Writing Quarterly · doi:10.1080/10573569.2023.2192705 · Cited by 8 · see citing works
“A version of the visual N-back task was used to measure general updating skill (Jones et al., 2020).”
MethodCelis, G., Casas, M., Mauricio, D., & Santisteban, J. (2023) · International Journal of Interactive Mobile Technologies (iJIM) · doi:10.3991/ijim.v17i06.35259 · Cited by 6 · see citing works
Mao, F., Liu, Z., Fang, Q., & Liu, Y. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07607-4 · Cited by 7 · see citing works
Jaeggi, S. M., Weaver, A. N., Carbone, E., Trane, F. E., Smith-Peirce, R. N., Buschkuehl, M., Flückiger, C., Carlson, M., Jonides, J. J., & Borella, E. (2023) · Aging Brain · doi:10.1016/j.nbas.2023.100083 · Cited by 7 · see citing works
“For example, our group found that participant motivation, as characterized by engagement with a WM training task, was directly related to WM improvements in children with ADHD [37], as well as in young adults [34,51].”
BackgroundSelf-citationHaddick, S., Brown, D. J., Connor, B., Lewis, J. E., Bates, M. I., & Schofield, S. (2022) · Lecture notes in computer science · doi:10.1007/978-3-031-05039-8_25 · Cited by 7 · see citing works
A systematic review and content analysis of serious video games for children with ADHD
Schultz, B. K., Evans, S. W., Carter, K. M., Dembowski, A., Lojinger, K., Murray, E. R., & Walcott, C. M. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1605744 · Cited by 5 · see citing works
Alrefaei, M. M. (2024) · Applied Neuropsychology Child · doi:10.1080/21622965.2024.2362782 · Cited by 6 · see citing works
Looney, L., Wong, E. H., Rosales, K. P., Rosales, F., & Tirado, G. (2022) · School Psychology International · doi:10.1177/01430343221122454 · Cited by 4 · see citing works
“Many studies reported significant results for the effectiveness of training in improving WM in children and adolescents with a broad range of disabilities and academic difficulties (de Oliveira-Rosa et al., 2020; Gray et al., 2012; Jones et al., 2020).”
BackgroundJung, M., Woo, J., Kim, S. J., Lim, Y. B., Kim, Y., Kang, D., Min, J., & Kim, B.-N. (2025) · JMIR Human Factors · doi:10.2196/70479 · Cited by 4 · see citing works
“These gains in inhibitory control, a primary deficit in children with ADHD [62], align with findings from previous studies [20,37].”
Yan, S., He, X., Zhang, Y., Yang, J., Xu, X., Liang, X., Xu, T., Dou, W., Li, B., & Li, Z. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120730 · Cited by 3 · see citing works
Superbia-Guimarães, L., Mariz-Elsig, S., & Camos, V. (2022) · Journal of Educational and Developmental Psychology · doi:10.5539/jedp.v12n1p21 · Cited by 1 · see citing works
“Jones et al., (J. S. Jones et al., 2020) conducted a well-controlled randomized trial with a sample of 95 typically developing children (aged 9 to 14) to compare the effectiveness of a commercial program of cognitive training (Cogmed), a combination of cognitive training and metacognitive strategy…”
BackgroundResultTrinczer, I. L., & Shalev, L. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13237239 · Cited by 2 · see citing works
Archambault, C., Tullo, D., Clark, E., Faubert, J., & Bertone, A. (2021) · Pilot and Feasibility Studies · doi:10.1186/s40814-021-00879-z · Cited by 2 · see citing works
Using Mean Pupil Diameter Change to Analyze Behavioral Performance in Multitasking Training Game
Qiao, H., Tahara, A., Nakphu, N., & Iramina, K. (2022) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc48229.2022.9871751 · Cited by 2 · see citing works
“The fact is, however, that not all participants benefit equally from training, and individual differences in training performance may influence the training effect of the whole group [7], [8].”
BackgroundZhang, D., Johnstone, S. J., Sauce, B., et al. (2022) · doi:10.31234/osf.io/7tnz9 · Cited by 2 · see citing works
Updates on Working Memory Training in Deaf Children with Cochlear Implants
Kronenberger, W. G., & Pisoni, D. B. (2024) · Springer eBooks · doi:10.1007/978-3-031-67188-3_23 · Cited by 1 · see citing works
Mičič, S., Kavčič, V., & Bakračevič, K. (2021) · Psihološka obzorja · doi:10.20419/2021.30.535 · Cited by 1 · see citing works
Nabors, L., Adabla, S., Paul, A., & Toledano‐Toledano, F. (2021) · Springer series on child and family studies · doi:10.1007/978-3-030-81728-2_11 · Cited by 1 · see citing works
Working Memory Models and Assessment Methods: A Review
Abidin, N. A. Z., Yassin, A. I. M., Ali, M. S. A. M., Mansor, W., Azhan, M. N. M., Rozlan, M. F. R. M., Jahidin, A. H., Mahmoodin, Z., & Eskandari, F. (2024) · IEEE International Colloquium on Signal Processing & Its Applications (CSPA) · doi:10.1109/cspa60979.2024.10525366 · Cited by 1 · see citing works
“The N-back task involves computerized visual / auditory WM assessments where subjects respond to a continuous sequence of stimuli [22–25].”
MethodGetting at Underlying Mechanisms of Far Transfer - the Mediating Role of Near TransferPreprint
Pahor, A., Seitz, A. R., & Jaeggi, S. M. (2021) · doi:10.31234/osf.io/q5xmp · Cited by 1 · see citing works
Self-citationPinillos, M. A. C., & Celis, G. (2023) · Universidad Peruana de Ciencias Aplicadas (UPC) · doi:10.19083/tesis/668581
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Jung, M., Woo, J., Kim, S. J., et al. (2024) · doi:10.2196/preprints.70479
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Technological Devices for Developing Working Memory in Children with ADHD: A Systematic Review
Doulou, A., Pergantis, P., Skianis, C. A., & Drigas, A. S. (2026) · Psychiatry International · doi:10.3390/psychiatryint7030104
“When WM updating was trained directly via adaptive n-back, an RCT with 80 children (7–14 y) found near-transfer to an untrained n-back but small/inconsistent changes elsewhere, according to Jones et al. [28].”
Wang, A., Qin, W., Chen, L., & Tuo, W. (2026) · doi:10.2196/preprints.103353
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- Authors
- Jones, M. R., Katz, B., Buschkuehl, M., Jaeggi, S. M., & Shah, P.
- Affiliations
- University of California, Irvine (US)
- Virginia Tech (US)
- MIND Research Institute (US)
- University of Michigan (US)
- Corresponding author
- Jones, Masha R.
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2018-06-07
- Volume
- 24
- Issue
- 5
- Pages
- 704-719
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- PMC
- PMC6445784
- OpenAlex
- W2806377646
- Semantic Scholar
- 04119b07711cd79371327e96adb12b54b52aada3
- Cited by
- 64
- References
- 87
- Citations by year
- 2026: 11 · 2025: 6 · 2024: 8 · 2023: 9 · 2022: 12 · 2021: 10 · 2020: 7 · 2019: 1
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Division of Graduate Education (DGE-1321846)
- Institute of Education Sciences (R324A090164)
- National Institute on Aging (1K02AG054665)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, children, cognitive training, inhibitory control, transfer of training, working memory, active control
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Cognition, Cognition Disorders, Humans, Memory, Short-Term, Treatment Outcome
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