Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study

Abstract Inattention can negatively impact several aspects of a child’s life, including at home and school. Cognitive and physical interventions are two promising non-pharmaceutical approaches used to enhance attention abilities, with combined approaches often being marketed to teachers, therapists,...

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Main Authors: J. A. Anguera, M. A. Rowe, J. J. Volponi, M. Elkurdi, B. Jurigova, A. J. Simon, R. Anguera-Singla, C. L. Gallen, A. Gazzaley, E. J. Marco
Format: Article
Language:English
Published: Nature Portfolio 2023-04-01
Series:npj Digital Medicine
Online Access:https://doi.org/10.1038/s41746-023-00812-z
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author J. A. Anguera
M. A. Rowe
J. J. Volponi
M. Elkurdi
B. Jurigova
A. J. Simon
R. Anguera-Singla
C. L. Gallen
A. Gazzaley
E. J. Marco
author_facet J. A. Anguera
M. A. Rowe
J. J. Volponi
M. Elkurdi
B. Jurigova
A. J. Simon
R. Anguera-Singla
C. L. Gallen
A. Gazzaley
E. J. Marco
author_sort J. A. Anguera
collection DOAJ
description Abstract Inattention can negatively impact several aspects of a child’s life, including at home and school. Cognitive and physical interventions are two promising non-pharmaceutical approaches used to enhance attention abilities, with combined approaches often being marketed to teachers, therapists, and parents typically without research validation. Here, we assessed the feasibility of incorporating an integrated, cognitive-physical, closed-loop video game (body-brain trainer or ‘BBT’) as an after-school program, and also evaluated if there were attention benefits following its use. Twenty-two children (7–12 years of age) with a range of attention abilities were recruited to participate in this proof of concept, single-arm, longitudinal study (24 sessions over 8 weeks, ~30 min/day). We interrogated attention abilities through a parent survey of their child’s behaviors, in addition to objective performance-based and neural measures of attention. Here we observed 95% compliance as well as, significant improvements on the parent-based reports of inattention and on cognitive tests and neural measures of attention that were comparable in scale to previous work. Exploratory measures of other cognitive control abilities and physical fitness also showed similar improvement, with exploratory evaluation of retained benefits on the primary attention-related outcomes being present 1-year later. Lastly, there was no correlation between the baseline parent-rated inattention score and the improvement on the primary task-based measures of attention, suggesting that intervention-based benefits were not solely attained by those who stood the most to gain. These pilot findings warrant future research to replicate and extend these findings.
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spelling doaj.art-0c5b87e930694bca96df56b421351d1d2023-12-02T07:08:22ZengNature Portfolionpj Digital Medicine2398-63522023-04-016111510.1038/s41746-023-00812-zEnhancing attention in children using an integrated cognitive-physical videogame: A pilot studyJ. A. Anguera0M. A. Rowe1J. J. Volponi2M. Elkurdi3B. Jurigova4A. J. Simon5R. Anguera-Singla6C. L. Gallen7A. Gazzaley8E. J. Marco9Neuroscape Center, Department of Neurology, University of CaliforniaDepartment of Neurodevelopmental Medicine, Cortica HealthcareNeuroscape Center, Department of Neurology, University of CaliforniaDepartment of Neurodevelopmental Medicine, Cortica HealthcareDepartment of Psychiatry, University of CaliforniaNeuroscape Center, Department of Neurology, University of CaliforniaNeuroscape Center, Department of Neurology, University of CaliforniaNeuroscape Center, Department of Neurology, University of CaliforniaNeuroscape Center, Department of Neurology, University of CaliforniaDepartment of Neurodevelopmental Medicine, Cortica HealthcareAbstract Inattention can negatively impact several aspects of a child’s life, including at home and school. Cognitive and physical interventions are two promising non-pharmaceutical approaches used to enhance attention abilities, with combined approaches often being marketed to teachers, therapists, and parents typically without research validation. Here, we assessed the feasibility of incorporating an integrated, cognitive-physical, closed-loop video game (body-brain trainer or ‘BBT’) as an after-school program, and also evaluated if there were attention benefits following its use. Twenty-two children (7–12 years of age) with a range of attention abilities were recruited to participate in this proof of concept, single-arm, longitudinal study (24 sessions over 8 weeks, ~30 min/day). We interrogated attention abilities through a parent survey of their child’s behaviors, in addition to objective performance-based and neural measures of attention. Here we observed 95% compliance as well as, significant improvements on the parent-based reports of inattention and on cognitive tests and neural measures of attention that were comparable in scale to previous work. Exploratory measures of other cognitive control abilities and physical fitness also showed similar improvement, with exploratory evaluation of retained benefits on the primary attention-related outcomes being present 1-year later. Lastly, there was no correlation between the baseline parent-rated inattention score and the improvement on the primary task-based measures of attention, suggesting that intervention-based benefits were not solely attained by those who stood the most to gain. These pilot findings warrant future research to replicate and extend these findings.https://doi.org/10.1038/s41746-023-00812-z
spellingShingle J. A. Anguera
M. A. Rowe
J. J. Volponi
M. Elkurdi
B. Jurigova
A. J. Simon
R. Anguera-Singla
C. L. Gallen
A. Gazzaley
E. J. Marco
Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study
npj Digital Medicine
title Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study
title_full Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study
title_fullStr Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study
title_full_unstemmed Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study
title_short Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study
title_sort enhancing attention in children using an integrated cognitive physical videogame a pilot study
url https://doi.org/10.1038/s41746-023-00812-z
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