CogniFit

I've just had a good look at CogniFit.  And it's fun. I saw it referenced in a Friends of SharpBrains LinkedIn discussion.

It's also in SharpBrains list of vendors to watch in 2013/14 and is based on peer reviewed research, although mainly for aging adults. It includes some very interesting features:

• You can register for free and get some free 'neurons' which is like a currency
• You can do an assessment first up to get your profile of cognitive strengths and weaknesses as well as how you compare with others in your age range
• Cognitive abilities are described at quite a granular level e.g. not just Memory, but working memory, short-term memory, contextual memory
• You can earn more 'neurons' by training and 'unlock' new games by spending your neurons, or you can purchase more neurons (with real money) to play more
• You can bet your neurons to win more
• You can challenge other players
• The training is tailored based on your assessment
• It's fun

I hadn't investigated this site in depth before because it's pitched to keeping your mind agile as you age, but I think it would be really good for A-One - especially if we can get some other players for him to play with.  It seems to have incorporated the appeal of online multiplayer games e.g. like WOW and the chance of notching up your 'neurons' to play more.

I'm pretty excited about it as it seems to include a number of features that I've been looking for in relation to A-One, in particular the assessments which can be done at any time, the increased granularity of cognitive abilities including planning, the ability to choose specific games for these, and the ability to play with and challenge others.

I've done several training sessions today and have not had to pay any real money. 

(I started using my mouse left-handed several years ago, mainly to ease some tension that had been developing on the right side of my neck from a highly stressful job.  But for these games today I quickly switched to my right hand because the speed challenge sucked me right in!)

Now the hard part is gaining A-One's willingness to try it.

Global market report into digital health offerings

I have just received the latest newletter from SharpBrains, an inde­pen­dent mar­ket research and think tank track­ing health and pro­duc­tiv­ity appli­ca­tions of neu­ro­science.  In my assessment they are strongly backed by academics, and have a long list of professional articles listed on their blog, including one by Barbara Arrowsmith-Young on why she wrote The Woman Who Changed Her Brain.

They report on fully automated applications designed to assess, monitor and/ or enhance cognition and brain functioning.  Even though the report is available for purchase, they provide an overview which includes a list of the top vendors worldwide.  Some of the sites I'd discovered so far are listed:

• Lumos Labs is listed in the top five
• the Arrowsmith program is listed first on the list of Service-based Companies
• CogMed is listed in the list of companies to watch in 2013/14

I find it encouraging that my research has identified some quality offerings. 

Of course, my challenge has always been which programs are the right ones for A-One's specific cognitive impairments, so that his efforts in brain training translate to real improvements in his quality of life.

Objectives: Best Practice AND Online

On Friday I attended an all-day workshop at the University of Queensland for Research Officers working in NGOs. Its purpose was to build capacity for research in the Human Services NGO sector, through building relationships between the University's researchers and the service providers/practitioners in the Human Services sector.

I don't work for an NGO, however my interest was to discover more about how research works in the Human Services sector, access to funding for research, and how that might be applied so that specific, targeted brain training becomes more accessible.

I found it a very worthwhile day, meeting people working in the NGO sector and researchers from UQ.  In particular I met people from Synapse, the not-for-profit association supporting people with acquired brain injury (ABI), and the Centre of Excellence for Behaviour Support from UQ (based in Ipswich).




The latter is funded jointly with the Queensland Government to improve the quality of life for adults with intellectual or cognitive disability and challenging behaviour.   This group has developed a framework for developing a comprehensive research agenda for people with intellectual disability and challenging behaviours.  I learnt that the focus of this group is on positive behaviour support, especially for people with severe intellectual and cognitive disability. It sounded like it would be a stretch for that group to turn its attention to those with mild cognitive impairment.  However, the framework for developing a comprehensive research agenda may be a good base from which to start in developing a research agenda for people with milder cognitive impairments.

Based on what I learnt from the workshop, I have drafted my own vision to improve the services available to people who fall between the cracks of 'normal' cognitive ability and severe cognitive disability. How many people are on the disability pension, possibly on supported wage, who with some effective intervention to overcome their cognitive impairments, could move into gainful employment and eventually off, or receive reduced, government support?

My two objectives are:

Objective 1: Evidence-based brain training exercises become incorporated into best practice treatment options for cognitive impairments

Objective 2: Evidence-based best practice cognitive assessments and correlated brain training exercises become more widely accessible through online delivery



I have begun developing the compelling 'why' for various stakeholders:

• People with cogntive impairments
• Carers
• Human Services Providers/Practitioners
• Health Care Practitioners/Specialists
• Educational Services
• Government - Political
• Government - Administrative
• Employers/Business
• Community/Society

Also the How? and the Who?

I learnt that evaluation (efficacy) measures need to be determined collaboratively to incorporate user, practitioner, and researcher perspectives.

...

I wasn't at home on Friday, so no brain training happened for A-One, despite his insistence that I don't need to be there while he does it. 

Met Barbara Arrowsmith-Young this morning

My husband and I attended a breakfast talk by Barbara Arrowsmith-Young in Brisbane today.

Barbara's talk reinforced to me that the strength of the Arrowsmith program when compared to online brain training is that the Arrowsmith program is carefully focussed on a person's weak cognitive function, keeping it isolated from cognitive strengths which might compensate.  Whereas online brain training is likely to be more general.

I also found the talk very worthwhile in meeting some people in Brisbane who have an interest in this area, including those who have a special interest in any adult programs.  I came away with some business cards to follow up, as well as an Arrowsmith Parent Adocacy Guide - to gain support from schools to implement the program.

Again I came away convinced that evidence based research and results will be important to brain training programs becoming more mainstream.

Where to from here?

It seems to me that the next stage of this neuroplasticity wave will be to produce a more significant body of evidence based results, presumably with control groups, so that brain training can secure funding to become more mainstream - not just for learning support in schools, but also to help adults such as my son A-One, who missed this boat when he was at school.

 

 

So, if my blog helps to contribute to the evidence base, I hope it ultimately means improved accessibility to brain training for people of any age with cognitive impairments.