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
 

Given the whole distracting “controversy” of whether Nintendo Brain Age “works” or not, I have started to use the following “brain teasers” in my talks in order to help the audience gain a more useful perspective of what is going on. They worked great both in the Medicare Readmissions Summit in DC a few weeks ago, and at the Games for Heath Conference last week.

Q: How many soldiers in the US Army have gone through computerized cognitive testing before being deployed, and why?
A: Over 150,000, in order to establish an objective starting baseline and identify potential Post Traumatic Stress Disorder (PTSD) and Traumatic Brain Injury (TBI) problems upon their return.

Q: How big is the ongoing investment by OptumHealth, a division of UnitedHealth Group (UNH), in developing computerized cognitive assessments to inform clinical decision-making?
A: over $6m.

Q: How many Allstate policy-holders over the age of 50 have received a computerized cognitive training program to improve their driving safety?
A: Over 8,000, in the state of Pennsylvania.

Q: How many residential communities are offering computerized cognitive training programs to their residents?
A: Over 700, in the US alone, covering independent and assisted living.

Q: How much money has the Government of Ontario invested in setting up a new Centre for Brain Fitness as part of Baycrest research center in order to develop and commercialize technologies to assess and enhance cognitive functions?
A: $10m, matched with another 10m from local investors.

For more on our Cognitive Health Track at Games for Health Conference last week, see this USA Today article:

More doctor’s prescriptions may include brain games to improve mental acuity

(pretty good overall, but please note that SharpBrains didn’t organize the whole conference, “only” the cognitive health track, which was a lot of stimulating fun. Ben Sawyer and team did overall conference).

Brain-fitness games join workplace, as well as senior center, arsenals (MarketWatch)

- “Consumers and retirement homes have made brain-fitness games and exercises a commercial hit, but now some insurers and employers are incorporating them into wellness programs that promote health not just for the body but also for the mind.”

- “Improving brain health can result in less presenteeism, the tendency to be at work but be distracted and not able to focus,” he added. “If you look at disability costs, absenteeism and presenteeism account for most of the medical costs, and that’s a good reason for employers to be focused on brain health.” (according to Dr. Eugene Baker, vice president at OptumHealth’s Behavioral Solutions division)”

The article reviews innovative practices at OptumHealth, Nationwide Auto Insurance Company, Humana, Penn Treaty American Corp, Allstate, and the US Army. I am glad to see the media start to notice the importance of cognitive assessments and the growing activity by insurers. Read the rest of this entry »

How do you know when something is fast moving towards a Gladwellian tipping point? When health insurance companies and public policy makers launch significant initiatives.

For example, the government of Ontario recently announced a $10 million investment with Baycrest Research Centre who will partner with MaRS Venture Group to develop and commercialise brain fitness technologies. The investment was matched by an additional $10 million from private sources.

Another important development was the $18 million agreement between the Australian-based Brain Resource Company (ASX:BRC) and OptumHealth in the US. This will allow for the provision of web-based cognitive assessments as part of a clinician’s decision support systems.

These are some initiatives covered in a webinar Top Ten Cognitive Fitness Events of 2008 presented in December for SharpBrains’ clients. Alvaro Fernandez described the state of play and main drivers behind the growth of the burgeoning brain fitness market – which I will try and summarize here.

The key drivers seem to be Read the rest of this entry »

The Alzheimer’s Foundation of America just released a thoughtful report advocating for widespread cognitive screenings after the age of 65 (55 given the right conditions).

According to the press release,

- “The report shatters unsubstantiated criticism and instead emphasizes the safety and cost-effectiveness of these tools and calls on Congress to develop a national dementia screening policy.”

- “Lifting the barriers to early detection is long overdue,” Hall said. “Conversations about brain health are not taking place. We must educate and empower consumers to talk openly about memory concerns, particularly with primary care providers, so they get the attention and quality of life they deserve.”

- “Demand for screenings is evidenced by the success of AFA’s recent sixth annual National Memory Screening Day held on November 18, during which an estimated 50,000 people were given free confidential memory screenings at nearly 2,200 community sites nationwide. During last year’s event, approximately 16 percent of individuals who had a face-to-face screening scored positive and were referred to their primary care providers for follow-up. An AFA survey of participants revealed that fewer than one in four with self-reported memory complaints had previously discussed them with their physicians despite recent visits.”

Excellent report available: here

Please note that the Alzheimer’s Association recently argued in the opposite direction (no screenings) – which probably triggered this response.

We see emerging trends that suggest the position in favor of cognitive assessments may in fact gather momentum over the next few years: widespread computerized cognitive screenings in the US Army, insurance companies like OptumHealth adding such tools to its clinical decision-making systems, polls such as the American Society of Aging’s a couple of years ago indicating a very strong demand for an “annual mental check-up”, the availability of useful assessment tools and research-based preventive advice.

The starting point is to understand what those assessments are NOT: they are not diagnostic tools. When used properly, they can be used as a baseline to track performance in a variety of cognitive domains over time, so that both the individual AND the physician are not blinded by a one-time assessment, comparing an individual with his or her peers (instead of his or her past performance) when serious symptoms have frequently already been going on for a while.

Our contributor  Dr. Joshua Silverman, from Albert Einstein College of Medicine, recently generated a nice debate on the topic by asking our readers their reaction to these 3 questions: Read the rest of this entry »

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

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 »

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.

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 »

Very good article in the LA Times today. Like a StairMaster for the brain: Can mental workouts improve the mind’s agility? Baby boomer concerns stimulate an industry expansion.

The reporter, Melissa Healy, reviews the healthy aging segment in the Brain Fitness field. A few selected quotes:

- “There is plausibility, both biological and behavioral, to the claim that these may work,” says Molly Wagster, chief of the National Institute on Aging’s neuropsychology branch. “But it is still a situation of ‘buyer beware.’ ”

- “I see this as a new frontier of fitness overall,” says Alvaro Fernandez, founder and chief executive of the website SharpBrains .com, which tracks the business and science of brain-training. Americans already understand the value of physical fitness as a means of preserving the body’s proper function and preventing age-related diseases, says Fernandez. He predicts that cognitive fitness will become a goal to which Americans equally aspire as we learn more about aging and the brain.
- (Dr. Elkhonon) Goldberg, who provides scientific advice on the website http://www.sharpbrains.com/, says that as neuroscientists use imaging technologies to “see” the cellular changes that come with learning, he grows more confident that well-designed training programs can have discernible everyday effects in preserving or repairing the intellectual function of older adults. “This is shared hardware” that’s being changed in the brain, “and to the extent you somehow enhance it, that will have wide-ranging effects,” Goldberg says. “It provides a much more compelling raison d’être for this whole business.”

The article adds that “Americans this year are expected to invest $225 million in these programs — up from just $70 million in 2003 — in an effort to tune up the brain, strengthen the memory and forestall or reverse the cognitive slippage that often comes with age, psychiatric disease, stroke or medical treatments.”

Our breakdown for those 2007 US predictions are as follows: $80m for the Consumer segment, $60m in K12 Education, $50m in Clinical applications, and $35m in the Corporate segment. The Consumer segment, with a healthy aging value proposition, is the most recent one but the most rapidly growing.

Read the full article: Like a StairMaster for the brain.

PS: the article also says “In the last three years, these brainpower-boosting programs have proliferated, with names like MindFit, Happy Neuron, Brain Fitness and Lumosity.”.. if there are reporters reading this, please avoid future confusion by naming Posit Science’s program “Posit Science Brain Fitness Program 2.0″. Brain Fitness refers to the full category.