Table 2.
Studies implementing interventions on working memory
| Authors | Study design | Diagnosis | Population | Age | Intervention | Target of intervention | Duration | Intensity | Assessment of near effect | Assessment of far effect | Near effects | Far effects |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bigorra et al. (2016a) | RCT | combined-type ADHD | EG n = 36, CG (non-adaptive CogMed training) n = 30 | 7–12 yrs | CogMed computer training at home | Spatial and verbal WM | 5 wks | 5 sessions for week |
WM: WISC IV (Digit Span Backward, letter-Number Sequencing), WMS-III (Spatial span backward) BRIEF (WM subscale) |
Other Executive functions: BRIEF, CPT II, ToL, WCST-64 and TMT B Clinical symptoms: Conners' rating scales-revised, CBCL/4–18, TRF/4–18 Daily life functioning: SDQ, WFIRS-P Learning skills: Canals |
Yes, on BRIEF WM subscale and on a WM composite score |
Yes, on other executive functions (BRIEF, CPT), clinical symptoms (composite score) and daily life functioning (school learning behavior at WFIRS-P, only at follow-up) No on learning skills |
| Bigorra et al. (2016b) | RCT | combined-type ADHD | EG n = 36, CG (non-adaptive CogMed training) n = 30 | 7–12 yrs | CogMed computer training at home | Spatial and verbal WM | 5 wks | 5 sessions for weeks | WM: WISC IV (Digit Span Backward, Letter-Number Sequencing), WMS-III (Spatial span backward) |
Daily life functioning: Happè’s Strange Stories, Folk Psychology Test Other Executive function: IGT |
Yes, the results are reported in the previous article (Bigorra et al., 2016a, 2016b) | No significant treatment effects found |
| De Vries et al. (2015) | RCT | ASD | EG1 (WMtr) n = 40, EG2 (FLEXtr) n = 37, CG (non-adaptive mock training) n = 38 | 8–12 yrs | Braingame Brian: computer training at home | EG1: 5 WM activities with increasing difficulties (remembering, manipulating and updating). EG2: One Cognitive Flexibility activity with increasing difficulty | 6 wks (25 sessions) | Not reported | WM: Corsi-BTT (similar to activities' training), N back task (different to activities' training); Cognitive Flexibility: GEWT (similar to activities' training), NGST (different to activities' training) |
Other executive functions: Stop task, SART, BRIEF Daily Life Functioning: CSBQ, PedsQL Clinical symptoms: DBDRS |
No significant differences between groups for working memory and cognitive flexibility | No significant treatment effects found |
| Egeland et al. (2013) | RCT | ADHD | EG (TAU + Cogmed) n = 38, CG (TAU) n = 37 | 10–12 yrs | CogMed computer training at school | Spatial and verbal WM | 5–7 wks | Each school day (30–45 min) | WM: BVRT |
Other executive functions: CW, TMT (D-KEFS), BRIEF, CCPT-II Cognitive outcomes: CAVLT-2 Learning skills: Key Math, LOGOS Clinical symptoms: ARS-IV Daily life functioning: SDQ |
No |
Yes, on reading learning skills No on cognitive outcomes (CAVLT-2), maths learning skills, other executive functions (CW, TMT (D-KEFS), BRIEF, CCPT-II), clinical symptoms (ARS-IV) and daily life functioning (SDQ) |
| Chacko et al. (2014) | RCT | ADHD | EG n = 44, CG (Non adaptive training) n = 41 | 7–11 yrs | Cogmed computer training at home | verbal and non-verbal WM | 25 sessions | Fine days per week (30–45 min) | WM: AWMA |
Clinical symptoms: DBD, actigraphs Learning skills: WRAT4-PMV |
Yes, on WM (non-verbal and verbal storage) but no significant differences between groups on measures of nonverbal or verbal complex working memory (storage plus processing/manipulation) | No significant treatment effects found |
| Klingberg et al. (2005) | RCT | ADHD | EG n = 26, CG (non adaptive WM training) n = 24 | 7–12 yrs | Cogmed computer training at home | Spatial and verbal WM | 5–6 wks (25 sessions) | 40 min per day every day |
Visuo-spatial WM: span-board task Verbal WM: Digit-span (WISC III) |
Clinical symptoms: parent and teacher-report Conners Rating Scale, number of head movements Cognitive outcomes: CPM Other executive functions: Stroop Task |
Yes, on visuo-spatial and verbal WM |
Yes, on other executive functions (Stroop task), cognitive outcomes (CPM) and on parent ratings clinical symptoms No on teacher rating clinical symptoms |
| Beck et al. (2010) | NRS | combined type or inattentive type ADHD | EG n = 27, CG (waitlist) n = 25 | 7–17 yrs | Working Memory Training Program: computer training at home | Spatial and verbal WM | 5–6 wks (25 sessions) | 30–40 min per session | WM: BRIEF (WM subscale) |
Other executive functions: BRIEF (other subscales) Clinical symptoms: P-ChIPS, Conners’ Rating Scale—teacher and parents |
Yes, on WM (for parents at post training and at 4-month follow up, for teachers only at follow up) | Yes, on clinical symptoms (ChIPS, Conners’ Rating Scale) and on other executive functions (BRIEF) |
Legend: RCT Randomized Controlled Trial, ADHD Attention Deficit Hyperactivity Disorder, ASD Autism Spectrum Disorder, EG Experimental Group, CG Control Gropu, DSM IV Diagnostic and Statistical Manual of mental disorders, WM Working Memory, WMtr Working memory training, TAU Treatment As Usual, WISC IV Wechsler Intelligence Scale for Children-IV, WMS III Wechsler Memory Scale-III, BRIEF Behavior Rating Inventory of Executive Functions, Corsi – BTT Corsi Block Tapping Task, GEWT Gender Emotion Switch Task, NGST Number gnome switch task, BVRT Benton Visual Retention Test, AWMA The Automatic Working Memory Assessment, CCPT-II Conners’ Continuous Performance Test-II, TOL Tower of London, WSCT Wisconsin Card Sorting Test, TMT – B Trail Making Test, CBCL Child Behaviour Checklist, TRF Teacher’s report Form/4-18, SDQ Strenght and Difficulties Questionnaire, WFIRS Weiss Functional Impairment rating scale for parents, IGT Iowa Gambling Task, SART Sustained attention response task, CSBQ Children's Social Behavior Questionnaire, PedsQL The Pediatric Quality of Life Inventory, DBDRS parent version of the Disruptive Behavior Disorders Rating Scale, CW Color Word, DKEFS Delis-Kaplan Executive Function System, CAVLT-2 Children’s Auditory Verbal Learning Tests-2, ARS ADHD Rating Scale, WRAT4-PMV Wide Range Achievement Test 4 Progress Monitoring Version, CPM Colour Progressive Matrices, ChIPS Children’s Interview for Psychiatric Syndromes–Parent Form