Gold standard of clinical studies

Our attention training program — TRAIN — has been assessed in a rigorous, double-blind, randomised control trial, considered the ‘gold standard’ method of assessing interventions.

Kirk HE, Gray K, Ellis K, et al. J Child Psychol Psychiatry 2016; 57: 1380-1389. 

Study-design-and-participants

Study design

Our randomised control trial for TRAIN involved 75 children with severe attention difficulties associated with an underlying neurodevelopmental disorder, such as autism spectrum disorder (ASD), Down syndrome or non-specific intellectual disability. Children were randomly assigned to use TRAIN or a non-adaptive control program also delivered on a touchscreen platform. Children in both groups used their assigned program five times a week for a five-week period.

Study-design-and-participants
Selective-attention-accuracy

Results of the trial

After five weeks of using TRAIN, children showed greater improvements in their ability to select relevant information and filter out distractors (selective attention), compared to children who used the control program for the same length of time. These improvements were still present three months after the children had stopped using the program. Additionally, TRAIN was shown to promote benefits in untrained academic skills, such as numeracy, at the three-month follow-up assessment.

Implications

Implications

These findings have considerable implications given the high number of children with attention difficulties currently entering the education system at a substantial disadvantage, and struggling to remain — let alone thrive — in an inclusive setting.

Implications

Research highlights

A list of relevant publications, including links to the study abstracts, is provided below.

TALi attention assessment

Gamified Assessment of Attention in Early Childhood: A Large-Scale Validation Trial
Analysing of validity and reliability of TALi DETECT. TALi Health Pty Ltd.

Full publication


 

TALi TRAIN 
Cognitive training as a resolution for early executive function difficulties in children with intellectual disabilities

Kirk, H., Gray, K., Riby, D., & Cornish, K. (2015) Research in Developmental Disabilities

Abstract:

Core executive functions (EF) such as attention, and working memory have been strongly associated with academic achievement, language development and behavioral stability. In the case of children who are vulnerable to cognitive and learning problems because of an underlying intellectual disability, EF difficulties will likely exacerbate an already compromised cognitive system. The current review examines cognitive training programs that aim to improve EF, specifically focusing on the potential of this type of intervention for children who have intellectual disabilities. We conclude that despite considerable discrepancies regarding reported intervention effects, these inconsistencies can be attributed to flaws in both program and study design. We discuss the steps needed to address these limitations and to facilitate the advancement of non-pharmaceutical interventions for children with intellectual disabilities.

Read the full study

 


 

Computerised attention training for children with intellectual and developmental disabilities: a randomised controlled trial

Kirk, H., Gray, K., Ellis, K., Taffe, J., & Cornish, K. (2016) Journal of Child Psychology and Psychiatry

Abstract:

This study reviewed existing cognitive training programs that aim to improve cognitive and behavioural functions, and gauged any potential benefits that may be offered to children with intellectual disorders.

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Impact of Attention Training on Academic Achievement, Executive Functioning, and Behavior: A Randomized Controlled Trial

Kirk, H., Gray, K., Ellis, K., Taffe, J., & Cornish, K. (2017) American Journal on Intellectual and Developmental Disabilities

Abstract:

Children with intellectual and developmental disabilities (IDD) experience significant difficulties in attention, learning, executive functions, and behavioral regulation. Emerging evidence suggests that computerized cognitive training may remediate these impairments. In a double blind controlled trial, 76 children with IDD (4–11 years) were randomized to either an attention training (n = 38) or control program (n = 38). Both programs were completed at home over a 5-week period. Outcome measures assessed literacy, numeracy, executive functioning, and behavioral/emotional problems, and were conducted at baseline, post-training, and 3-month follow-up. No training effects were observed at post-training; however, children in the training group showed greater improvements in numeracy skills at the 3-month follow-up. These results suggest that attention training may be beneficial for children with IDD; however, the modest nature of the intervention effects indicate that caution should be taken when interpreting clinical significance.

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Gamified attention training in the classroom in typically developing children: A cluster-randomized controlled trial

Kirk, H., Spencer-Smith, M., Wiley, J., & Cornish, K. (2019) Journal of Attention Disorders

Abstract:

This randomized controlled trial evaluated the efficacy of attention training delivered in class on cognitive attention processes, inattention, hyperactivity, working memory, and numeracy in primary school children. Method: Eight classes (n = 98 children; 5-9 years) were cluster randomized to gamified attention training, a placebo program, or a no-contact control condition. Assessments were conducted at baseline, immediately after the 5-week intervention (posttraining), and 6 months later (follow-up). Results: Posttraining, attention training was associated with reduced inattention and hyperactivity within the classroom compared with controls, and reduced hyperactivity at home compared with the no-contact control. At follow-up, reduced hyperactivity within the classroom compared with the no-contact control persisted. No effects of training on cognitive attention processes, working memory, and numeracy were observed posttraining. Conclusion: Classroom-based attention training has select benefits in reducing inattention and hyperactivity, but may not promote gains in cognitive or academic skills in primary school children.

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