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Randomized Controlled Trial
. 2014 Mar;55(3):247-55.
doi: 10.1111/jcpp.12146. Epub 2013 Oct 7.

A randomized clinical trial of Cogmed Working Memory Training in school-age children with ADHD: a replication in a diverse sample using a control condition

A Chacko  1 , A C Bedard, D J Marks, N Feirsen, J Z Uderman, A Chimiklis, E Rajwan, M Cornwell, L Anderson, A Zwilling, M Ramon
Affiliations
Randomized Controlled Trial

A randomized clinical trial of Cogmed Working Memory Training in school-age children with ADHD: a replication in a diverse sample using a control condition

A Chacko et al. J Child Psychol Psychiatry. 2014 Mar.

Abstract

Background: Cogmed Working Memory Training (CWMT) has received considerable attention as a promising intervention for the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in children. At the same time, methodological weaknesses in previous clinical trials call into question reported efficacy of CWMT. In particular, lack of equivalence in key aspects of CWMT (i.e., contingent reinforcement, time-on-task with computer training, parent-child interactions, supportive coaching) between CWMT and placebo versions of CWMT used in previous trials may account for the beneficial outcomes favoring CWMT.

Methods: Eighty-five 7- to 11-year old school-age children with ADHD (66 male; 78%) were randomized to either standard CWMT (CWMT Active) or a well-controlled CWMT placebo condition (CWMT Placebo) and evaluated before and 3 weeks after treatment. Dependent measures included parent and teacher ratings of ADHD symptoms; objective measures of attention, activity level, and impulsivity; and psychometric indices of working memory and academic achievement (Clinical trial title: Combined cognitive remediation and behavioral intervention for the treatment of Attention-Deficit/Hyperactivity Disorder; http://clinicaltrials.gov/ct2/show/NCT01137318).

Results: CWMT Active participants demonstrated significantly greater improvements in verbal and nonverbal working memory storage, but evidenced no discernible gains in working memory storage plus processing/manipulation. In addition, no treatment group differences were observed for any other outcome measures.

Conclusions: When a more rigorous comparison condition is utilized, CWMT demonstrates effects on certain aspects of working memory in children with ADHD; however, CWMT does not appear to foster treatment generalization to other domains of functioning. As such, CWMT should not be considered a viable treatment for children with ADHD.

Keywords: ADHD; cognitive training; treatment; working memory.

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Conflict of interest statement

Conflicts of interest statement: See disclosures in acknowledgements.

Figures

Figure 1
Figure 1
CONSORT Flow diagram
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Comment in

References

    1. Alloway TP. Automated working memory assessment. Oxford: Harcourt; 2007.
    1. Beck SJ, Hanson CA, Puffenberger SS, Benninger KL, Benninger WB. A controlled trial of working memory training for children and adolescents with ADHD. Journal of Clinical Child and Adolescent Psychology. 2010;39(6):825–836. doi: 10.1080/15374416.2010.517162. - DOI - PubMed
    1. Chacko A, Feirsen N, Marks D, Bedard AC, Uderman J, Chimiklis A. Cogmed working memory training for youth with ADHD: A closer examination of efficacy utilizing evidence-based criteria. Journal of Clinical Child and Adolescent Psychology. 2013 doi: 10.1080/15374416.2013.787622. - DOI - PMC - PubMed
    1. Fabiano GA, Pelham WE, Gnagy EM, Kipp H, Lahey BB, Burrows-MacLean L, Chronis AM. The reliability and validity of the Children’s Impairment rating Scale: A practical measure of impairment in children with ADHD. Journal of Clinical Child and Adolescent Psychology. 2006;35:369–385. - PubMed
    1. Gray SA, Chaban R, Martinussen R, Goldberg H, Gotlieb R, Kronitz R, Hockenberry M, Tannock R. Effects of a computerized working memory training program on working memory, attention, and academics in adolescents with severe LD and comorbid ADHD: A randomized clinical trial. Journal of Child Psychology and Psychiatry. 2012;53:1277–1284. - PubMed

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