School Mental Health

, Volume 2, Issue 4, pp 202–208 | Cite as

Working Memory Training for Children with Attention Problems or Hyperactivity: A School-Based Pilot Study

Original Paper

Abstract

We piloted a computer program to train working memory for children with attention problems or hyperactivity who attended an urban public school serving economically disadvantaged neighborhoods. Training was conducted daily for 5 weeks during school hours. Teachers rated children’s behaviors before and after the intervention, and standardized assessments of verbal and visuo-spatial working memory were also conducted. No attrition occurred due to an inability or unwillingness on the part of children to complete the training. Overall, children’s behavior and working memory improved following training, compared to baseline. Our findings suggest that school-based working memory training may be a viable means for treating children with attention problems or hyperactivity that warrants further investigation. This approach may also overcome barriers to care delivery for economically disadvantaged children who are known to be at higher risk for poor school outcomes.

Keywords

ADHD Attention problems Computer-assisted learning Hyperactivity School-based interventions Working memory training 

References

  1. Adams, W., & Sheslow, D. (1990). Wide range assessment of memory and learning (WRAML). Wilmington, Delaware: Wide Rang.Google Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision (4th ed.). Washington D.C.: APA Press.CrossRefGoogle Scholar
  3. Armbruster, P., Gerstein, S. H., & Fallon, T. (1997). Bridging the gap between service need and utilization: A school-based mental health program. Community Mental Health Journal, 33, 199–211.CrossRefPubMedGoogle Scholar
  4. Armbruster, P., & Lichtman, J. (1999). Are school based mental health services effective? Evidence from 36 inner city schools. Community Mental Health Journal, 35, 493–504.CrossRefPubMedGoogle Scholar
  5. Baddeley, A. D. (2000). The episodic buffer: A new component of working memory? Trends in Cognitive Sciences, 4, 417–423.CrossRefPubMedGoogle Scholar
  6. Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94.CrossRefPubMedGoogle Scholar
  7. Biederman, J., Monuteaux, M. C., Doyle, A. E., Seidman, L. J., Wilens, T. E., Ferrero, F., et al. (2004). Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children. Journal of Consulting and Clinical Psychology, 72, 757–766.CrossRefPubMedGoogle Scholar
  8. Biederman, J., Monuteaux, M. C., Mick, E., Spencer, T., Wilens, T. E., Silva, J. M., et al. (2006). Young adult outcome of ADHD: A controlled 10-year follow-up study. Psychological Medicine, 36, 167–179.CrossRefPubMedGoogle Scholar
  9. Blair, C., & Diamond, A. (2008). Biological processes in prevention and intervention: The promotion of self-regulation as a means of preventing school failure. Development and Psychopathology, 20, 899–911.CrossRefPubMedGoogle Scholar
  10. Buckner, J. C., & Bassuk, E. (1997). Mental disorders and service utilization among youths from homeless and low-income housed families. Journal of the American Academy Child and Adolescent Psychiatry, 36, 890–900.CrossRefGoogle Scholar
  11. Buckner, J. C., Mezzacappa, E., & Beardslee, W. R. (2009). Self-regulation and its relations to adaptive functioning in low-income youths. American Journal of Orthopsychiatry, 79, 19–30.CrossRefPubMedGoogle Scholar
  12. Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M. Z., et al. (1995). Children’s mental health service use across service sectors. Health Affairs, 14, 147–159.CrossRefPubMedGoogle Scholar
  13. Conklin, H. M., Luciana, M., Hooper, C. J., & Yarger, R. S. (2007). Working memory performance in typically developing children and adolescents: Behavioral evidence of protracted frontal lobe development. Developmental Neuropsychology, 31, 103–128.CrossRefPubMedGoogle Scholar
  14. Diamond, A., Barnett, W. S., Thomas, J., & Munro, S. (2007). Preschool program improves cognitive control. Science, 318, 1387–1388.CrossRefPubMedGoogle Scholar
  15. Dickstein, S. G., Bannon, K., Castellanos, F. X., & Milham, M. P. (2006). The neural correlates of attention deficit hyperactivity disorder: An ALE meta-analysis. Journal of Child Psychology and Psychiatry, 47, 1051–1062.CrossRefPubMedGoogle Scholar
  16. Drabick, D. A. G., Gadow, K. D., & Sprafkin, J. (2006). Co-occurrence of conduct disorder and depression in a clinic-based sample of boys with ADHD. Journal of Child Psychology and Psychiatry, 47, 766–774.CrossRefPubMedGoogle Scholar
  17. DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD rating scale—IV. Checklists, norms and interpretation. New York: Guilford Press.Google Scholar
  18. Evans, G. W., & Schamberg, M. A. (2009). Childhood poverty, chronic stress, and adult working memory. Proceedings of the National Academy of Sciences, 106, 6545–6549.CrossRefGoogle Scholar
  19. Farah, M. J., Shera, D. M., Savage, J. H., Betancourt, L., Giannetta, J. M., Brodsky, N. L., et al. (2006). Childhood poverty: Specific associations with neurocognitive development. Brain Research, 1110, 166–174.CrossRefPubMedGoogle Scholar
  20. Farmer, E. M. Z., Burns, B. J., Phillips, S. D., Angold, A., & Costello, E. J. (2003). Pathways into and through mental health service for children and adolescents. Psychiatric Services, 54, 60–66.CrossRefPubMedGoogle Scholar
  21. Froehlich, T. E., Lanphear, B. P., Epstein, J. N., Barbaresi, W. J., Katusic, S. K., & Kahn, R. S. (2007). Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Archives of Pediatrics and Adolescent Medicine, 161, 857–864.CrossRefPubMedGoogle Scholar
  22. Hedges, L., & Olkin, I. (1985). Statistical models for meta-analysis. New York: Academic Press.Google Scholar
  23. Holmes, J., Gathercole, S. E., & Dunning, D. L. (2009). Adaptive training leads to sustained enhancement of poor working memory in children. Developmental Science, 12, F9–F15.CrossRefPubMedGoogle Scholar
  24. Holmes, J., Gathercole, S. E., Place, M., Dunning, D. L., Hilton, K. A., Elliott, J. G. (2010). Working memory deficits can be overcome: Impacts of training and medication on working memory in children with ADHD. Applied Cognitive Psychology (in press).Google Scholar
  25. Klingberg, T. (2006). Development of a superior frontal-intraparietal network for visuo-spatial working memory. Neuropsychologia, 44, 2172–2177.CrossRefGoogle Scholar
  26. Klingberg, T., Fernell, E., Olesen, P. J., Johnson, M., Gustafsson, P., Dahlstrom, K., et al. (2005). Computerized training of working memory in children with ADHD—A randomized, controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 177–186.CrossRefPubMedGoogle Scholar
  27. Kraemer, H. C., & Thiemann, S. (1987). How many subjects? Statistical power analysis in research. Newbury Park, CA: Sage.Google Scholar
  28. Leaf, P., Alegria, M., Cohen, P., Goodman, S. H., Horwitz, S. M., Hoven, C. W., et al. (1996). Mental health service use in the community and schools: Results from the four-community MECA study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 889–897.CrossRefPubMedGoogle Scholar
  29. Luciana, M., Conklin, H. M., Hooper, C. J., & Yarger, R. S. (2005). The development of nonverbal working memory and executive control processes in adolescents. Child Development, 76, 697–712.CrossRefPubMedGoogle Scholar
  30. Martinussen, R., Hayden, J., Hogg-Johnson, S., & Tannock, R. (2005). A meta-analysis of working memory impairments in children with attention deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 377–384.CrossRefPubMedGoogle Scholar
  31. Mezzacappa, E. (2004). Alerting, orienting and executive attention: Developmental properties and socio-demographic correlates in an epidemiological sample of young, urban children. Child Development, 75, 1373–1386.CrossRefPubMedGoogle Scholar
  32. Noble, K. G., McCandliss, B. D., & Farah, M. J. (2007). Socioeconomic gradients predict individual differences in neurocognitive abilities. Developmental Science, 10, 464–480.CrossRefPubMedGoogle Scholar
  33. Posner, M. I., & Rothbart, M. K. (2000). Developing mechanisms of self-regulation. Development and Psychopathology, 12, 427–441.CrossRefGoogle Scholar
  34. Shalev, L., Tsal, Y., & Mevorach, C. (2007). Computerized progressive attentional training (CPAT) program: Effective direct intervention for children with ADHD. Child Neuropsychology, 13, 382–388.CrossRefPubMedGoogle Scholar
  35. Thorell, L. B., Lindqvist, S., Nutley, S. B., Gunilla, B., & Klingberg, T. (2009). Training and transfer effects of executive functions in preschool children. Developmental Science, 12, 106–113.CrossRefPubMedGoogle Scholar
  36. Watts, C., & Buckner, J. C. (2007). Children’s hospital neighborhood partnerships: A model for service delivery and systems change through school-community-university collaboration. The Community Psychologist, 40(3), 26–29.Google Scholar
  37. Wechsler, D. (2003). Wechsler intelligence scale for children (4th ed.). New York: Psychological Corporation.Google Scholar

Copyright information

© Springer Science + Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of PsychiatryChildren’s HospitalBostonUSA

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