Press release: “Leader in cognition measurement integrates into UBC to maximize measurement precision of pivotal endpoints and ensure data integrity. United BioSource Corporation (UBC) today announced the acquisition of CDR”

Press release (09/10/09): Here

Analysis for members of SharpBrains Network for Brain Fitness Innovation: Here

For context, see our previous article titled Computerized Cognitive Assessments: opportunities and concerns, focused on the OptumHealth – BrainResource partnership and innovative work by the US Army.

Here you have the August edition of our monthly newsletter covering cognitive health and brain fitness topics. Please remember that you can subscribe to receive this Newsletter by email, using the box at the top of this page.

Scientific publication Frontiers in Neuroscience recently published a special issue on Augmenting Cognition, and invited me to contribute with an article titled Preparing Society for the Cognitive Age. Groundbreaking brain research has occurred over the last 20 years. The opportunity to improve brain health and performance is immense, but we need to ensure the marketplace matures in a rational and sustainable manner, both through healthcare and non-healthcare channels. Click Here to read my article.

Announcements

In May 2009 SharpBrains published The State of the Brain Fitness Software Market 2009, the main industry report for leading organizations preparing their members, their clients, and their patients for the cognitive age. 150-pages long, the report includes a market survey with 2,000+ respondents, detailed analysis of 20+ vendors, research briefs written by 12 leading scientists and data and trends for 4 major customer segments.

Below we share the full Executive Summary of the report and announce an exclusive webinar on September 29th to discuss the State of the Market in more depth with buyers of the report.

To order the report and access both the report and the webinar, you can click Here. (Only $975 -a 25% discount- using Discount Code Frontiers2009 before September 28th).

State of the Market
 

After many many months of mental stimulation, physical exercise and the certain need for stress management… we have just announced the release of the The State of the Brain Fitness Software Market 2009 report, our second annual comprehensive market analysis of the US market for computerized cognitive assessment and training tools. In this report we estimate the size of the US brain fitness software market at $265M in 2008, up from $225M in 2007 (18% annual growth), and from $100m in 2005. Two segments fuelled the market growth from 2007 to 2008: consumers (grew from $80m to $95m) and healthcare & insurance providers (grew from $65m to $80m).

The 150-page report finds promising research and initiatives to drive significant growth, combined with increased consumer confusion given aggressive marketing claims and lack of education and standards. The report includes:
- The complete results of an exclusive January 2009 Survey with 2,000+ respondents
- A proprietary Market & Research Momentum Matrix to categorize 21 key vendors into four categories
- 10 Research Executive Briefs written by leading scientists at prominent research labs
- An analysis of the level of clinical validation per product and cognitive domain

Top 10 Highlights from the report:

1) Consumers, seniors’ communities and insurance providers drove year on year sustained growth, from $225m in 2007 to $265m in 2008. Revenues may reach between $1 billion to $5 billion by 2015, depending on how important problems (Public Awareness, Navigating Claims, Research, Health Culture, Lack of Assessment) are addressed.

2) Increased interest and confusion: 61% of respondents Strongly Agree with the statement “Addressing cognitive and brain health should be a healthcare priority.” But, 65% Agree/Strongly Agree “I don’t really know what to expect from products making brain claims.”

3) Investment in R&D seeds future growth: Landmark investments by insurance providers and government-funded research institutes testing new brain fitness applications planted new seeds for future growth.

4) Becoming standard in residential facilities: Over 700 residential facilities – mostly Independent and Assisted Living facilities and CCRCs – have installed computerized cognitive training programs.

5) Customer satisfaction: Consumers seem more satisfied with computer-based products than paper-based options. But, satisfaction differs by product. When asked “I got real value for my money”, results were as follows: Lumosity.com (65% Agree), Puzzle Books (60%), Posit Science (52%), Nintendo (51%) agreed. Posit Science (53% Agree) and Lumosity.com (51%) do better than Puzzle Books (39%) and Nintendo (38%) at “I have seen the results I wanted.”

6) Assessments: Increasing adoption of computer-based cognitive assessments to baseline and track cognitive functions over time in military, sports, and clinical contexts. The Alzheimer’s Foundation of America now advocates for widespread cognitive screenings after 65-75.

7) Specific computerized cognitive training and videogames have been shown to improve brain functions, but the key questions are, “Which ones”, and “Who needs what when?”

Aggressive marketing claims are creating confusion and skepticism, resulting in a distracting controversy between two misleading extremes: (a) “buying product XYZ can rejuvenate your brain Y years” or (b) “those products don’t work; just do one more crossword puzzle.” The upcoming book The SharpBrains Guide to Brain Fitness aims to help consumers navigate these claims.

9) Developers can be classified into four groups, based on a proprietary Market and Research Momentum Matrix: SharpBrains finds 4 Leaders, 8 High Potentials, 3 Crosswords 2.0, and 6 Wait & See companies.

10) Increased differentiation: Leading companies are better defining their value proposition and distribution channels to reach specific segments such as retirement communities, schools, or healthcare providers.

Leading researchers prepared 10 Research Executive Briefs:
- Dr. Joshua Steinerman (Einstein-Montefiore): Neuroprotection via cognitive activities
- Dr. Jerri Edwards (South Florida): Assessments of driving fitness
- Dr. Susanne Jaeggi and Dr. Martin Buschkuehl (Bern, Michigan): Working memory training and fluid intelligence
- Dr. Torkel Klingberg (Karolinska): Working memory training, dopamine, and math
- Dr. Liz Zelinski (UC Davis): Auditory processing training
- Dr. David Vance (UAB): Speed-of-processing training
- Dr. Jerri Edwards (South Florida): Cognitive training for healthy aging
- Dr. Daphne Bavelier & Dr. Shawn Green (Rochester): Action videogames and attentional skills
- Dr. Arthur Kramer (Illinois): Strategy videogames and executive functions
- Dr. Yaakov Stern (Columbia): The cognitive reserve and neuroimaging
- Dr. David Rabiner (Duke): Objective assessments for ADHD

Table of Contents

Editorial
Executive Summary
Chapter 1. Bird’s-Eye View of the Growing Field
Chapter 2. Market Survey on Beliefs, Attitudes, Purchase Habits
Chapter 3. The Emerging Competitive Landscape
Chapter 4. The Science for Brain Fitness and Cognitive Health
Chapter 5. Consumers – Adopting Crosswords 2.0?
Chapter 6: Healthcare and Insurance Providers – A Culture of Cognitive Health
Chapter 7: K12 School Systems- Ready for Change?
Chapter 8: Military, Sports Teams, Companies – Brain-Performance Link
Chapter 9: Future Directions – Projections and Bottlenecks

Companies profiled include: Advanced Brain Technologies, Applied Cognitive Engineering, Brain Center America, Brain Resource, CNS Vital Signs, Cogmed, Cogstate, CogniFit, Cognitive Drug Research, Dakim, Houghton Mifflin, Learning Enhancement Corporation, LearningRx, Lumos Labs, Marbles: The Brain Store, Nintendo, NovaVision, Posit Science, Scientific Brain Training, Scientific Learning, TransAnalytics, vibrantBrains, Vigorous Mind, Vivity Labs.

More on the report by clicking on The State of the Brain Fitness Software Market 2009.

Just saw a very interesting press release regarding computer-based neurocognitive assessments – a critical part of the brain fitness puzzle. How long will it take before consumers can have access to a reliable and credible annual “mental check-up”/ cognitive baseline?

HeadMinder Cognitive Stability Index: Computerized Neurocognitive … (Press release)

- “The HeadMinder web-based Cognitive Stability Index (CSI) has proven more useful for blast-concussion detection than the ANAM computerized test battery the DoD currently employs. The CSI provides an immediate solution to clear the backlog of 400,000 IED-exposed service members in less than two years.”

- “The CSI is a 30-minute, Internet-based, computerized test that provides automated, objective measures of attention, memory, response speed, and processing speed for initial evaluation of cognitive functioning. The CSI produces standardized reports that enable triage and decision-making appropriate to a user’s qualifications – from medic to neuropsychologist to neurologist and other treatment team members.”

We covered this emerging type of assessments in the article Computerized Cognitive Assessments: opportunities and concerns

- “In fact, one of the Read the rest of this entry »

Over the next weeks we are going to be sharing the Executive Summary of our market report The State of the Brain Fitness Software Market 2008 with members and clients of several partner organizations (the British Columbia Seniors Living Association, where I will be speaking this Thursday, Neurotech Reports, where I will speak on October 24th, and the Health 2.0 conference, where we are sponsoring a panel on gaming for health), so it is only fair that we first share it with our own readers.

Executive Summary

A spate of recent global news coverage on brain fitness and brain training reflects a growing interest in natural, non drug-based interventions to keep our brains sharp as we age. This interest is very timely, given an aging population, increasing prevalence of Alzheimer’s rates, and soaring health care costs in the US that place more emphasis than ever on prevention and lifestyle changes.

US brain fitness market: significant and growing

We estimate the size of the US brain fitness market was $225m in 2007 – more than double what it was in 2005. Whereas K12 school systems were the largest buyers in 2005, consumers were responsible for most of the growth from 2005 to 2007. We estimate that the consumer segment grew from a few million in 2005 to $80m in 2007, and foresee significant market growth driven not only by consumers but also by healthcare and insurance providers.

Market dynamics

As we speak to diverse audiences about this emerging field around the country we are frequently asked the following questions:

- Why are we talking about the brain fitness field at all?

Over the past decade, teams backed by neuroscientists around the world Read the rest of this entry »

You know your weight. And your physical fitness. And a variety of health-related metrics.

What about your brain fitness?

Two recent announcements bring out how the assessment of cognitive abilities, or brain functions, is increasingly being done thanks to new computerized options:

1) Last week, OptumHealth announced an exclusive 3-year agreement (estimated at $18m) with the Australian company Brain Resource. OptumHealth will be embedding the Brain Resource platform into their overall Behavioral Solutions program.

- OptumHealth Behavioral Solutions will work with Brain Resource to provide clinicians with a Web-based assessment that measures general cognition (how people process information) and social cognition (how people manage their emotions). This 40-minute assessment is based on well-known and validated tests of memory, attention, executive function, and response speed, and mood, social skills and emotional resilience.

Read the rest of this entry »

A few colleagues referred me over the weekend to a very nice article at business publication Portfolio.

While the article does an excellent job at introducing the reader to the concept and promise of computerized cognitive assessments, it also contributes to the mythology of “Brain Age”.

Let’s first take a look at the article How Smart Are You: The business of assessing cognition and memory is moving from testing brain-impaired patients to assessing healthy peoples’ brains online.

A couple of quotes:

- “Cognitive Drug Research is one a handful of businesses, most of them outside of the U.S., that work with pharmaceutical companies to test how new drugs for everything from nicotine addiction to Alzheimer’s disease affect the mind’s ability to remember things, make decisions, and analyze information.”

- “Cognitive tests have been around for a century as examinations taken with paper and pencil. In the 1970s and ’80s the tests shifted to computers, Cognitive Drug Research founder Keith Wesnes says.

So far, so good. In fact, one of the key highlights from the market report we released in March was that “Large-scale, fully-automated cognitive assessments are being used in a growing number of clinical trials. This opens the way for the development of inexpensive consumer-facing, baseline cognitive assessments.” And we profiled a few leading companies in the space: Brain Resource Company, Cognitive Drug Research, CNS Vital Signs and CogState.

Now, the article is accompanied by a 5-7 minute quick test that promises to give us our “Brain Age”. And this doesn’t come from Nintendo, but from Cognitive Drug Research, a respected science-based company.

You can check it out Read the rest of this entry »

Growing media attention on the brain fitness field. At least on the “Healthy Aging” segment (I predict the media with catch up soon with developments in other areas, from cognitive training for kids and adults with ADD/ ADHD to stroke and TBI rehabilitation, to peak performance for corporate training).

First, a superb article by Leslie Walker at the Washington Post: Cross-Training Your Brain to Maintain Its Strength

Quotes: ”A growing body of research suggests that mental activity in middle age and earlier can help later in life. As a result, Web sites such as HappyNeuron.com are springing up to offer online games to people of all ages, while blogs like SharpBrains.com provide commentary on the fledgling industry.” (Note: we can also provide commentary on the commentary!)

“People who engage in very challenging tasks — not just in work but during leisure activities such as reading, crossword puzzles, bridge, chess and travel — tend to slow down their mental aging process very significantly,” says Breznitz, who is also a member of Israel’s legislature and has developed a brain-training program called MindFit.”

“Also contributing to the brain workout boom are state-of-the-art imaging techniques that have allowed scientists to validate a theory developed decades ago. By taking detailed pictures of brain neurons, scientists watch parts of the brain that had seemed dormant light up and assume new responsibilities in response to stimuli. Theoretically, this means brain decay can be halted or even reversed.”

“The brain is constantly rewiring and recalibrating itself in response to what you do,” says Henry Mahncke, who holds a PhD in neuroscience and is vice president of Posit Science, the San Francisco developer of the Brain Fitness software. “It remakes itself into a more efficient operation to do the things you ask it to do.”

Comments: the article touches many key points. I especially enjoy the quote “To be effective, scientists say mental activity must become progressively more challenging. Otherwise, the brain adjusts and learns to perform repetitive tasks with less effort”, a key message I make often in my lectures to explain why well-designed programs can be more effective than doing crossword puzzle number 512,789. The article also relates how many retirement communities and senior centers and individuals are trying out the new brain fitness programs coming to market, and shows some healthy skepticism on the state of the research. Now, this is an invitation to the reporter to interview neuropsychologist Dr. Elkhonon Goldberg to get the full picture of the science behind the field, since these programs haven’t appeared in a vacuum. Our 10-Question Evaluation Checklist can provide useful guidance to anyone considering a program.

Boomers use online brain games to stave off dementia (AccountingWeb)

Quotes: “The Internet offers a plethora of brain games for those who don’t subscribe to a daily newspaper or don’t want to purchase games. AARP, for example, offers plenty of free games on its site. More games appear at SharpBrains.com, including a page that contains the Top Ten Neuroscience Brainteasers, and you can sign up to have the College Board e-mail you the SAT question of the day.”

“The generation that refuses to age is not going to sit back and wait for Alzheimer’s Disease and other signs of dementia to take hold. Instead, savvy Baby Boomers are expanding their minds (no, not the way they did in the 60s) with the aid of the computer, puzzles, and games. A brain health movement is sweeping Read the rest of this entry »