NCT07778706

Brief Summary

The purpose of this study is to investigate neurocognitive mechanisms underlying response to intervention aimed at enhancing and remediating weaknesses in arithmetic skills in children, including those with mathematical learning disabilities.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
160

participants targeted

Target at P75+ for not_applicable

Timeline
61mo left

Started Sep 2026

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

First Submitted

Initial submission to the registry

August 18, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 21, 2026

Completed
11 days until next milestone

Study Start

First participant enrolled

September 1, 2026

Expected
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2031

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2031

Last Updated

August 24, 2026

Status Verified

August 1, 2026

Enrollment Period

5 years

First QC Date

August 18, 2026

Last Update Submit

August 20, 2026

Conditions

Keywords

Mathematical Learning DisabilitiesNumerical skills in childrenLow math abilitiesEarly Intervention, Educational

Outcome Measures

Primary Outcomes (7)

  • Change from baseline in arithmetic task performance (reaction time)

    Performance will be measured by children's reaction time (milliseconds) on arithmetic task

    Baseline and post-intervention (after 6 weeks)

  • Change from baseline in arithmetic task performance (accuracy)

    Performance will be measured by children's accuracy (% trials correct) on arithmetic task

    Baseline and post-intervention (after 6 weeks)

  • Change from baseline in latent cognitive measures of arithmetic task performance (drift rate)

    Latent cognitive processing will be measured by drift rate from children's arithmetic task performance

    Baseline and post-intervention (after 6 weeks)

  • Change from baseline in latent cognitive measures of arithmetic performance (post-error adjustment)

    Latent cognitive processing will be measured by post-error adjustment from children's arithmetic task performance

    Baseline and post-intervention (after 6 weeks)

  • Change from baseline in brain activation during arithmetic task performance

    Neural activity will be measured during a functional magnetic resonance imaging arithmetic task. Data will consist of beta values from individual-subject contrast maps for the Small vs. Large contrast in the whole-brain general linear modeling functional magnetic resonance imaging analysis.

    Baseline and post-intervention (after 6 weeks)

  • Change from baseline in brain representation during arithmetic task performance

    Neural activity will be measured during the functional magnetic resonance imaging arithmetic task. Data will consist of spatial correlations of voxel-wise brain activation between Trained vs. Rest and Untrained vs. Rest contrasts for individual subjects.

    Baseline and post-intervention (after 6 weeks)

  • Change from baseline in brain connectivity during arithmetic task performance

    Neural activity will be measured during the functional magnetic resonance imaging arithmetic task. Data will consist of generalized psychophysiological interaction beta values from individual subject contrast maps for Small vs. Large contrast.

    Baseline and post-intervention (after 6 weeks)

Secondary Outcomes (2)

  • Change from baseline in untrained arithmetic task performance (reaction time)

    Baseline and post-intervention (after 6 weeks)

  • Change from baseline in untrained arithmetic task performance (accuracy)

    Baseline and post-intervention (after 6 weeks)

Study Arms (2)

Arithmetic strategy training

EXPERIMENTAL

Participants complete 6 weeks of activities, 1-hour hybrid sessions daily for 3 days per week (in total 18 sessions), that progressively develop the efficient use of arithmetic problem-solving strategies. Before and after training, participants complete arithmetic problem-solving tasks during neuroimaging sessions.

Behavioral: Arithmetic strategy training

Speeded practice training

ACTIVE COMPARATOR

Participants complete 6 weeks of activities, 1-hour hybrid sessions daily for 3 days per week (in total 18 sessions), that focus solely on enhancing arithmetic fluency. Before and after training, participants complete arithmetic problem-solving tasks during neuroimaging sessions.

Behavioral: Speeded practice training

Interventions

Speeded practice training includes activities that focus solely on enhancing arithmetic fluency.

Speeded practice training

Arithmetic strategy training includes activities that progressively develop the efficient use of arithmetic problem-solving strategies.

Arithmetic strategy training

Eligibility Criteria

Age6 Years - 12 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Elementary school-aged children starting from first grade (6-12 years old)
  • Intelligence Quotient: Participants with a Full Scale Intelligence Quotient is greater than 70 on the Wechsler Abbreviated Scale of Intelligence Quotient
  • Identification of Mathematical Learning Disabilities: Scores below the 20th percentile on two or more Wechsler Individual Achievement Test, Fourth Edition math subtests
  • Identification of typically developing children: Scores at or above the 50th percentile on two or more Wechsler Individual Achievement Test, Fourth Edition math subtests
  • Normal or corrected-to-normal vision and no hearing impairments

You may not qualify if:

  • History of neurological or psychiatric disorder (i.e., schizophrenia, psychosis, depression, or attention deficit hyperactivity disorder)
  • History of trauma involving head injury
  • Consistent psychiatric medications

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Stanford University

Palo Alto, California, 94304, United States

Location

MeSH Terms

Conditions

DyscalculiaLearning Disabilities

Condition Hierarchy (Ancestors)

Specific Learning DisorderCommunication DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsNeurodevelopmental DisordersMental Disorders

Study Officials

  • Vinod Menon, Ph.D.

    Stanford University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor in Psychiatry and Behavioral Sciences

Study Record Dates

First Submitted

August 18, 2026

First Posted

August 21, 2026

Study Start (Estimated)

September 1, 2026

Primary Completion (Estimated)

September 1, 2031

Study Completion (Estimated)

September 1, 2031

Last Updated

August 24, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share

Locations