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Cogmed
Dyslexia Action Summer Conference
          28th June 2012


           Shelley Hughes
         Pearson Assessment
Agenda

1. Introduction
2. The Context of Cogmed
3. Cogmed Working Memory Training – a
   solution
4. Research and Training effects
5. How to access Cogmed
The Context of Cogmed
What is working memory?



                              Working memory is the ability to
                              keep information in your mind
                                for a short period of time
                                         (seconds)

                                             and

                              be able to use this information
                                       in your thinking



    Key feature: It has a limited capacity that varies greatly
    between individuals
A Model of Working Memory



                         Central Executive




         Visuo-spatial
          Sketchpad                          Phonological Loop




  Baddeley & Hitch (1974)
Working memory is key for academic
performance

 Working memory refers to a brain system that provides temporary storage
 and manipulation of the information necessary for such complex cognitive
 tasks as language comprehension, learning and reasoning.
 (Baddeley, 1992)

 Associated with reading (Gathercole & Pickering, 2000) and mathematic
 (Geary et al., 2004) ability

 10-15% of all students have working memory deficits
 (Alloway et al., 2009)

 Children with poor working memory make poor academic progress
 •Of 300 children with poor working memory (Gathercole & Alloway, 2008):
      o 83% scored poorly on either reading or maths tests
      the vast majority of these scored poorly in both areas
When do we use working memory?
The Development of Working Memory


                       8
                       7
                       6
      Working memory
         arbetsminne




                       5
                       4
                       3
                       2
                       1
                       0
                           0   5   10 15 20 25 30 35 40 45 50 55 60
                                              ålder
                                              Age
The Development of Working Memory
in ADHD
                                                                          Control
                                      Working Memory
                                                                          ADHD

               95

               85

               75

               65
     Correct




               55
               45

               35

               25
               15

               5
                    7,5   8,5   9,5    10,5   11,5   12,5   13,5   14,5    15,5
                                               Age

    Westerberg et al. (2004), Visuo-spatial working memory:
    a sensitive measurement of cognitive deficits in ADHD.
    Child Neuropsychology 10 (3) 155-61.
Working Memory problems are
seen in:

Learning difficulties                      Genetic disorders
  Dyslexia (Pickering)                       Down syndrome (Jarrold et al 1999)
  Reading difficulties (Cain et al 2004)     William syndrome (Jarrold et al 2001)
  SLI (Ellis Weismer et al 1999)
  Maths difficulties (Geary et al 2004)    Brain Injury
                                             Paediatric (Levin et al 2002)
Behavioural disorders                        Adult (Park 2001)
  ADHD (Martinussen et al 2005)
                                           Heart problems and disease
                                             Hypertension (Raz et al 2003)
                                             Stroke (Robertson et al 2007)
Signs of working memory constraints

 Is easily distracted when doing something not highly interesting

 Has trouble waiting his/her turn

 Struggles with reading comprehension

 Struggles doing maths calculations in his/her head

 Struggles with getting started

 Struggles with completing a task

 Difficulties when planning and organising something with multiple
  steps

 Often seems restless and on the go

 Loses belongings frequently
Cogmed Working Memory Training – A Solution
Historical Context

Combines Neuroscience, Game Development
and Psychology

Founded in 2001 by brain researchers at the
Karolinska Institute

2002   –   first research publication
2003   –   first paying customers in Sweden
2006   –   First available in the UK
2007   –   Officially available in the US and worldwide
2009   –   First UK research publications
2010   –   Become part of Pearson

Worldwide over 200 practices
Over 30 Countries
In Sweden around 800 schools
Cogmed in Brief


Cogmed Working Memory Training is a program that helps children
and adults with attention problems focus better: improving WM
Five days a week for five weeks of computer-based training sessions;
supervised by a coach, trained by Cogmed
80% of Cogmed users see improvements – both in research and in
clinical evaluations
Backed by peer-review published research
The effects are substantial and lasting
Cogmed training works because it is focused, rigorous, and
supported
The Cogmed method for improving working
memory

  The Training Programmes

      Cogmed RM

      Cogmed QM

      Cogmed JM

  Cogmed Coach Training

  Coach support

      Cogmed Training Web: start trainings and follow training
       results

      Material to support the coach in coaching

      Support to coaches (technical and related to coaching)
How do you train your working memory with
Cogmed?



                                         Intense training

                                         25 training sessions

                                         30-45 min per session

                                         No settings needed



       The difficulty level will automatically adjust based
        on the performance of the users, so that they will
       always train on the limits of their working memory
                             capacity
Three versions of the software




     Cogmed JM             Cogmed RM              Cogmed QM
   Pre-school children   School-age children     Adolescents and
                                                      adults


    All three versions of the Cogmed software share the same
    underlying design – the difference is in the user interface
The Cogmed Training Web
An online tool for the Cogmed Coach to follow and analyse trainings


                        Is the user training at
                        his/her optimal level?




                        Where did the user miss trials?

 What time of the
 day did the training
 take place? How
 often is the user
 taking breaks?
The Programs




Internet based


http://www.training.cogmed.com/


Login: test
Password: test99 or test44


NB: currently not supported on iPads
Research and Training effects
Improvements from Cogmed Working
Memory Training

 Double-blind placebo-controlled studies published in peer-
 reviewed journals, show that Cogmed training improves:

      Attention

      Impulse control

      Mathematics

      Following instructions


          23 studies published on Cogmed to date, both by the
        Cogmed founders but also by fully independent research
         teams. More than 50 ongoing and 40 planned studies.
Summary Of Research Findings

WM is key to attention and learning


WM can be improved by training, using right tool and protocol: Cogmed


WM can be improved by training in all age ranges


Training-related improvement can be shown on three levels of assessment: fMRI/PET,
   neuropsychological testing and rating scales


Improved WM generalizes to improvements in daily functioning


Improvements in WM and behavioural outcomes are sustained at 6 months post training


Effects of WM training are specific: WM and its derived functions are improved, but there
    is no across-the-board-improvement


Training effects have substantial real world impact on individuals impaired by their WM
   capacity
Research


         Cogmed is the most widely used working
         memory training program in research.

         To learn more about the research behind
         Cogmed: www.cogmed.com/research

         References available




Cogmed Coach Training UK 2012
Who can benefit?
Anyone constrained by their working
memory

                               1. Born with a deficit


                               2. Acquired a deficit through
                               brain injury or disease


                               3. Developed a deficit
                               through natural decline
                               caused by age




                Experiencing a bottleneck due to WM
                             overload
Why Cogmed makes sense for Children /
Adolescents

   Used with students who struggle due to WM constraints – will
    improve working memory substantially and lastingly

   Parents and teachers report improvements with behaviour, social
    skills, taking initiative, remembering instructions

 Allows student to absorb information effectively

 Results in better maths and reading comprehension performance

 Acts as a primer for improved learning; building the platform for
   learning
Why Cogmed makes sense for Adults


    Used with adults who struggle due to WM constraints – will
     improve working memory substantially and lastingly

    Improved professional performance and attentional
     stamina

    Improved focus and resisting distractions

    Better able to plan activities and complete tasks

    Results in improved ability to follow and contribute to
     complex discussions
What do we hear?

-   They   can concentrate better in class                       Students say
-   They   have a better flow with the school work
-   They   remember better
-   They   enjoy school more




                                 -   The   student is calmer
Teachers say                     -   The   student concentrates more
                                 -   The   student performs better on academic tasks
                                 -   The   student has matured
What do we hear?
                            - The child communicates better
 Parents say                - The child takes more initiatives on her/his own
                            - The child self-initiates home work without
                              nagging or reminders
                            - The child is more independent




-I am able to manage my life better                              Adults say
-Able to return to work after a period of absence
-I am able to manage my time better
-I am more comfortable in Social settings
How to Access Cogmed
Cogmed in the UK

Product            Maximum        2012 Price   Number of
                   Number of                   Coaches
                   IDs per
                   organisation /
                   account
Cogmed Small       20            £400          2
Subscription

Cogmed             40            £600          4
Medium
Subscription
Cogmed Large       60            £800          6
Subscription

Additional Staff                 £150
Training
What does your licence include?


   Annual subscription (opt out at any point)
   Coach training for the number of coaches according to your
    subscription level
                – ½ day at centralised location
                – Attend any time in subscription year

   Access to training web – a unique view of the user’s
    progress
   Coach support
   Material to support the coach
Contact

            www.pearsonclinical.co.uk/cogmed
             Trial access to the programs
                     Research links
                       Webinars
                     Training dates
          Cogmed Conference – 9th October 2012


            Email: info@pearsonclinical.co.uk
                   Tel: 0845 630 8888
Thank you!

  Q&A

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Seminar 1

  • 1. Cogmed Dyslexia Action Summer Conference 28th June 2012 Shelley Hughes Pearson Assessment
  • 2. Agenda 1. Introduction 2. The Context of Cogmed 3. Cogmed Working Memory Training – a solution 4. Research and Training effects 5. How to access Cogmed
  • 3. The Context of Cogmed
  • 4. What is working memory? Working memory is the ability to keep information in your mind for a short period of time (seconds) and be able to use this information in your thinking Key feature: It has a limited capacity that varies greatly between individuals
  • 5. A Model of Working Memory Central Executive Visuo-spatial Sketchpad Phonological Loop Baddeley & Hitch (1974)
  • 6. Working memory is key for academic performance Working memory refers to a brain system that provides temporary storage and manipulation of the information necessary for such complex cognitive tasks as language comprehension, learning and reasoning. (Baddeley, 1992) Associated with reading (Gathercole & Pickering, 2000) and mathematic (Geary et al., 2004) ability 10-15% of all students have working memory deficits (Alloway et al., 2009) Children with poor working memory make poor academic progress •Of 300 children with poor working memory (Gathercole & Alloway, 2008): o 83% scored poorly on either reading or maths tests the vast majority of these scored poorly in both areas
  • 7. When do we use working memory?
  • 8. The Development of Working Memory 8 7 6 Working memory arbetsminne 5 4 3 2 1 0 0 5 10 15 20 25 30 35 40 45 50 55 60 ålder Age
  • 9. The Development of Working Memory in ADHD Control Working Memory ADHD 95 85 75 65 Correct 55 45 35 25 15 5 7,5 8,5 9,5 10,5 11,5 12,5 13,5 14,5 15,5 Age Westerberg et al. (2004), Visuo-spatial working memory: a sensitive measurement of cognitive deficits in ADHD. Child Neuropsychology 10 (3) 155-61.
  • 10. Working Memory problems are seen in: Learning difficulties Genetic disorders Dyslexia (Pickering) Down syndrome (Jarrold et al 1999) Reading difficulties (Cain et al 2004) William syndrome (Jarrold et al 2001) SLI (Ellis Weismer et al 1999) Maths difficulties (Geary et al 2004) Brain Injury Paediatric (Levin et al 2002) Behavioural disorders Adult (Park 2001) ADHD (Martinussen et al 2005) Heart problems and disease Hypertension (Raz et al 2003) Stroke (Robertson et al 2007)
  • 11. Signs of working memory constraints  Is easily distracted when doing something not highly interesting  Has trouble waiting his/her turn  Struggles with reading comprehension  Struggles doing maths calculations in his/her head  Struggles with getting started  Struggles with completing a task  Difficulties when planning and organising something with multiple steps  Often seems restless and on the go  Loses belongings frequently
  • 12. Cogmed Working Memory Training – A Solution
  • 13. Historical Context Combines Neuroscience, Game Development and Psychology Founded in 2001 by brain researchers at the Karolinska Institute 2002 – first research publication 2003 – first paying customers in Sweden 2006 – First available in the UK 2007 – Officially available in the US and worldwide 2009 – First UK research publications 2010 – Become part of Pearson Worldwide over 200 practices Over 30 Countries In Sweden around 800 schools
  • 14. Cogmed in Brief Cogmed Working Memory Training is a program that helps children and adults with attention problems focus better: improving WM Five days a week for five weeks of computer-based training sessions; supervised by a coach, trained by Cogmed 80% of Cogmed users see improvements – both in research and in clinical evaluations Backed by peer-review published research The effects are substantial and lasting Cogmed training works because it is focused, rigorous, and supported
  • 15. The Cogmed method for improving working memory The Training Programmes  Cogmed RM  Cogmed QM  Cogmed JM Cogmed Coach Training Coach support  Cogmed Training Web: start trainings and follow training results  Material to support the coach in coaching  Support to coaches (technical and related to coaching)
  • 16. How do you train your working memory with Cogmed?  Intense training  25 training sessions  30-45 min per session  No settings needed The difficulty level will automatically adjust based on the performance of the users, so that they will always train on the limits of their working memory capacity
  • 17. Three versions of the software Cogmed JM Cogmed RM Cogmed QM Pre-school children School-age children Adolescents and adults All three versions of the Cogmed software share the same underlying design – the difference is in the user interface
  • 18. The Cogmed Training Web An online tool for the Cogmed Coach to follow and analyse trainings Is the user training at his/her optimal level? Where did the user miss trials? What time of the day did the training take place? How often is the user taking breaks?
  • 19. The Programs Internet based http://www.training.cogmed.com/ Login: test Password: test99 or test44 NB: currently not supported on iPads
  • 21. Improvements from Cogmed Working Memory Training Double-blind placebo-controlled studies published in peer- reviewed journals, show that Cogmed training improves:  Attention  Impulse control  Mathematics  Following instructions 23 studies published on Cogmed to date, both by the Cogmed founders but also by fully independent research teams. More than 50 ongoing and 40 planned studies.
  • 22. Summary Of Research Findings WM is key to attention and learning WM can be improved by training, using right tool and protocol: Cogmed WM can be improved by training in all age ranges Training-related improvement can be shown on three levels of assessment: fMRI/PET, neuropsychological testing and rating scales Improved WM generalizes to improvements in daily functioning Improvements in WM and behavioural outcomes are sustained at 6 months post training Effects of WM training are specific: WM and its derived functions are improved, but there is no across-the-board-improvement Training effects have substantial real world impact on individuals impaired by their WM capacity
  • 23. Research Cogmed is the most widely used working memory training program in research. To learn more about the research behind Cogmed: www.cogmed.com/research References available Cogmed Coach Training UK 2012
  • 24. Who can benefit? Anyone constrained by their working memory 1. Born with a deficit 2. Acquired a deficit through brain injury or disease 3. Developed a deficit through natural decline caused by age Experiencing a bottleneck due to WM overload
  • 25. Why Cogmed makes sense for Children / Adolescents  Used with students who struggle due to WM constraints – will improve working memory substantially and lastingly  Parents and teachers report improvements with behaviour, social skills, taking initiative, remembering instructions  Allows student to absorb information effectively  Results in better maths and reading comprehension performance  Acts as a primer for improved learning; building the platform for learning
  • 26. Why Cogmed makes sense for Adults  Used with adults who struggle due to WM constraints – will improve working memory substantially and lastingly  Improved professional performance and attentional stamina  Improved focus and resisting distractions  Better able to plan activities and complete tasks  Results in improved ability to follow and contribute to complex discussions
  • 27. What do we hear? - They can concentrate better in class Students say - They have a better flow with the school work - They remember better - They enjoy school more - The student is calmer Teachers say - The student concentrates more - The student performs better on academic tasks - The student has matured
  • 28. What do we hear? - The child communicates better Parents say - The child takes more initiatives on her/his own - The child self-initiates home work without nagging or reminders - The child is more independent -I am able to manage my life better Adults say -Able to return to work after a period of absence -I am able to manage my time better -I am more comfortable in Social settings
  • 29. How to Access Cogmed
  • 30. Cogmed in the UK Product Maximum 2012 Price Number of Number of Coaches IDs per organisation / account Cogmed Small 20 £400 2 Subscription Cogmed 40 £600 4 Medium Subscription Cogmed Large 60 £800 6 Subscription Additional Staff £150 Training
  • 31. What does your licence include?  Annual subscription (opt out at any point)  Coach training for the number of coaches according to your subscription level – ½ day at centralised location – Attend any time in subscription year  Access to training web – a unique view of the user’s progress  Coach support  Material to support the coach
  • 32. Contact www.pearsonclinical.co.uk/cogmed Trial access to the programs Research links Webinars Training dates Cogmed Conference – 9th October 2012 Email: info@pearsonclinical.co.uk Tel: 0845 630 8888
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  • 34. Thank you! Q&A