Working Memory Training in ADHD (The Engage Study)
Working Memory Training in Attention-Deficit/Hyperactivity Disorder: Neural Mechanisms of Change
1 other identifier
interventional
160
1 country
1
Brief Summary
The overall objective of the current study is to determine whether computerized Working Memory (WM) training will enhance WM capacity in college students with Attention Deficit Hyperactivity Disorder (ADHD). There are also four additional objectives. The first is to investigate whether the program's efficacy is impacted by the duration of the daily training sessions. The second is to determine whether improvements in WM will generalize to secondary outcome tasks, such as inhibitory control and planning. The third objective is to examine whether WM training will also ameliorate ADHD symptoms of inattention and hyperactivity. The last objective is to investigate whether improvements will be maintained at a two month follow-up period. The investigators will also be assessing healthy control participants,who will not be receiving treatment, but will be used as a basis of comparison with the ADHD participants, It is expected that the computerized WM training program will enhance WM capacity in college students with ADHD. In addition, it is believed that these increases in WM capacity will also lead to improvements in other executive functions. It is also hypothesized that WM training will lead to a reduction in ADHD symptomology. Lastly, these improvements should be maintained at three month follow-up.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started May 2012
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2012
CompletedFirst Submitted
Initial submission to the registry
July 27, 2012
CompletedFirst Posted
Study publicly available on registry
August 6, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2014
CompletedAugust 6, 2012
August 1, 2012
2.3 years
July 27, 2012
August 3, 2012
Conditions
Outcome Measures
Primary Outcomes (1)
Wechsler Adult Intelligence Scale: Digit Span subtest
This task assesses auditory-verbal working memory. Participants are presented with a series of digits and must immediately repeat them back out loud. If they do this successfully, they are given a longer list.
within 120 days
Secondary Outcomes (9)
Adult ADHD Self-Report Scale (ASRS v1.1)
within 120 days
'Add-3' working memory test
within 120 days
Cambridge Neuropsychological Testing Automated Battery: Spatial Span Task
within 120 days
Wide Range Assessment of Memory and Learning: Finger-Windows subtest
within 120 days
Barkley Deficits in Executive Functioning Scale (BDEFS)
within 120 days
- +4 more secondary outcomes
Study Arms (3)
Wait-list Control
NO INTERVENTIONParticipants randomized to this group will not undergo The Cogmed Working Memory Training Program during the 5 week period, but will receive weekly phone calls from a member of the research team to review progress and advice on general time management, organization, and mnemonic strategies. After a 5-week period, participants in this arm will have access to the working memory training.
15 Minute Training
EXPERIMENTALParticipants will receive a low intensity version of The Cogmed Working Memory Training Program. This involves undergoing 25 training sessions for 15 minutes per day, 5 days a week for 5 weeks. Participants will also receive weekly phone calls from a CogMed Coach to review progress and adjust the training as needed.
30 Minute Training
EXPERIMENTALParticipants will receive the standard-length version of The Cogmed Working Memory Training Program. This involves undergoing 25 training sessions for 30 minutes per day, 5 days a week for 5 weeks. Participants will also receive weekly phone calls from a CogMed Coach to review progress and adjust the training as needed.
Interventions
The Cogmed Working Memory Training Program will be used as the experimental program because of preliminary evidence indicating its effectiveness in enhancing WM and reducing behavioural symptoms of inattention/hyperactivity in children. This software-based training program was designed to improve WM abilities, particularly in children with ADHD or severe attention problems. It includes a set of auditory verbal and visual-spatial WM tasks presented via computer. All tasks involve: maintenance of simultaneous mental representations of multiple stimuli, unique sequencing of stimulus order in each trial and progressive adaptation of difficulty level as a function of individual performance.
Eligibility Criteria
You may qualify if:
- Formal diagnosis of ADHD by a doctor or psychologist
- Registered as a student at a post-secondary institution
- Registered with Student Disability/Accessibility Services at post-secondary institution
You may not qualify if:
- Major neurological dysfunction and psychosis
- Current use of sedating or mood altering medication other than stimulants provided for ADHD
- Motor or perceptual handicap that would prevent using the computer program.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ontario Institute of Studies in Education (OISE) at The University of Toronto
Toronto, Ontario, M5S1V6, Canada
Related Publications (2)
Liu ZX, Glizer D, Tannock R, Woltering S. EEG alpha power during maintenance of information in working memory in adults with ADHD and its plasticity due to working memory training: A randomized controlled trial. Clin Neurophysiol. 2016 Feb;127(2):1307-1320. doi: 10.1016/j.clinph.2015.10.032. Epub 2015 Oct 20.
PMID: 26541307DERIVEDMawjee K, Woltering S, Tannock R. Working Memory Training in Post-Secondary Students with ADHD: A Randomized Controlled Study. PLoS One. 2015 Sep 23;10(9):e0137173. doi: 10.1371/journal.pone.0137173. eCollection 2015.
PMID: 26397109DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rosemary Tannock, Ph.D.
University of Toronto
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Priniciple Investigator
Study Record Dates
First Submitted
July 27, 2012
First Posted
August 6, 2012
Study Start
May 1, 2012
Primary Completion
September 1, 2014
Study Completion
September 1, 2014
Last Updated
August 6, 2012
Record last verified: 2012-08