(Please note that this is my per­sonal take at the dis­cus­sions that took place in Dubai as part of the Global Agenda Coun­cil on the Chal­lenges of Geron­tol­ogy put together by the World Eco­nomic Forum, and builds on the work of my col­leagues, but it does not rep­re­sent a for­mal doc­u­ment or state­ment of posi­tion. Sim­ply put, we would like to engage your brain in defin­ing the chal­lenges and outlining/ exe­cut­ing the solutions).

Con­text: The Chal­lenges of the Aging Society

The world is aging. This is occur­ring in two ways: through shifts in the age struc­ture that will even­tu­ally lead to many more peo­ple reach­ing older ages than ever before, and through con­tin­ued suc­cess in extend­ing life. Less than 100 years ago, life expectancy was between 30 to 40 years. Today, close to 800 mil­lion cit­i­zens are 60 and over.

And aging in health­ier ways. Aging has incor­rectly been asso­ci­ated with decline and decay, when in fact many peo­ple live healthy into older ages. There has been a syn­chro­nous exten­sion in life expectancy and qual­ity of life — the aver­age 65-year-old today is much health­ier, phys­i­cally and men­tally, than the aver­age 50-year-old of 100–150 years ago — when most exist­ing insti­tu­tions were envi­sioned and created.

Healthy life can be fur­ther extended with exist­ing knowl­edge. The fact is the onset and pro­gres­sion of fatal and dis­abling dis­eases, dis­or­ders, and dis­abil­ity can be post­poned using well-researched basic mea­sures of pub­lic health, envi­ron­men­tal and behav­ioural changes, and med­ical tech­nol­ogy inter­ven­tions. The same meth­ods may be used to improve or main­tain men­tal and phys­i­cal functioning.

Our health­care and retire­ment sys­tems are on bank­ruptcy track — their premises are out­dated. Exist­ing insti­tu­tions, poli­cies and atti­tudes do not reflect the points out­lined above, hav­ing been devel­oped for a soci­ety that no longer exists. We need to get on the right track: Read the rest of this entry »

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.

Have you ever won­dered how we can main­tain Sharp­Brains’ web­site, blog and newslet­ter with­out sell­ing any prod­ucts and with only lim­ited adver­tis­ing? The answer is, we offer mar­ket research to orga­ni­za­tions such as health­care providers, research cen­ters, tech­nol­ogy devel­op­ers, ven­ture cap­i­tal firms, con­sult­ing and train­ing com­pa­nies, and more.

Our new Pre­mium Research Spon­sors pro­gram will allow pio­neer­ing orga­ni­za­tions to col­lab­o­rate with us to shape the future of the brain fit­ness and cog­ni­tive health field, by spon­sor­ing and access­ing the most up-to-date infor­ma­tion on the sci­ence and best prac­tices to assess and improve cog­ni­tive func­tion­ing across the lifes­pan. You can learn more about the Pre­mium Research Spon­sors pro­gram Here.

Mar­ket News

The Cog­ni­tive Health and Fit­ness Mar­ket On The Move: As you have prob­a­bly seen, the Cog­ni­tive Health and Brain Fit­ness field is rapidly evolv­ing. Here we high­light some of the main devel­op­ments affect­ing the field over the last 6-months: pub­lic pol­icy ini­tia­tives in Canada and the US, the grow­ing role of com­put­er­ized assess­ments, sev­eral ven­ture cap­i­tal rounds, major ini­tia­tives by insur­ance com­pa­nies, and sig­nif­i­cant research findings.

The Big Picture

Exec­u­tive Sum­mary of the Brain Fit­ness Mar­ket: Let’s step back and ask our­selves, “Why is the field evolv­ing in such a fast way? What is hope, what is hype, what is real­ity?” 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, the increased preva­lence of Alzheimer’s rates, and soar­ing health care costs in the US that place more empha­sis than ever on pre­ven­tion and lifestyle changes. This arti­cle sum­ma­rizes the main mar­ket dynam­ics, open ques­tions, and top trends to watch for.

Nour­ish­ing Our Brains and Minds

Phi­los­o­phy as the Miss­ing Link in School Cur­ric­ula: Kim­berly Wick­ham answers pro­vides some good answers to the ques­tion, “Why would any­one want to teach phi­los­o­phy to pre-adolescent chil­dren? that will engage your crit­i­cal think­ing skills.

A User’s Guide to Life­long Brain Health: Drs Simon Evans and Paul Burghardt hope (as we do) that the emerg­ing empha­sis on cog­ni­tive exer­cise and fit­ness helps com­ple­ment –not sub­sti­tute– other lifestyle fac­tors impor­tant for the “phys­i­cal health of the brain and all the sys­tems it com­mu­ni­cates with”. Think: nutri­tion, exer­cise, sleep.

Excel­lent Reader Com­ments: Our last newslet­ter gen­er­ated a round of excel­lent  com­ments by read­ers on cog­ni­tive train­ing, Posit Sci­ence and Alzheimer’s Aus­tralia, geron­tol­ogy and the brain, and the value of videogames. Come enjoy this col­lec­tive wis­dom and par­tic­i­pate as you wish.

Brainy Haikus:
river with haikus
flow­ing in since the sum­mer
keep­ing  us afloat

The Chal­lenges of Geron­tol­ogy?: The World Eco­nomic Forum has asked me, as one of the 16 mem­bers of the Global Agenda Coun­cil on the Chal­lenges of Geron­tol­ogy, for “an 800 word sum­mary of your most com­pelling action­able idea on the chal­lenges of geron­tol­ogy.” Feel free to help me out by offer­ing your own action­able ideas, either related to the dis­ci­pline of geron­tol­ogy itself or on ways to best engage the grow­ing num­ber of brains over the age of 60 in our planet.

Enjoy!

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.

I have fallen behind on answer­ing a few excel­lent recent com­ments –on cog­ni­tive train­ing over­all, Posit Sci­ence and Alzheimer’s Aus­tralia, geron­tol­ogy and the brain, the value of videogames-, so let me address them here:

1) Nicks says (Brain Fit­ness Pro­grams For Seniors Hous­ing, Health­care and Insur­ance Providers: Eval­u­a­tion Checklist)

“This report is inter­est­ing and it addresses many very impor­tant ques­tions that cog­ni­tive neu­ropsy­chol­o­gists, such as myself have. I feel that many of the prod­ucts on the mar­ket now make claims which are gen­er­ally unsubstantiated.

I find it con­cern­ing that many of these pro­grammes have been mar­keted to tar­get older adults in par­tic­u­lar with­out mak­ing any spe­cific state­ment on whether the activ­i­ties are ben­e­fi­cial and have been sup­ported with empir­i­cal research.

i have recently con­ducted a cog­ni­tive inter­ven­tion study which used a large array of out­come mea­sures which focus on Read the rest of this entry »

Insur­ance com­pany All­state and brain fit­ness soft­ware devel­oper Posit Sci­ence just announced (see press release Pro­tect­ing Penn­syl­va­nia Dri­vers, One Brain at a Time) a very intel­li­gent initiative:

Video exer­cises aid dri­ving skills (Chicago Tribune)

-“All­state, which called the Posit pro­gram “poten­tially the next big break­through in auto­mo­bile safety,” said it expects its soft­ware exer­cises to reduce risky dri­ving maneu­vers by up to 40 per­cent and improve stop­ping dis­tance by an aver­age of 22 feet when trav­el­ing at 55 miles per hour.”

-“We’ll look to see whether over the next six to nine months there will be a reduc­tion in” the num­ber of acci­dents between the group par­tic­i­pat­ing in the video exer­cises and those sit­ting out, said Tom War­den, assis­tant vice pres­i­dent of Allstate’s research and plan­ning center.

I am for­tu­nate to inter­view Tom War­den, Assis­tant Vice Pres­i­dent and Leader of Allstate’s Research and Plan­ning Cen­ter, based in Menlo Park, California.

Alvaro Fer­nan­dez: Tom, thank you for your time. Can you please explain the con­text behind this new ini­tia­tive that you just announced?

Tom War­den: Our research cen­ter is con­stantly look­ing for new ideas to improve the dri­ving behav­ior of dri­vers of all ages. Recently we have paid extra empha­sis on ways to improve the safety of older drivers.

Let me pro­vide some back­ground here. All­state, as a com­pany, has always been one of the pio­neers in help­ing to intro­duce new safety mea­sures. For exam­ple, we were among the pio­neers in the 60s to advo­cate for manda­tory use of seat­ing belts, given research stud­ies on the ben­e­fits for dri­vers and pas­sen­gers alike. More recently, we helped lobby for wider adop­tion of airbags, an effec­tive but expen­sive way of pro­tec­tion that only became main­stream when man­u­fac­tur­ers were required to include them.

Let’s talk now about your agree­ment with Posit Sci­ence. What will hap­pen over the next months?

The first thing we are doing is to con­duct a research study to ana­lyze the real-life impact of Posit Sci­ence InSight, a computer-based cog­ni­tive train­ing pro­gram, on acci­dent rates. We know that as dri­vers get older Read the rest of this entry »

We just received this quote of how a major health sys­tem is using our Brain Fit­ness Mar­ket Report:

“At Sut­ter Health Part­ners we rec­og­nize the impor­tance of brain health and how much the health of the brain and the body are inter­de­pen­dent.  The mar­ket report helped us fur­ther tar­get our coach­ing efforts to inte­grate brain fit­ness and upgrade our entire coach­ing plat­form.  It is easy to read and gives you the indus­try per­spec­tive in a thor­ough yet con­cise man­ner.  I highly rec­om­mend it!”

– Mar­garet Sabin, CEO of Sut­ter Health Part­ners and VP, New Prod­uct Devel­op­ment, at Sut­ter Health.

You may won­der, “what is the link between  well­ness coach­ing and brain fitness”?

In prac­tice, good health and well­ness coaches pro­vide excel­lent brain health advice, given that the areas they focus on (nutri­tion, phys­i­cal exer­cise, stress man­age­ment) do play an impor­tant role in main­tain­ing our brains in top shape.

Addi­tion­ally, pio­neers  such as Sut­ter Health Part­ners are adding a Brain “lens” to their work. How?

First, by bet­ter under­stand­ing and explain­ing the brain ben­e­fits of what they already do, in order to pro­vide addi­tional moti­va­tion to stick with healthy behav­iors. For exam­ple, most peo­ple will be able to recite mul­ti­ple ben­e­fits of mod­er­ate car­dio­vas­cu­lar exer­cise. But how many know  that it can also con­tribute to neu­ro­ge­n­e­sis –the cre­ation of new neu­rons — in adult brains?

Sec­ond, by start­ing to offer brain fit­ness guide­lines to clients who want too go beyond cross­word puz­zles and sudoku.

I had a great train­ing ses­sion with a num­ber of Sut­ter Health coaches last week — let me sum­ma­rize some of the main points we cov­ered. Read the rest of this entry »

Dur­ing the research phase before the pub­li­ca­tion of the spe­cial report Brain Fit­ness Cen­ters in Seniors Hous­ing — A Field in the Mak­ing, pub­lished by the Amer­i­can Seniors Hous­ing Asso­ci­a­tion (ASHA), we real­ized that there were equal amounts of inter­est and con­fu­sion among exec­u­tives and pro­fes­sion­als think­ing about adding computer-based cog­ni­tive exer­cise prod­ucts to their mix of health & well­ness activ­i­ties, so we included the Eval­u­a­tion Check­list that follows.

The real-life expe­ri­ences at lead­ing orga­ni­za­tions such as Senior Star Liv­ing, Bel­mont Vil­lage Senior Liv­ing, Erick­son Retire­ment Com­mu­ni­ties and oth­ers were instru­men­tal in the devel­op­ment of the Check­list. We hope it is useful.

Brain Fit­ness Pro­grams For Seniors Hous­ing, Health­care and Insur­ance Providers: Eval­u­a­tion Checklist

Over the next sev­eral years, it is likely that many seniors hous­ing oper­a­tors will begin to care­fully eval­u­ate a grow­ing num­ber of options to include “brain fit­ness cen­ters” in their communities.

Some options will require pur­chas­ing a device, such as Nin­tendo prod­ucts, or the Dakim touch-screen sys­tem. Oth­ers will require installing soft­ware in PCs in exist­ing or new com­puter labs, such as Posit Sci­ence, Cogmed or CogniFit’s pro­grams. Oth­ers will be fully avail­able online, such as those offered by Lumos Labs, Happy Neu­ron and My Vig­or­ous Mind. And still oth­ers may be technology-free, promis­ing engag­ing com­bi­na­tions of inter­ac­tive, group-based, activ­i­ties with pen-and-paper exercises.

Cre­at­ing a solid busi­ness case will help com­mu­ni­ties nav­i­gate through this grow­ing array of options. We sug­gest com­mu­ni­ties con­sider this Sharp­Brains Check­list for Brain Fit­ness Centers:

1. Early Users: Who among our res­i­dents is ready and will­ing to do the pro­gram? How are they react­ing to the pilot test­ing of the program?

2. Cog­ni­tive ben­e­fits: What are the spe­cific ben­e­fits claimed for using this pro­gram? Under what sce­nario of use (how many hours/week, how many weeks)? What spe­cific cog­ni­tive skill(s) does the pro­gram train? How will we mea­sure progress? Read the rest of this entry »

I wrote this arti­cle for the March/ April edi­tion of the pub­li­ca­tion Aging Today, pub­lished by the Amer­i­can Soci­ety on Aging, and received per­mis­sion to repro­duce it here.

—————-

In recent years, most pro­fes­sion­als in aging have become aware of the grow­ing sci­en­tific evi­dence show­ing that human brains retain the abil­ity to gen­er­ate neu­rons and change over a life­time, dis­cov­er­ies that have bro­ken the sci­en­tific par­a­digm preva­lent dur­ing the 20th cen­tury. Fur­ther­more, neu­roimag­ing and cog­ni­tive train­ing stud­ies are show­ing how well-directed exer­cise presents peo­ple major oppor­tu­ni­ties for healthy brain aging.

How can peo­ple use emerg­ing tech­nolo­gies to keep their brains healthy and pro­duc­tive as long as pos­si­ble? An emerg­ing mar­ket for brain health– $225 mil­lion mar­ket in 2007, in the United States alone, of which con­sumers account for $80 million–is try­ing to address that ques­tion in a way that com­ple­ments other impor­tant more tra­di­tional pil­lars (and multi-billion indus­tries) of brain health, such as phys­i­cal exer­cise, bal­anced diet, stress man­age­ment (stress has been shown to actu­ally kill neu­rons and reduce the rate of cre­ation of new ones) and over­all men­tal stim­u­la­tion and life­long learning.

2007 AN ACTIVE YEAR

A series of impor­tant events took place in 2007, a sem­i­nal year for the brain health field, begin­ning in Jan­u­ary when many main­stream media pub­li­ca­tions, such as Time Mag­a­zine and CBS News, started to pub­lish major sto­ries on neu­ro­plas­tic­ity and brain exer­cise. This media cov­er­age fol­lowed the pub­li­ca­tion of the long-awaited results from national clin­i­cal tri­als show­ing that sig­nif­i­cant per­cent­ages of the par­tic­i­pants age 65 and older who trained for five weeks improved their mem­ory, rea­son­ing and information-processing speed. Find­ings from the Advanced Cog­ni­tive Train­ing for Inde­pen­dent and Vital Elderly (ACTIVE) Study appeared in the Jour­nal of the Amer­i­can Med­ical Asso­ci­a­tion (Dec. 20, 2006) and revealed that even after five years, par­tic­i­pants in the ACTIVE computer-based pro­gram showed less of a decline in information-processing skills than those in a con­trol group that received no cog­ni­tive training.

Read the rest of this entry »

A few recent acco­lades for our just released Mar­ket Report:

“An in-depth and cred­i­ble mar­ket research report that pro­vides an objec­tive view for investors and exec­u­tives look­ing for gam­ing and health oppor­tu­ni­ties in the grow­ing “brain train­ing” space. This report is a must-read to under­stand the state of the mar­ket, the play­ers, and key trends.“
– Daniel Gold­man, founder of Total Enter­tain­ment Net­work and for­mer exec­u­tive at Posit Sci­ence Corporation.

“This report is a must have for those in the brain health indus­try. Finally, an easy to use objec­tive resource orga­niz­ing the flurry of global brain health activ­i­ties. The State of the Brain Fit­ness Soft­ware Mar­ket report not only tells the story of cog­ni­tive train­ing and brain fit­ness, but pro­vides a broad range of data allow­ing one to more swiftly nav­i­gate the cur­rent ter­rain and future land­scape.“
– Debra Ray­bold, Direc­tor, Brain Health Cen­ter, Memo­r­ial Hos­pi­tal Health Sys­tem, South Bend, Indiana.

“This report is com­pre­hen­sive to say the least. It pro­vides an essen­tial ser­vice for long term care orga­ni­za­tions who want to pro­vide mind-enhancing pro­grams and ser­vices. There is a Read the rest of this entry »

Posit Sci­ence Cor­po­ra­tion announced today, at the annual Inter­na­tional Long Term Care Insur­ance Conference, the launch of a new pro­gram called  InSight™ for visual pro­cess­ing training.

We have not yet had the chance to ana­lyze the pro­gram, but sev­eral per­ti­nent open ques­tions posed by Alvaro last month to Posit Sci­ence rep­re­sen­ta­tives (see Posit Sci­ence Brain Fit­ness Pro­gram 2.0: Open Ques­tions) haven’t yet been addressed. Specifically:

Read the rest of this entry »