Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHD
Cogmed Working Memory Training (CWMT), an online cognitive training program developed for children, is an increasingly popular non-pharmacological intervention for ADHD amongst all ages, despite limited supporting evidence. The initial objective of the present work was to examine the short- and long...
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doaj-567391ce54a842a88d47676c3f7242f02020-11-24T21:09:56ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402018-08-01910.3389/fpsyt.2018.00388390828Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHDEnitan T. Marcelle0Enitan T. Marcelle1Enitan T. Marcelle2Erica J. Ho3Erica J. Ho4Erica J. Ho5Michelle S. Kaplan6Michelle S. Kaplan7Lenard A. Adler8Lenard A. Adler9F. Xavier Castellanos10F. Xavier Castellanos11Michael P. Milham12Michael P. Milham13Department of Psychology, University of California, Berkeley, Berkeley, CA, United StatesCenter for the Developing Brain, Child Mind Institute, New York, NY, United StatesNathan Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesCenter for the Developing Brain, Child Mind Institute, New York, NY, United StatesNathan Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesDepartment of Psychology, Yale University, New Haven, CT, United StatesCenter for the Developing Brain, Child Mind Institute, New York, NY, United StatesADHD and Behavior Disorders Center, Child Mind Institute, New York, NY, United StatesDepartment of Psychiatry, Langone Medical Center, School of Medicine, New York UniversityNew York, NY, United StatesDepartment of Child and Adolescent Psychiatry, Hassenfeld Children's Hospital at NYU Langone, New York, NY, United StatesNathan Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesDepartment of Child and Adolescent Psychiatry, Hassenfeld Children's Hospital at NYU Langone, New York, NY, United StatesCenter for the Developing Brain, Child Mind Institute, New York, NY, United StatesNathan Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesCogmed Working Memory Training (CWMT), an online cognitive training program developed for children, is an increasingly popular non-pharmacological intervention for ADHD amongst all ages, despite limited supporting evidence. The initial objective of the present work was to examine the short- and long-term impacts of CWMT on brain function in adults with ADHD. However, during the conduct of our study, we experienced multiple levels of failures in recruitment and retention that signaled potential concerns about the suitability of CWMT for adults with ADHD. This perspective piece aims to describe the difficulties we encountered in the context of studies examining the efficacy of CWMT in comparable populations. We trace these difficulties to the limited tolerability of the current CWMT structure for adults with ADHD, and review similar limitations in the literature. We suggest that efficacy of CWMT in children may be due in large part to close monitoring and scaffolding provided by clinicians and caregivers. For CWMT to have viability for widespread use in adults, greater support and structure will be needed for users to improve the likelihood of adherence. We discuss implications and considerations for future efforts in both research and clinical practice.https://www.frontiersin.org/article/10.3389/fpsyt.2018.00388/fullADHDworking memoryworking memory trainingadultsCogmednon-psychopharmacological treatment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Enitan T. Marcelle Enitan T. Marcelle Enitan T. Marcelle Erica J. Ho Erica J. Ho Erica J. Ho Michelle S. Kaplan Michelle S. Kaplan Lenard A. Adler Lenard A. Adler F. Xavier Castellanos F. Xavier Castellanos Michael P. Milham Michael P. Milham |
spellingShingle |
Enitan T. Marcelle Enitan T. Marcelle Enitan T. Marcelle Erica J. Ho Erica J. Ho Erica J. Ho Michelle S. Kaplan Michelle S. Kaplan Lenard A. Adler Lenard A. Adler F. Xavier Castellanos F. Xavier Castellanos Michael P. Milham Michael P. Milham Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHD Frontiers in Psychiatry ADHD working memory working memory training adults Cogmed non-psychopharmacological treatment |
author_facet |
Enitan T. Marcelle Enitan T. Marcelle Enitan T. Marcelle Erica J. Ho Erica J. Ho Erica J. Ho Michelle S. Kaplan Michelle S. Kaplan Lenard A. Adler Lenard A. Adler F. Xavier Castellanos F. Xavier Castellanos Michael P. Milham Michael P. Milham |
author_sort |
Enitan T. Marcelle |
title |
Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHD |
title_short |
Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHD |
title_full |
Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHD |
title_fullStr |
Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHD |
title_full_unstemmed |
Cogmed Working Memory Training Presents Unique Implementation Challenges in Adults With ADHD |
title_sort |
cogmed working memory training presents unique implementation challenges in adults with adhd |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychiatry |
issn |
1664-0640 |
publishDate |
2018-08-01 |
description |
Cogmed Working Memory Training (CWMT), an online cognitive training program developed for children, is an increasingly popular non-pharmacological intervention for ADHD amongst all ages, despite limited supporting evidence. The initial objective of the present work was to examine the short- and long-term impacts of CWMT on brain function in adults with ADHD. However, during the conduct of our study, we experienced multiple levels of failures in recruitment and retention that signaled potential concerns about the suitability of CWMT for adults with ADHD. This perspective piece aims to describe the difficulties we encountered in the context of studies examining the efficacy of CWMT in comparable populations. We trace these difficulties to the limited tolerability of the current CWMT structure for adults with ADHD, and review similar limitations in the literature. We suggest that efficacy of CWMT in children may be due in large part to close monitoring and scaffolding provided by clinicians and caregivers. For CWMT to have viability for widespread use in adults, greater support and structure will be needed for users to improve the likelihood of adherence. We discuss implications and considerations for future efforts in both research and clinical practice. |
topic |
ADHD working memory working memory training adults Cogmed non-psychopharmacological treatment |
url |
https://www.frontiersin.org/article/10.3389/fpsyt.2018.00388/full |
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