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Updated: Apr 17, 2026

A Protocol for the Administration of Real-Time fMRI Neurofeedback Training
Published on: August 24, 2017
Closed-loop training of attention with real-time brain imaging
Megan T deBettencourt1, Jonathan D Cohen2, Ray F Lee1
1Princeton Neuroscience Institute, Princeton University, Princeton, New Jersey, USA.
This study shows that real-time brain feedback can train sustained attention and reduce attention lapses. Neurofeedback improved task performance by making the task harder when attention wavered.
Area of Science:
- Cognitive Neuroscience
- Neuroimaging
- Neurofeedback
Background:
- Lapses in sustained attention lead to significant negative outcomes like accidents and reduced productivity.
- Current methods for improving attention are limited in their effectiveness.
Purpose of the Study:
- To investigate the efficacy of closed-loop neurofeedback for enhancing sustained attention abilities.
- To reduce the frequency of attentional lapses using real-time brain signal monitoring.
Main Methods:
- Utilized a sustained attention task with real-time monitoring of attentional focus via multivariate pattern analysis of whole-brain neuroimaging data.
- Implemented closed-loop neurofeedback where task difficulty increased upon detection of attentional lapse indicators.
- Compared training effects against a control group receiving feedback from other participants' brains.
Main Results:
- Participants demonstrated improved behavioral performance after a single neurofeedback training session compared to controls.
- The largest performance improvements were observed when feedback was derived from the frontoparietal attention network.
- Neural changes included more distinct representations of attentional states in the basal ganglia and ventral temporal cortex.
Conclusions:
- Attentional failures do not represent a fixed cognitive limit, indicating potential for improvement.
- Sustained attention can be effectively trained using personalized feedback derived from neural signals.
- Closed-loop neurofeedback offers a promising avenue for cognitive enhancement and attention training.
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