SharpBrains

Working memory is our ability to store and manipulate information for a brief time. It is typically measured by dual-tasks, where the individual has to remember an item while simultaneously processing a sometimes unrelated piece of information. A widely used working memory task is the reading span task where the individual reads a sentence, verifies it, and then recalls the final word. Individual differences in working memory performance are closely related to a range of academic skills such as reading, spelling, comprehension, and mathematics. Crucially, there is emerging research that working memory predicts learning outcomes independently of IQ. One explanation for the importance of working memory in academic attainment is that because it appears to be relatively unaffected by environmental influences, such as parental educational level and financial background, it measures a student’s capacity to acquire knowledge rather than what they have already learned.

However little is known about the consequences of low working memory capacity per se, independent of other associated learning difficulties. In particular, it is not known either what proportion of students with low working memory capacities has significant learning difficulties or what their behavioral characteristics are. The aim of a recent study published in Child Development (reference below) was to provide the first systematic large-scale examination of the cognitive and behavioral characteristics of school-aged students who have been identified solely on the basis of very low working memory scores.

In screening of over 3000 school-aged students in mainstream schools, 1 in 10 was identified as having working memory difficulties. There were several key findings regarding their cognitive skills. The first is that the majority of them performed below age-expected levels in reading and mathematics. This suggests that Continue Reading »

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.

Neurofeedback - also known as EEG Biofeedback - is an approach for treating ADHD in which individuals are provided real-time feedback on their brainwave patterns and taught to alter their typical EEG pattern to one that is consistent with a focused, attentive state. This is typically done by collecting EEG data from individuals as they focus on stimuli presented on a computer screen. Their ability to control the stimuli, for example, keeping the smile on a smiley face, is contingent on maintaining the particular EEG state being trained. According to neurofeedback proponents, learning how to do this during training generalizes to real world situations and this results in improved attention and reduced hyperactive/impulsive behavior.

Neurofeedback treatment for ADHD has been controversial in the field for many years and remains so today. Although a number of published studies have reported positive results many prominent ADHD researchers believe that problems with the design of these studies preclude concluding that neurofeedback is an effective treatment. These limitations have included the absence of random assignment, the lack of appropriate control groups, raters who are not 'blind' to children's treatment status, and small samples. For additional background, you can find a recent review I wrote on existing research support for neurofeedback treatment of ADHD - along with links to extensive reviews of several recently published studies -: How Strong is the Research Support for Neurofeedback in Attention Deficits?

- Results from a New Study of Neurofeedback -

Recently, a study of neurofeedback treatment for ADHD was published that addresses several limitations that have undermined prior research [Gevensleben, et al., (2009). Is neurofeedback an efficacious treatment for ADHD? A randomized controlled clinical trial. Journal of Child Psychology and Psychiatry.]

The study was conducted in Germany and began with 102 children aged 8 to 12. All had been carefully diagnosed with ADHD and approximately over 90% had never received medication treatment. About 80% were boys. Children were randomly assigned to Continue Reading »

Here you have SharpBrains' 30 most popular articles, ranked by the number of people who have read each article in 2008.

Please note that, since the first article already includes most of our most popular brain teasers, we have excluded teasers from the rest of the ranking. (If those 50 are not enough for you, you can also try these brain teasers).

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Like all psychiatric disorders, ADHD is diagnosed based on the presence of particular behavioral symptoms that are judged to cause significant impairment in an individual's functioning, and not on the results of a specific test. In fact, recently published ADHD evaluation guidelines from the American Academy of Pediatrics (AAP) explicitly state that no particular diagnostic test should be routinely used when evaluating a child for ADHD.

While most ADHD experts would agree that no single test could or should be used in isolation to diagnose ADHD, there are several important reasons why the availability of an accurate objective test would be useful.

First, many children do not receive a careful and comprehensive assessment for ADHD but are instead diagnosed with based on evaluation procedures that are far from optimal.

Second, although AAP guidelines indicate that specific diagnostic tests should not be routinely used, many parents are concerned about the lack of objective procedures in their child's evaluation. In fact, many families do not pursue treatment for ADHD because the the absence of objective evaluation procedures leads them to question the diagnosis. You can read a review of an interesting study on this issue at www.helpforadd.com/2006/january.htm

For these reasons an accurate and objective diagnostic test for ADHD could be of value in many clinical situations. Two important conditions would have to be met for such a test to be useful.

First, it would have to be highly sensitive to Continue Reading »

Here you have the twice-a-month newsletter with our most popular blog posts. Please remember that you can subscribe to receive this Newsletter by email, simply by submitting your email at the top of this page.

News and Events

Brain Health Promotion by the American Society on Aging: You may be interested in the excellent agenda the American Society on Aging has put together for health professionals, from September 2-5th in San Francisco, devoting a full day to Brain Health. Alvaro will participate in 3 of the sessions, including giving a keynote on the Future of Brain Health.

Can Google Kill Neurons and Rewire Your Whole Brain?: The Atlantic Monthly published an article titled Is Google Making Us Stupid, which basically blamed Google for literally rewiring our brains into more stupid brains (not being able to pay attention, read deep books...). We are not very impressed by the superficial treatment given to this very important topic.

Mobile Brain Training, Scientific Learning, and More News: Overview of cognitive health and fitness news, including recent research on how physical exercise can help diagnosed Alzheimer's patients, the new Mac version of Posit Science's auditory processing training program, and more.

Market Analysis

Top 10 Brain Health Predictions: In an emerging market, like brain health and training, it is difficult to make precise projections. Here we point out a number of trends that executives, consumers, public policy makers, and the media should watch closely in the coming years. Your feedback is very welcome...we will give a complimentary copy of our market report to the person who provides the most insightful additional prediction by August 10th.

Cognitive Health Pioneers: Thank You! The quality and variety of our client list brings up the cross-sector demand for quality information in the emerging brain fitness/ cognitive health category. And it helps us prioritize efforts and coverage of market and research news and trends.

Research Analysis

Encephalon blog carnival: Brain & Mind Research: We hosted Encephalon´s 50th edition, where you will find a selection of superb blog posts on all things Brain and Mind. Examples? you may enjoy Facebook Ate My Psychiatrist or perhaps the Compulsive Collecting of Toy Bullets and Televisions.

Attention Deficits At Work: Dr. Pascale Michelon provides an in-depth overview of a recent study by Ron de Graaf and colleagues,  in which they found that an average of 3.5% of workers (in ten countries) meet the criteria for adult ADHD, In the US, the percentage increased to 4.5%. This has clear effects on productivity.

Education and Learning

Learning & the Brain: Resources for Educators: Educator Laurie Bartels reviews her favorite brain resources for teaching and learning: books, conferences, and websites.

Brain Teasers

Top 25 Brain and Mind Haikus. Yours?: Readers have contributed a good number of haikus on brain-related topics. You can follow the link to check out our Favorite 7, and many other fun ones...which ones do you like the most?

We have all heard about children who have Attention Deficit/Hyperactivity Disorder (AD/HD). Indeed, this condition seems to affect 5 to 8% of school age children. Have you ever wondered what happen to these children? As many as 60% of them become adults presenting AD/HD symptoms! Ron de Graaf and colleagues recently published a study in which they found that an average of 3.5% of workers (in ten countries) meet the criteria for adult ADHD. As you can imagine, being an adult with AD/HD can be a challenge at work.

Before we explore this issue let’s start by describing the symptoms of ADHD.

What is adult AD/HD?

AD/HD is a disorder of the brain. Research clearly indicates that AD/HD is to a large extent genetic, that is it tends to run in families. However, AD/HD is a complex disorder and other causal factors may be at play.

Typically, the symptoms arise in early childhood, unless they are associated with some type of brain injury later in life. Some people have mild AD/HD with only a few symptoms while others have more serious AD/HD with more symptoms.

Symptoms of inattention (adapted from the DSM-IV)

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Here you are have the twice-a-month newsletter with our 10 most popular blog posts. Please remember that you can subscribe to receive this Newsletter by email, simply by submitting your email at the top of this page.

Our first Brain Training/ Fitness Webinar Series was a success with several hundred participants and great feedback. If you could not participate, you can still review the presentation slides by clicking Here. A key message from the series: it is exciting that our brains remain more flexible, at all ages, than was once thought possible. The implications? Every single owner of a brain can benefit from learning more about how to maintain the "It" in "Use It or Lose It." And which tools, if any, can be helpful. But, remember, there are no magic pills for cognitive health and performance.

Market News

National Neurotechnology Initiative: Neurotech leaders ask for help to support a pending bill on funding for applications of brain research.

Lumos Labs raises $3 m in venture capital:  This website provides a stimulating Continue Reading »

As noted in our Market Report, we expect  the field of cognitive training (or "brain fitness") software to grow in a variety of education and health-related areas over the next years. One of the most promising areas in our view: helping children and adults with attention deficits improve brain function to reduce ADHD symptoms.

I am glad to present this in-depth discussion on the results of two recent high-quality scientific studies. Let me start with Dr. Rabiner's conclusion:

"Results from these two cognitive training studies highlight that cognitive training interventions may provide an important complement to traditional medication treatment and behavior therapy. Both studies included appropriate control groups, employed random assignment, and had outcome measures provided by individuals who were "blind" to which condition children were assigned to. They are thus well-designed studies from which scientifically sound conclusions can be drawn. They add to the growing research base that intensive practice and training focused of key cognitive skills can have positive effects that extend beyond the training situation itself."

Without futher ado...enjoy the article!

- Alvaro

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Two New Cognitive Training Studies for ADHD Yield Promising Findings  

-- By Dr. David Rabiner

Although medication treatment is effective for many children with ADHD, there remains an important need to explore and develop interventions that can complement or even substitute for medication. This is true for a variety of reasons including:

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Here you are have the twice-a-month newsletter with our 10 most popular blog posts. Please remember that you can subscribe to receive this Newsletter by email, simply by submitting your email at the top of this page.

A crucial topic we cover is, "How can we use emerging technologies to keep our brains healthy and productive as long as possible?"  The American Society on Aging asked Alvaro to exercise his brain...and here are his thoughts on the current state and future of the brain fitness market: Brain Health Business Grows With Research and Demand

Announcements

Brain Training Presentation and Seminars: We had an informative webinar this Tuesday. Click here to view the presentation and learn about upcoming events.

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