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Cogmed Working Memory Training
       Informational Webinar


            Pranjal Barma
Agenda

Introduction
Cogmed in brief
What is working memory
Research and Training effects
Cogmed Working Memory Training – a solution
Q&A
Cogmed Working Memory Training is an
evidence-based program that helps children and
adults with attention problems focus better by
improving working memory
Cogmed in Brief

Five days a week for five weeks of computer-based training sessions; supervised
by a coach, trained by Cogmed
80% of Cogmed users see improvements – both in research and in clinical
evaluations
The effects are substantial and lasting
Backed by peer-review published research
Cogmed training works because it is focused, rigorous, and supported
Customers are private psychology/psychiatry practices and schools
Started in Sweden 2001, part of Pearson since 2010
What is working memory?
What is working memory?


            A system that provides temporary
            storage and manipulation of the
            information necessary for such complex
            cognitive tasks as language
            comprehension, learning and
            reasoning.
            (Baddeley, 1992)



            It is the ability to keep information in
            your mind for a short period of time
            (seconds) and be able to use the
            information in your thinking
Working memory is key for
academic performance

Associated with reading (Gathercole & Pickering, 2000) and mathematic (Geary et
al., 2004) ability

10-15% of all students have working memory deficits
(Alloway et al., 2009)

Children with poor working memory make poor academic progress
•Of 300 children with poor working memory (Gathercole & Alloway, 2008):
     o 83% scored poorly on either reading or maths tests
     the vast majority of these scored poorly in both areas
The Development of Working Memory in ADHD
                                                                        Control
                                    Working Memory
                                                                        ADHD

             95

             85

             75

             65
   Correct




             55
             45

             35

             25
             15

             5
                  7,5   8,5   9,5    10,5   11,5   12,5   13,5   14,5    15,5
                                             Age

  Westerberg et al. (2004), Visuo-spatial working memory:
  a sensitive measurement of cognitive deficits in ADHD.
  Child Neuropsychology 10 (3) 155-61.
Signs of working memory constraints

 Is easily distracted when doing something not highly interesting

 Has trouble waiting his/her turn

 Struggles with reading comprehension

 Struggles doing math calculations in his/her head

 Struggles with getting started

 Struggles with completing a task

 Difficulties when planning and organising something with multiple steps

 Often seems restless and on the go

 Loses belongings frequently
Cogmed Working Memory Training - a solution
The Cogmed method for improving working memory

The Training Programmes

    Cogmed RM

    Cogmed QM

    Cogmed JM

Cogmed Coach Training

Coach support

    Cogmed Training Web: start trainings and follow training results

    Material to support the coach in coaching

    Support to coaches (technical and related to coaching)
How do you train your working memory with Cogmed?


                                             Intense training

                                             25 training sessions

                                             30-45 min per session

                                             No settings needed



       The difficulty level will automatically adjust based on the
      performance of the users, so that they will always train on
              the limits of their working memory capacity
Three versions of the software




  Cogmed JM             Cogmed RM             Cogmed QM
Pre-school children   School-age children    Adolescents and
                                                  adults


All three versions of the Cogmed software share the same
underlying design – the difference is in the user interface
The Cogmed Training Web
An online tool for the Cogmed Coach to follow and analyse the trainings


                          Is the user training at
                          his/her optimal level?




                          Where did the user miss trials?

 What time of the
 day did the training
 take place? How
 often is the user
 taking breaks?
Training effects
Improvements from Cogmed Working Memory Training
Double-blind placebo-controlled studies published in peer-reviewed
journals, show that Cogmed training improves:

      Attention

      Impulse control

      Mathematics

      Following instructions

     20 studies published on Cogmed to date, both by the Cogmed
     founders but also by fully independent research teams. More than 30
     ongoing and 40 planned studies.


        For the entire list of published, presented and ongoing studies,
        visit www.cogmed.com/research
Children improve math and listening
skills with working memory training




 Forty-seven children screened for working memory deficits were assigned to the Cogmed
 training or low intensity training conditions.

 Training took place in two UK schools.

 The Cogmed group were associated with substantial and sustained gains in working
 memory, with age-appropriate levels achieved by the majority of children.

 Mathematical ability also improved significantly 6 months following adaptive training.
Summary of research findings
WM is key to attention and learning
WM can be improved by training, using right tool & protocol: Cogmed
WM can be improved at all age levels
The improvement can be shown on three levels: fMRI/PET,
neuropsychological testing and by rating scales
Improved working memory generalises to behavioral improvement
Behavioral improvement is sustained
Effects of WM training are specific: WM and its derived functions are
improved
Training effects are pronounced in populations with a WM constraint, not
diagnostically driven
What do we hear?

-   They   can concentrate better in class                       Students say
-   They   have a better flow with the school work
-   They   remember better
-   They   enjoy school more


                                 -   The   student is calmer
                                 -   The   student concentrates more
Teachers say                     -   The   student performs better on academic tasks
                                 -   The   student has matured


            - The child communicates better
            - The child takes more initiatives on her/his own      Parents say
            - The child self-initiates home work without
              nagging or reminders
            - The child is more independent
Thank you
List of the 20 Cogmed studies published to date



Including:


A) Randomized, Placebo controlled, Double blinded *


B) Independent researchers *


C) Non-independent researchers
*Klingberg et al.,2002                                             * Mezzacappa & Buckner, 2010
Journal of Clinical and Experimental Neuropsychology               School Mental Health


Olsen et al., 2004                                                 *Beck et al., 2010
Nature Neuroscience                                                Journal of Clinical Child and Adolescent Psychology


*Klingberg et al., 2005                                            * Kronenberger et al., 2010
Journal of the American Academy of Child & Adolescent Psychiatry   Journal of Speech, Language, and Hearing Research


Westerberg & Klingberg, 2007                                       * Lundqvist et al., 2010
Physiology & Behavior                                              Brain Injury


Westerberg et al., 2007                                            * Løhaugen et al., 2011
Brain Injury                                                       Journal of Pediatrics


* Holmes et al., 2009                                              Dahlin, 2011
Developmental Science                                              Reading and Writing


McNab et al., 2009                                                 *Gibson et al., 2011
Science                                                            Child Neuropsychology


Thorell et al., 2009                                               *Bergman Nutley et al., 2011
Developmental Science                                              Developmental Science


Brehmer et al., 2009                                               Brehmer et al., 2011
Neuroscience Letters                                               Neuro Image


* Holmes et al., 2010                                              Bellander et al., 2011
Applied Cognitive Psychology                                       Neuropsychologia

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Cogmed india webinar

  • 1. Cogmed Working Memory Training Informational Webinar Pranjal Barma
  • 2. Agenda Introduction Cogmed in brief What is working memory Research and Training effects Cogmed Working Memory Training – a solution Q&A
  • 3. Cogmed Working Memory Training is an evidence-based program that helps children and adults with attention problems focus better by improving working memory
  • 4. Cogmed in Brief Five days a week for five weeks of computer-based training sessions; supervised by a coach, trained by Cogmed 80% of Cogmed users see improvements – both in research and in clinical evaluations The effects are substantial and lasting Backed by peer-review published research Cogmed training works because it is focused, rigorous, and supported Customers are private psychology/psychiatry practices and schools Started in Sweden 2001, part of Pearson since 2010
  • 5. What is working memory?
  • 6. What is working memory? A system that provides temporary storage and manipulation of the information necessary for such complex cognitive tasks as language comprehension, learning and reasoning. (Baddeley, 1992) It is the ability to keep information in your mind for a short period of time (seconds) and be able to use the information in your thinking
  • 7. Working memory is key for academic performance Associated with reading (Gathercole & Pickering, 2000) and mathematic (Geary et al., 2004) ability 10-15% of all students have working memory deficits (Alloway et al., 2009) Children with poor working memory make poor academic progress •Of 300 children with poor working memory (Gathercole & Alloway, 2008): o 83% scored poorly on either reading or maths tests the vast majority of these scored poorly in both areas
  • 8. The Development of Working Memory in ADHD Control Working Memory ADHD 95 85 75 65 Correct 55 45 35 25 15 5 7,5 8,5 9,5 10,5 11,5 12,5 13,5 14,5 15,5 Age Westerberg et al. (2004), Visuo-spatial working memory: a sensitive measurement of cognitive deficits in ADHD. Child Neuropsychology 10 (3) 155-61.
  • 9. Signs of working memory constraints  Is easily distracted when doing something not highly interesting  Has trouble waiting his/her turn  Struggles with reading comprehension  Struggles doing math calculations in his/her head  Struggles with getting started  Struggles with completing a task  Difficulties when planning and organising something with multiple steps  Often seems restless and on the go  Loses belongings frequently
  • 10. Cogmed Working Memory Training - a solution
  • 11. The Cogmed method for improving working memory The Training Programmes  Cogmed RM  Cogmed QM  Cogmed JM Cogmed Coach Training Coach support  Cogmed Training Web: start trainings and follow training results  Material to support the coach in coaching  Support to coaches (technical and related to coaching)
  • 12. How do you train your working memory with Cogmed?  Intense training  25 training sessions  30-45 min per session  No settings needed The difficulty level will automatically adjust based on the performance of the users, so that they will always train on the limits of their working memory capacity
  • 13. Three versions of the software Cogmed JM Cogmed RM Cogmed QM Pre-school children School-age children Adolescents and adults All three versions of the Cogmed software share the same underlying design – the difference is in the user interface
  • 14. The Cogmed Training Web An online tool for the Cogmed Coach to follow and analyse the trainings Is the user training at his/her optimal level? Where did the user miss trials? What time of the day did the training take place? How often is the user taking breaks?
  • 16. Improvements from Cogmed Working Memory Training Double-blind placebo-controlled studies published in peer-reviewed journals, show that Cogmed training improves:  Attention  Impulse control  Mathematics  Following instructions 20 studies published on Cogmed to date, both by the Cogmed founders but also by fully independent research teams. More than 30 ongoing and 40 planned studies. For the entire list of published, presented and ongoing studies, visit www.cogmed.com/research
  • 17. Children improve math and listening skills with working memory training Forty-seven children screened for working memory deficits were assigned to the Cogmed training or low intensity training conditions. Training took place in two UK schools. The Cogmed group were associated with substantial and sustained gains in working memory, with age-appropriate levels achieved by the majority of children. Mathematical ability also improved significantly 6 months following adaptive training.
  • 18. Summary of research findings WM is key to attention and learning WM can be improved by training, using right tool & protocol: Cogmed WM can be improved at all age levels The improvement can be shown on three levels: fMRI/PET, neuropsychological testing and by rating scales Improved working memory generalises to behavioral improvement Behavioral improvement is sustained Effects of WM training are specific: WM and its derived functions are improved Training effects are pronounced in populations with a WM constraint, not diagnostically driven
  • 19. What do we hear? - They can concentrate better in class Students say - They have a better flow with the school work - They remember better - They enjoy school more - The student is calmer - The student concentrates more Teachers say - The student performs better on academic tasks - The student has matured - The child communicates better - The child takes more initiatives on her/his own Parents say - The child self-initiates home work without nagging or reminders - The child is more independent
  • 21. List of the 20 Cogmed studies published to date Including: A) Randomized, Placebo controlled, Double blinded * B) Independent researchers * C) Non-independent researchers
  • 22. *Klingberg et al.,2002 * Mezzacappa & Buckner, 2010 Journal of Clinical and Experimental Neuropsychology School Mental Health Olsen et al., 2004 *Beck et al., 2010 Nature Neuroscience Journal of Clinical Child and Adolescent Psychology *Klingberg et al., 2005 * Kronenberger et al., 2010 Journal of the American Academy of Child & Adolescent Psychiatry Journal of Speech, Language, and Hearing Research Westerberg & Klingberg, 2007 * Lundqvist et al., 2010 Physiology & Behavior Brain Injury Westerberg et al., 2007 * Løhaugen et al., 2011 Brain Injury Journal of Pediatrics * Holmes et al., 2009 Dahlin, 2011 Developmental Science Reading and Writing McNab et al., 2009 *Gibson et al., 2011 Science Child Neuropsychology Thorell et al., 2009 *Bergman Nutley et al., 2011 Developmental Science Developmental Science Brehmer et al., 2009 Brehmer et al., 2011 Neuroscience Letters Neuro Image * Holmes et al., 2010 Bellander et al., 2011 Applied Cognitive Psychology Neuropsychologia