Computerized Working Memory Training for Children With Neurofibromatosis Type 1 (NF1): A Pilot Study

J Child Neurol. 2021 Oct;36(12):1078-1085. doi: 10.1177/08830738211038083. Epub 2021 Sep 2.

Abstract

Introduction: The present study aimed to evaluate the feasibility and efficacy of CogmedRM, a computerized, home-based working memory (WM) training program, in children with NF1.

Method: A pre-post design was used to evaluate changes in performance-based measures of attention and WM, and parent-completed ratings of executive functioning. Children meeting eligibility criteria completed CogmedRM over 9 weeks. Primary outcomes included compliance statistics and change in attention and WM scores.

Results: Thirty-one children (52% male; M age = 10.97 ± 2.51), aged 8-15, were screened for participation; 27 children (87%) evidenced WM difficulties and participated in CogmedRM training. On average, participants completed 19.7 out of 25 prescribed sessions, with an adherence rate of 69%. Participants demonstrated improvements in short-term memory, attention, and executive functioning (all Ps < .05).

Conclusion: Results suggest that computerized, home-based WM training programs may be both feasible and efficacious for children with NF1 and cognitive deficits.

Keywords: cognition; efficacy; neurofibromatosis; pediatric; treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Computer-Assisted Instruction / methods*
  • Executive Function
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Memory, Short-Term / physiology*
  • Neurofibromatosis 1 / physiopathology*
  • Neurofibromatosis 1 / therapy*
  • Neuropsychological Tests
  • Pilot Projects
  • Therapy, Computer-Assisted / methods*
  • Treatment Outcome