Sharp Brains: Brain Fitness and Cognitive Health News

Brain Fitness/ Training Report Finds Market Growth, Potential, and Confusion

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?”

8) 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.

Nintendo Brain Age/ Training vs. Crossword Puzzles

Nintendo brain-trainer ‘no better than pencil and paper’ (The Times):
“The survey of ten-year-old children found no evidence to support claims in Nintendo’s advertising campaign, featuring Nicole Kidman, that users can test and rejuvenate their grey cells. “The Nintendo DS is a technological jewel. As a game it’s fine,” said Alain Lieury, professor of cognitive psychology at the University of Rennes, Brittany, who conducted the survey. “But it is charlatanism to claim that it is a scientific test.”

Comments: as we have said before, Nintendo Brain Age and Brain Training should be seen as what they are: a game. And the construct of one’s having a  “brain age” makes no sense.

Having said that, the researcher quoted then offers, out of the blue, a highly inaccurate statement:

“The study tested Nintendo’s claims on 67 ten-year-olds. “That’s the age where you have the best chance of improvement,” Professor Lieury said. “If it doesn’t work on children, it won’t work on adults.”

That assertion (that something won’t “work” on adults because it won’t “work” on kids) makes even less sense than having a “brain age”. The Cognitive Reserve research shows the need for lifelong mental stimulation – and the reality is that kids are more exposed to novelty and challenge all the time, whereas older adults may not be. Further, that claim (something that doesn’t “work” on kids won’t “work” on adults) has already been tested and proven wrong:

In a couple of recent trials, discussed here, the same strategy game (Rise of Nations, a complex challenge for executive functions), played for the same number of hours (23)  showed quite impressive (untrained) cognitive benefits in people over 60 – and no benefits in people in their 20s.

How can this be? Well, we often say that our brains need novelty, variety and challenge – and it should be obvious that those ingredients depend on who we are Read the rest of this entry »

The Overflowing Brain: Most Important Book of 2008

We have tracked for several years the scientific studies published by Torkel Klingberg and colleagues, often wondering aloud, “when will educators, health professionals, executives and mainstream society come to appreciate the potential we have in front of  us to enhance our brains and improve our cognitive functions?”

Dr. Klingberg has just published a very stimulating the Overflowing Brain by Torkel Klingsbergpopular science book, The Overflowing Brain, that should help in precisely that direction. Given the importance of the topic, and the quality of the book, we have named  The Overflowing Brain: Information Overload and the Limits of Working Memory  The SharpBrains Most Important Book of 2008, and asked Dr. Klingberg to write a brief article to introduce his research and book to you. Below you have. Enjoy!

Research and Tools to Thrive in the Cognitive Age

By Dr. Torkel Klingberg

Do we all have attention deficits?

The information age has provided us with high technology which fills our days with an ever increasing amount of information and distraction. We are constantly flooded with on-the-go emails, phone calls, advertisements and text-messages and we try to cope with the increasing pace by multi tasking. A survey of workplaces in the United States found that the personnel were interrupted and distracted roughly every three minutes and that people working on a computer had on average eight windows open at the same time. There is no tendency for this to slow down; the amount and complexity of information continually increases

The most pressing concerns with this environment are: how do we deal with the daily influx of information that our inundated mental capacities are faced with? At what point does our stone-age brain become insufficient? Will we be able to train our brains effectively to increase brain capacity in order to Read the rest of this entry »

Top 10 Cognitive Fitness Events of 2008 (Webinar)

We have just announced an upcoming webinar to provide a market update:  Top 10 Cognitive Fitness Events of 2008 – A Market Update.

cognitive fitness When: Thursday December 11th, from 12:00 to 1:00 pm Pacific Time. The same webinar will be repeated on Thursday December 18th, from 9:00 to 10:00 pm Pacific Time.

The Top 10 Cognitive Fitness Events that will be discussed include:

1) February: Dakim secures a $10.6m investment from Galen Partners. Jack LaLanne becomes spokesperson.
2) April: The Government of Ontario, Canada, invests $10m in Baycrest to develop and commercialize cognitive fitness technologies.
3) April: University of Michigan researchers reveal in the Proceedings of the National Academy of Sciences how computerized working memory training can generalize and improve fluid intelligence in healthy adults.
4) May: Humana unveils Games for Health initiatives, not renewing its agreement with Posit Science.
5) June: The US Army launches a new policy requiring cognitive screenings of all soldiers before deployment (in order to Read the rest of this entry »

The Cognitive Health and Fitness Market On The Move

As you have probably seen, the Cognitive Health and Brain Fitness field is rapidly evolving, so let me highlight some of the main recent developments affecting the field:

1) Public policy initiatives:
- The Government of Ontario, Canada, announced a $10m investment in Baycrest Research Center to help develop and commercialize brain fitness technologies. This $10m investment was matched with an additional $10m by local investors.
- In the US, The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 was signed into law, included in the recently-approved economic bailout bill. The passage of this law has significant implications for healthcare providers and technology vendors alike.

2) Computerized Cognitive Assessments Used by the US Military:
The US Army launched a new policy requiring cognitive screenings of all soldiers before deployment (in order to better diagnose potential problems such as PTSD and TBI upon return). ANAM was the selected computerized battery of tests.

3) Venture & Angel Fundraising for Cognitive Training companies:
A number of developers have raised money. CogniFit received $5m (from Milk Capital), Lumos Labs $3m (FirstMark Capital -previously called Pequot Ventures-, Norwest Venture Partners), Scientific Brain Training $1.5m (issued shares), Vivity Labs $1m (undisclosed angel investors), This is, of course, on top of the February $10.6 investment in Dakim (Galen Partners) that we already included in our market report.

4) Major Initiatives by Insurance Companies:
- Allstate launched a large-scale research project to measure impact of Posit Science InSight (visual processing training) on driver safety for adults over 50.
- OptumHealth announced a 3-year, $18m agreement with Brain Resource to offer web-based cognitive assessments as part of clinicians’ decision support systems.
- Humana decided not to renew its agreement with Posit Science to offer Posit’s auditory processing training program to Medicare members.

5) New Research:
- In a significant new study, a team from the University of Michigan published a high-quality paper in the Proceedings of the National Academy of Sciences showing how computerized working memory training can generalize and improve fluid intelligence (one of the domains that tends to decline with age).
- Learning and Teaching Scotland released an internal study showing how Nintendo Brain Training can help children’s math and concentration skills. The study gained significant media attention, despite the fact it hasn’t been published in a respected journal.

Note: This is an excerpt from the 6-Month Market Update we will  release later this month, covering the many important developments that have occurred since we launched the inaugural Brain Fitness Market Report in March this year. This special report will be available exclusively for our Premium Research Sponsors.

Cognitive Ability: Brain Games or Drugs?

A recent scientific study is being welcomed as a landmark that shows how fluid intelligence can be improved through training. I interviewed one of the researchers recently (Can Intelligence Be Trained? Martin Buschkuehl shows how), and contributor Dr. Pascale Michelon adds her own take with the great article that follows. Enjoy!

Reference: Jaeggi, S. M., Buschkuehl, M., Jonides, J., & Perrig, W. J. (2008). Improving Fluid Intelligence With Training on Working Memory. Proceedings of the National Academy of Sciences of the United States of America, 105(19), 6829-6833

——————

What is intelligence?

Intelligence is a concept difficult to define as it seems to cover many different types of abilities.

One definition dissociates between crystallized intelligence or abilities and fluid intelligence. Crystallized intelligence refers to the knowledge acquired throughout life such as vocabulary. Fluid intelligence is the ability that allows us to adapt to new situations or problems.

Read the rest of this entry »

Can Intelligence Be Trained? Martin Buschkuehl shows how

Today I had a great conversation with Martin Buschkuehl, one of the University Martin Buschkuehl of Michigan’s Cognitive Neuroimaging Lab researchers  involved in the cognitive training study that has received much media attention (New York Times, Wired, Science News…) since late April, when the study was published at the Proceedings of the National Academy of Sciences.

Reference: Jaeggi, S. M., Buschkuehl, M., Jonides, J., & Perrig, W. J. (2008). Improving Fluid Intelligence With Training on Working Memory. Proceedings of the National Academy of Sciences of the United States of America, 105(19), 6829-6833 (You can read it here, with subscription).

Before you keep reading, let me clarify a couple of terms:

Read the rest of this entry »

Brain Fitness Update: Use It and Improve It

Here you are have the bi-monthly update with our 10 most Popular blog posts. (Also, remember that you can subscribe to receive our RSS feed, or to our newsletter, at the top of this page, if you want to receive this digest by email).Crossword Puzzles Brain fitness

In this edition of our newsletter we bring a few articles and recent news pieces that shed light on what “Use It or Lose It” means, and why we can start going beyond that to say “Use It and Improve It.”

The Neuron, The Brain, and Thinking Smarter

Read the rest of this entry »

Memory Training and Fluid Intelligence

Quick update: 2 very interesting news, 2 excellent blog carnivals.

1) Forget Brain Age: Researchers Develop Software That Makes You Smarter (Wired). Thanks Senia!

- “In a limited trial, he and his team were able to make 34 test subjects significantly better at answering IQ test questions after training them on a completely separate memory task” 

Read the rest of this entry »

Neuroplasticity 101 and Brain Health Glossary

Given the growing number of articles in the popular press mentioning words such as “neuroplasticity”, “fMRI” and “cognitive reserve”, let’s review some key findings, concepts and terms.

First, a prescient quote by Spanish neuroscientist Santiago Ramon y Cajal (1852-1934): ”Every man can, if he so desires, become the sculptor his own brain“.

fmri.jpgThanks to new neuroimaging techniques, regarded “as important for neuroscience as telescopes were for astronomy”, neuroscientists and cognitive psychologists have been finding that the brain has a number of “core capacities” and “mental muscles” that can be exercised through novelty, variety and practice, and that exercising our brain can influence the generation of new neurons and their connections. Brain exercise is being recognized, therefore, as a critical pillar of brain health, together with nutrition, physical exercise and stress management.

Previous beliefs about our brain and how it works have been proven false. Some beliefs that have been debunked include claims that adult brains can not create new neurons (shown to be false by Berkeley scientists Marian Diamond and Mark Rosenzweig, and Salk Institute’s Fred Gage), notions that working memory has a maximum limit of 6 or 7 items (debunked by Karolinska Institute’s Torkel Klingberg), and assumptions that the brain’s basic processes can not be reorganized by repeated practice (UCSF’s Drs. Paula Tallal and Michael Merzenich). The “mental muscles” we can train include attention, stress and emotional management, memory, visual/ spatial, auditory processes and language, motor coordination and executive functions like planning and problem-solving.

Mental stimulation is important if done in the right supportive and engaging environment. Stanford’s Robert Sapolsky has proven that chronic stress and cortical inhibition, which may be aggravated due to imposed mental stimulation, may prove counterproductive. Having the right motivation is essential.

A surprising and promising area of scientific inquiry is Mindfulness-Based Stress Reduction (MBSR). An increasing number of neuroscientists (such as University of Wisconsin-Madison’s Richard Davidson) are investigating the ability of trained meditators to develop and sustain attention and visualizations and to work positively with powerful emotional states and stress through the directed mental processes of meditation practices.

And now, some keywords:

Brain Fitness Program: structured set of brain exercises, usually computer-based, designed to train specific brain areas and processes in targeted ways.

Chronic Stress: ongoing, long-term stress, which blocks the formation of new neurons and Read the rest of this entry »

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