Status Check

A-One hasn't done much brain training over the last month - just one day in the last four weeks.  His last score on Lumosity was 45th percentile, comprising the following sub-percentiles:

• Speed: 72.4
• Memory: 60.1
• Attention: 46.8
• Flexibility: 53.9
• Problem Solving: 9.1

All of the above are well within the average range, except Problem Solving.  I reckon his overall BPI would be higher than 45th percentile if he learnt his number facts.

So, has anything changed for A-One from his brain training?

When he met with his employment consultant yesterday discussing kitchen hand work, I noticed that he worked out how many years he'd been cleaning up the kitchen at home when I said he'd been rostered on that job since he was at least 8 years old.  Next week he turns 23.  He casually slipped into his conversation 'So, I've been doing that for 15 years.'  No pause, no counting on fingers.

I've also been noticing that his conversations as he plays WOW with his online friends are quite coherent and not all one-way.  Quite different from just a few years ago when he'd get on to a topic and keep talking regardless of signals that it was time to let someone else speak, or to inquire after them.  It all sounds very regular to me.

He now needs to build his confidence, and become motivated to get out of his comfort zone at home.

Testing

A-One and I have finally completed his practice and baseline tests using CogStateTM.  For him to have had sufficient sleep it usually means he's free in the afternoons, but I'm not always free then.  In my attempts to co-ordinate our schedules I'd occasionally hear faint mumblings of ... 'not important' ... but, in the end, he submitted relatively graciously.

To administer the tests I was required to read the instructions while they were also presented to him on the screen.  For the practice tests, he usually read ahead and pressed on without waiting for me to finish the instructions.  Except the working memory tests - he read and re-read them before proceeding.

For the baseline tests, because they are timed and should be done without significant breaks, I asked him if he needed a glass of water or to use the toilet before we started.  He decided he did.

An hour later (sigh) we got started.

Again I read the preparatory instructions, reminding him that the tests were the same as the practice tests, just different in the specifics so that they are still 'fresh'.

Mum: Are you ready to start?

A-One: Not yet.  I'll let you know.

A minute or so passed.

Mum: Are you ready yet?

A-One: No.  I'll let you know when I am.

A minute or so passed.

Mum: How about now?

A-One: No. Not yet.

Mum: Are you composing yourself, getting your mind ready for this?

A-One: Yes.

The first baseline test was to remember a shopping list.  As I started to read out the items, he burst out, 'Aren't these meant to be the same words as before?'  So we used up some seconds as I explained that the test is the same, but the words are different.  That's what the 'composing' time had been about - trying to remember the words from the practice test!

For most of the tests again, he pressed on without waiting for me to finish reading the instructions, except for the more challenging of the working memory tests.  We completed all the tests in about an hour and fifteen minutes. My observation, supported by the test results, showed that his working memory is quite good. When tests required that he 'work out' a rule or find a path in a maze, he performed better than when he had to remember many things short term.  But for anything that had made it into his memory, his delayed recall was then good.  This is consistent with our experience of him - it might take a while for something to get into his brain, but once it's there, it's there forever!  So it sounds to me like he would benefit from practising learning things off by heart - not so much to know many more things, but to practice the learning technique required to remember things.

Mum: Do you want to see your test results?

A-One: Nah.

Pondering the good working memory results, and recalling that his previous neuro-psyche tests indicated a weak working memory, I asked him if he was willing to do a little exercise that would take only a minute (a working memory test).

Mum: I'll give you five numbers and I want you to repeat them back to me - backwards.

A-One: OK.

Mum: 7    3     9     5     8

A-One gazed down with a look of concentration on his face.  After about 15 seconds he looked at me and giggled.  He looked down again for about another 10 seconds.  Looked up, giggling again.

Then, tumbling the numbers out in quick succession:

A-One: 85937!

He's a Sharpshooter!

I was listening to a 'Founder Story' of Mike Scanlon, Lumosity's Chief Scientific Officer today.  He made reference to a broader cognitive test that Lumosity members can use every few months to see how their cognitive capacity is going as distinct from how well they are performing in the brain exercises.  (Note: It doesn't seem to work with IE 10, but does with Chrome.)  I can't find a link from the Lumosity website, but I had an email record of the URL from my initial inquiry to Lumosity.

I can't recall why I didn't get A-One to do it initially because that had been my plan.  Perhaps I had thought that limited levels of co-operation were better directed to the actual brain training.

Today he was willing enough to do it.  His test results tell him that his strengths are Speed and Attention. Problem Solving is rated above Memory which is his weakest, even though Memory is his area of strength in the actual exercises and Problem Solving his weakest. The report notes that Attention is good for driving. Imagine that! For a boy who had been told all his life that he needs to be kept on task,  had been on ADD medication for a while, and last year told by the neuropsychologist that he shouldn't get his drivers licence.

I love the encouraging way the report is presented and the smile on A-One's face when he read it: A-One, you are a Sharpshooter! Quick, observant and incisive.  You easily take in information and use penetrating insight to make quick decisions.  With a keen sense of spatial orientation, people with these strengths make natural athletes and navigators.   His overall score also put him in the 'about average' range for people in his age range.

(Would WOW also have something to do with this?)

Mum: See A-One, I think for someone who has your capabilities, it's criminal that you're not out there working or learning an occupation.  And you should be playing to your strengths - get to the gym three times a week!  or Tae Kwon Do or Roller Blading. I'm happy to take you.

A-One: I'd like to go to gym.

Mum: Great.  What time of the day do you want to go - and it should be at least 3 times a week.

He's still thinking about that one.

Mum: For someone who is decisive, it shouldn't take too long for you to make a decision about that.

A-One: I don't think I'd do very well at TAFE, because I struggle with the theory.

Mum: Don't base all your decisions on what you were good at, or not, at school.  Remember all this brain training is to enable you to do those things.  It's not because I'm 'into it' that I'm getting you to do brain training.  It's to make it possible for you to do those things that you are interested in!

A-One: OK.

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.

Working Memory

I can hardly believe it's been over a month since I blogged about my son A-One's brain training. He has continued doing some, but it hasn't been daily, more like every 4 or 5 days.  His overall score has moved up 5 percentiles during that time:

• His Speed is now 72nd percentile, with over half of the games having included information processing
• He cracked 50th percentile for Memory, although only a couple included working memory exercises
• He moved up 5 percentiles in Attention, but slipped back a couple of percentiles over the last few games played
• He has moved up almost 12 percentiles in Flexibility
• Problem Solving stays doggedly around 8-9th percentile, although he has been served up very few problem solving games over the last month

Once A-One had cracked the 50th percentile for Memory, I wanted to include additional working memory games e.g. Dual NBack download because it is a well-known clinically proven peer reviewed exercise for working memory, and is also free.  Roughly speaking, working memory is where you do (manipulate) things in your head e.g. reciting a known telephone number backwards.  A-One has an impairment in this area, and it's a pretty key one for learning.

I chose the downloadable version (there is an online version at Dual NBack online) so that any lack of access to internet would not be an issue.  Although he also does a version of that game in his Lumosity training, he doesn't get working memory games every time he plays, and I'd like to intensify his training in this area.  Cogmed is also a commercially available peer reviewed program for working memory which I had originally thought I'd book him in for, but I wanted to gauge his commitment level before committing funds.

The downloadable version does not have as simple look and feel as the online version, however it is more configurable, and can be set to start more simply than the online version.  Basically, the player has to remember two things (dual) and hit nominated keys when there have been matches from N times ago.  To get him started, I initially set it up for A-One to remember only the previous try (1 Back) instead of the default which is two tries ago (2 Back).  I tried it myself first so that I could explain how to play (for me, the explanation with the game took a few reads through).  He downloaded it happily enough (around 20 March), clearly indicating that he didn't need my help downloading it.

However, when it came to playing it:

A-One: This game is too hard - you have to remember two things.

Mum: Yes, it's difficult at first, but once you get used to it, you'll get the hang of it.

A-One: I'm not doing it.

And he hasn't since ...

60th percentile for Speed!

A-One finally got to his Friday game before he went to bed Saturday morning - when? Don't know.  He's had the same pair of pyjama pants on night and day for the last week.

The exciting news is that he's hit 60th percentile for Speed, and is almost cracking 50th percentile for Memory. He was served an information processing game, but no working memory.  Nevertheless, he gained another PB for the cafe game for remembering names, faces and orders. I suggested to him that once he's hit 50th percentile for Memory, he might adjust his training priorities so that he gets more intensive work on Attention and Flexibility.  He didn't protest, so we'll see once he hits the mark.

Also, through SharpBrains again, I saw a reference to a paper published in Nature, by two professors advocating for games developers and neuroscientists to collaborate to produce digital games that train the brain.  Yeh! When you think that children's game play is how they learn and grow, why not digital games too?  One of the scientists spoke at a TED talk last November.

It takes time to be handsome

With no WiFi at present, A-One has connected his laptop into the last spare cable internet connection in the study.  As I have been working at my laptop too, we have been spending more time in each other's company.  In fact, I spent several days engrossed in some work of my own, and A-One beat me to bed one night! Or more accurately, one morning.  I well understand the draw of some kinds of work, just to see it completed - as A-One finds with campaigns in WOW.  These days I usually avoid activities that hook me in this way because there are many other things that also need my attention.  So for me, I'm glad my work of last week is over and that I've returned to the land of the living.

A-One played his brain training exercises Tuesday, Wednesday, Thursday and Friday. On several days he played in his pyjamas at the eleventh hour, knowing now that if he waits until after midnight, it doesn't count for that day.

• His best score for Speed was on Tuesday, achieving his highest yet, coming in at 56.2nd percentile.  Since then he's been steady at 54.4th percentile, with a slight drop on Friday to 54.1st percentile.

• He has also been steady on Memory at 47.8th percentile with working memory played most days, rising to 48.8th percentile on Friday.

• Very few Attention games were offered this last week, so A-One has been steady there too at 33.4th percentile.

• Of late his program seems to have been exercising mainly his Flexibility, particularly brain shift, which has seen a good improvement last week, rising to 28.2nd percentile. I'm hoping these exercises will help him with his rigidity - in helping formulate options when considering courses of action.

• No change in problem solving (only a couple of games last week), at 9.1st percentile.

• His overall percentile is now 31.2nd percentile - still his highest yet.

A-One and I reviewed his results each day, and if information processing and working memory were not offered, I suggested additional games.  However with my own busy-ness I did not push it, and A-One did not play any additional games last week.

Nevertheless on Friday I felt like celebrating, so on Friday morning I raised the idea of going out for a low key dinner that night.  A-One seemed open to the idea.  I reminded him that he'd need to be ready by 6:30pm so that we could pick up his sister from work on the way.

I was very pleased to see him stop playing WOW at 5pm, with no prompting, to have a shower. At about 5:30pm he came downstairs wrapped in a towel to check with me again about the leaving time.  I told him that he needed to be ready by 6:30pm in case his sister rang for an early pickup, as she sometimes does, but that if she doesn't ring, we'd be leaving at 6:45pm. He then went back upstairs.

At 6:45pm he was still in the bathroom.

Mum: We have to leave now A-One.  Your sister has just called too.

A-One: I'll only be a couple of minutes.

Mum: But we have to leave now - as I told you this morning.  You've had all that notice!

A-One: I won't be long.

At 6:53pm:

Mum: A-One, we have to leave!

A-One: Okay. I'll only be a couple of minutes.

Mum: We have to go!

At 6:55pm, he came out of the bathroom looking very smart - he had shaved and put on nice clothes. I was pleased that he had taken care with his appearance, but I was also very conscious that his (younger) sister was waiting on a city street. At night. On her own.

Mum: I was really looking forward to being able to tell you what a great job you did being ready on time.  You stopped playing WOW at 5 o'clock which was great, but then you were still almost half an hour late!

A-One: If you must know, I was cutting my nails.  I've only done one hand.

(A-One's beard and nails get quite long when he plays WOW for weeks on end.)

Mum: Well, that's great too that you want to spruce up for going out - you look very handsome - but if you need more time to do that, then you need to start earlier.  You might say sorry to your sister for being late.

He didn't say sorry when we picked up his sister, but we did have a lovely meal.  With a little encouragement he tried something new to eat - and he finished it all before the rest of us, saying that's what he'll have every time he comes here!

His scores just keep improving

Last week A-One was frustrated with our intermittent wireless internet so he decided to reboot the router.  This causes issues for all users as we have to delete and reinstall all printer drivers, but this time it caused him an issue as well.  His laptop is now unable to use the wireless internet, despite his dad trying to troubleshoot the problem for several hours one night last week.

So he is without wireless internet access, but until that happened he had been able to do his brain training on Tuesday and Wednesday last week.  Wednesday saw him move up to 24th percentile for flexibility and up to 9.1st percentile for problem solving - his best yet!  Whoohoo!

On Wednesday he made the 30s! for his overall BPI percentile - 30.5th.  He had started at less than 10th - he just keeps improving.  Wednesday's games included another personal best for a game he likes - the cafe game about remembering names to faces and their orders.

And he may be applying some problem solving to real life. His dad and I were away for part of the weekend. When asked earlier in the week A-One chose not to join us.  However, when we were about to depart A-One asked where everyone was and commented that without internet there would be nothing for him to do. I reminded him that he could have come with us, but it was too late now.

As we were driving away I asked his sister to text him about free WiFi at the local library and that we could look up bus timetables if he wanted to take his laptop.  We didn't hear anything. Later on when I was talking to him he informed me that he had brought his laptop down to the study, unplugged his dad's laptop and plugged his in to access the cable internet.  Necessity the mother of invention?

Anyway, yesterday and today he has been happily ensconced at his dad's desk with his own laptop connected (until his dad needs to use his desk) .  He showed me his Wednesday scores, and when we saw that information processing wasn't included in Wednesday's games, he proceeded to choose and play an additional game without even so much as a whimper of protest.  In fact he showed some disappointment with his score having made only two errors.

Thank God it's Friday?

After Thursday's good day, Friday wasn't so flash.

Mum: OK A-One, time to get on to your brain training.

A-One: It's Friday!

Mum: And ...?

Later in the day he tried one game, then something locked up on his laptop and when he tried again it was after midnight and the site was unavailable.  On Sunday night when I asked him whether he had completed Friday's training, he hadn't.  However, he resumed on Monday.

He was given both information processing, working memory and flexibility games, resulting in scores similar to the day before.  He commented that he didn't like one of the games, a working memory game.

Mum: That means you're starting to work at a new level of capability - that's good.

Still, his overall BPI and percentile were marginally up again.  He's now performing overall at 25.6% of the population in his age range.

That sounds like a plan

Today was a good day.

After I woke A-One this morning I asked him about his plan for the day, to which he answered 'I don't know.'

Mum: Did you do your additional information processing and working memory games yesterday?

A-One: Yes.

Mum: Fabulous!

I gave him a gee up about getting on to today's games, then they'd be out of the way, and left it at that. 

Later on in the day, he came downstairs and told me there were three things he had to do today and proceeded to enumerate them.

A-One: I'll eat first, then I'll fix the DVDs folder, then Lumosity, then I'll report my income for Centrelink (which I should have done yesterday).

Mum: That sounds like a plan - well done!

This afternoon I asked him how it all went.

A-One: I've done them all.

Mum: That's great. Really well done.

It gets better.

He's now in the 25.3rd percentile for his overall BPI. He was presented with both an information processing and a working memory game today (so no extra ones to do), but it was his problem solving percentile which had shot up!  He's now in the 8.5th percentile! When he first started he was somewhere between <1st and 2.5th. We checked out which games he had been served: both a quantitative reasoning and a word sort game.  He performed significantly better with the word game, but even the maths one had risen slightly too.

I could see that he was pleased at my reaction to his problem solving result. Howzat!

I'm good with names

A-One's overall percentile after today's training was 24.5th - achieving a new high yet again at 808 BPI. His memory score was significantly further up from yesterday and his flexibility had just nudged higher than his previous highest before the break.

He was not served up any information processing or working memory games today. His memory game was about remembering faces. He usually does quite well with the cafe game where he has to remember both faces and orders, so it seems that remembering faces is quite a good strength for him.