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Updated: May 14, 2026

Working Memory Training for Older Participants: A Control Group Training Regimen and Initial Intellectual Functioning Assessment
Published on: September 20, 2020
Working memory training improves cognitive function in VLBW preschoolers
Kristine Hermansen Grunewaldt1, Gro Christine Christiansen Løhaugen, Dordi Austeng
1Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway. kristine.grunewaldt@ntnu.no
Insights
Computerized working memory training significantly improved cognitive functions in very low birth weight (VLBW) preschoolers. This intervention shows promise for enhancing academic readiness and reducing learning challenges in this vulnerable population.
Area of Science:
- Neuroscience
- Developmental Psychology
- Educational Psychology
Background:
- Children born preterm with very low birth weight (VLBW) exhibit deficits in attention and executive functions, including working memory.
- These cognitive challenges can impact academic performance and overall development.
Purpose of the Study:
- To assess the efficacy of a computerized working memory training program for VLBW preschoolers.
- To determine if the training yields generalized improvements in memory, learning, attention, behavior, and anxiety.
Main Methods:
- A prospective, stepped-wedge intervention study involving 20 VLBW preschoolers (5-6 years old).
- Participants engaged in daily 10-15 minute computerized working memory training for 5 weeks.
- Neuropsychological assessments and parental questionnaires were administered pre- and post-intervention.
Main Results:
- Significant improvements were observed in both trained and untrained working memory tasks.
- Generalization effects were noted in auditory attention, phonological awareness, visual memory (faces), and verbal memory (narrative, sentence repetition).
Conclusions:
- Computerized working memory training is beneficial for VLBW preschoolers.
- Early intervention may mitigate cognitive deficits and improve educational outcomes before school entry.
Background And Objective:
Preterm born children perform poorer than term peers on tests of attention and executive functions including working memory tests. Our aim was to evaluate if preterm born preschoolers with very low birth weight (VLBW) would benefit from a computerized working memory training program and if the training would have a generalizing effect on memory, learning, attention, behavior, and anxiety.
Methods:
A prospective intervention study with a stepped wedge design where 20 VLBW preschoolers aged 5 to 6 years participated. The children trained with the Cogmed JM program for 10 to 15 minutes a day, 5 days a week over a 5-week period. Extensive neuropsychological assessment and parental questionnaires regarding behavior and anxiety were performed before and 4 weeks after intervention.
Results:
The children improved significantly on trained (mean Start Index 42.1 [SD 6.3]), mean Max Index 60.6 [SD 5.7]), and nontrained working memory tasks (Spatial Span backward; 2.3 [before] to 3.6 [after training] [confidence interval {CI} -2.2 to -0.4] and Spatial Span total score; 6.4-8.3 [CI -3.7 to -0.1]). A generalization effect was found on auditory attention (49.6-58.2 [CI -15.5 to -1.6]), phonological awareness (9.3-12.6 [CI -5.2 to -1.4]), visual (memory for faces 20.0-24.9 [CI -7.4 to -2.5]), as well as verbal memory (narrative memory; 12.9-17.5 [CI -7.1 to -2.0], and sentence repetition 15.7-17.7 [CI -3.3 to -0.7]).
Conclusion:
This study shows that VLBW preschoolers benefit from a computerized working memory training program. We speculate that such training before starting school may prevent or reduce cognitive problems that impact educational achievement.
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