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Exploration of an adaptive training regimen that can target the secondary memory component of working memory capacity.

ABSTRACT: The dual-component model contends that working memory (WM) capacity consists of two components. The first is a flexible attention component that involves the active maintenance of a limited amount of information in primary memory (PM), and the second is a controlled retrieval component that involves a cue-dependent search of secondary memory (SM) for information that has been lost from PM. Recent evidence has suggested that the adaptive WM training regimen known as "Cogmed-RM" is not optimally designed, because it only targets PM abilities, not SM abilities. The present study was conducted to investigate whether Cogmed-RM could be modified to target SM abilities by decreasing the recall accuracy threshold that defines individual ability during training. The main findings suggested that the SM component of WM capacity could be targeted by lowering the recall accuracy threshold. The present findings are important because they suggest that adaptive training regimens can be designed that selectively target specific components of WM capacity, and they raise the possibility that the potency of existing training regimens can be increased.

SUBMITTER: Gibson BS

PROVIDER: S-EPMC3759239 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature

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Exploration of an adaptive training regimen that can target the secondary memory component of working memory capacity.

Gibson Bradley S BS Gondoli Dawn M DM Kronenberger William G WG Johnson Ann C AC Steeger Christine M CM Morrissey Rebecca A RA

Memory & cognition 20130701 5

The dual-component model contends that working memory (WM) capacity consists of two components. The first is a flexible attention component that involves the active maintenance of a limited amount of information in primary memory (PM), and the second is a controlled retrieval component that involves a cue-dependent search of secondary memory (SM) for information that has been lost from PM. Recent evidence has suggested that the adaptive WM training regimen known as "Cogmed-RM" is not optimally d ...[more]

PMID: 23371772

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Project description:ObjectiveWe aimed to evaluate the effectiveness of an adaptive working memory (WM) training (WMT) program, the corresponding neural correlates, and LMX1A-rs4657412 polymorphism on the adaptive WMT, in human immunodeficiency virus (HIV) participants compared to seronegative (SN) controls.MethodsA total of 201 of 206 qualified participants completed baseline assessments before randomization to 25 sessions of adaptive WMT or nonadaptive WMT. A total of 74 of 76 (34 HIV, 42 SN) completed adaptive WMT and all 40 completed nonadaptive WMT (20 HIV, 20 SN) and were assessed after 1 month, and 55 adaptive WMT participants were also assessed after 6 months. Nontrained near-transfer WM tests (Digit-Span, Spatial-Span), self-reported executive functioning, and functional magnetic resonance images during 1-back and 2-back tasks were performed at baseline and each follow-up visit, and LMX1A-rs4657412 was genotyped in all participants.ResultsAlthough HIV participants had slightly lower cognitive performance and start index than SN at baseline, both groups improved on improvement index (>30%; false discovery rate [FDR] corrected p < 0.0008) and nontrained WM tests after adaptive WMT (FDR corrected, p ≤ 0.001), but not after nonadaptive WMT (training by training type corrected, p = 0.01 to p = 0.05) 1 month later. HIV participants (especially LMX1A-G carriers) also had poorer self-reported executive functioning than SN, but both groups reported improvements after adaptive WMT (Global: training FDR corrected, p = 0.004), and only HIV participants improved after nonadaptive WMT. HIV participants also had greater frontal activation than SN at baseline, but brain activation decreased in both groups at 1 and 6 months after adaptive WMT (FDR corrected, p < 0.0001), with normalization of brain activation in HIV participants, especially the LMX1A-AA carriers (LMX1A genotype by HIV status, cluster-corrected-p < 0.0001).InterpretationAdaptive WMT, but not nonadaptive WMT, improved WM performance in both SN and HIV participants, and the accompanied decreased or normalized brain activation suggest improved neural efficiency, especially in HIV-LMX1A-AA carriers who might have greater dopaminergic reserve. These findings suggest that adaptive WMT may be an effective adjunctive therapy for WM deficits in HIV participants. ANN NEUROL 2017;81:17-34.

Project description:ObjectivesTo determine whether standard-length computerized training enhances working memory (WM), transfers to other cognitive domains and shows sustained effects, when controlling for motivation, engagement, and expectancy.Methods97 post-secondary students (59.8% female) aged 18-35 years with Attention-Deficit/Hyperactivity Disorder, were randomized into standard-length adaptive Cogmed WM training (CWMT; 45-min/session), a shortened-length adaptive version of CWMT (15 min/session) that controlled for motivation, engagement and expectancy of change, or into a no training group (waitlist-control group). All three groups received weekly telephone calls from trained coaches, who supervised the CWMT and were independent from the research team. All were evaluated before and 3 weeks post-training; those in the two CWMT groups were also assessed 3 months post-training. Untrained outcome measures of WM included the WAIS-IV Digit Span (auditory-verbal WM), CANTAB Spatial Span (visual-spatial WM) and WRAML Finger Windows (visual-spatial WM). Transfer-of-training effects included measures of short-term memory, cognitive speed, math and reading fluency, complex reasoning, and ADHD symptoms.ResultsPerformance on 5/7 criterion measures indicated that shortened-length CWMT conferred as much benefit on WM performance as did standard-length training, with both CWMT groups improving more than the waitlist-control group. Only 2 of these findings remained robust after correcting for multiple comparisons. Follow-up analyses revealed that post-training improvements on WM performance were maintained for at least three months. There was no evidence of any transfer effects but the standard-length group showed improvement in task-specific strategy use.ConclusionsThis study failed to find robust evidence of benefits of standard-length CWMT for improving WM in college students with ADHD and the overall pattern of findings raise questions about the specificity of training effects.Trial registrationClinicalTrials.gov NCT01657721.

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Exploration of an adaptive training regimen that can target the secondary memory component of working memory capacity.

Publications

Exploration of an adaptive training regimen that can target the secondary memory component of working memory capacity.

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