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Executive Function Computerized Training in Very Preterm-Born Children: A Pilot Study.

Cornelieke S H Aarnoudse-Moens1,2, E Sabrina Twilhaar2, Jaap Oosterlaan1,2

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Summary

This study found that BrainGame Brian is a feasible intervention for very preterm children experiencing attention problems. The computerized training showed positive results in improving visual working memory and speed variability.

Keywords:
AttentionFeasibilityNeurocognitivePremature

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Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatrics

Background:

  • Very preterm birth (≤32 weeks gestation) is linked to significant attention problems in school-aged children.
  • Executive functions (EFs), including working memory and impulse control, are strongly associated with attention deficits in this population.
  • No previous research has explored interventions for attention problems in school-aged very preterm children.

Purpose of the Study:

  • To assess the feasibility of the computerized training program, BrainGame Brian, for very preterm children with attention problems.
  • To evaluate user experiences, participation, and dropout rates.
  • To examine preliminary training outcomes on core EFs and attention.

Main Methods:

  • A pilot feasibility intervention study involving 15 very preterm children (age 10) with reported attention problems.
  • A 6-week intervention using BrainGame Brian, targeting working memory, impulse control, and cognitive flexibility.
  • Feasibility measured by participation/dropout rates and user feedback; outcomes assessed via pre/post-training comparisons of EFs and parent-rated attention.

Main Results:

  • High participation (12/15) and completion (11/15) rates indicate feasibility.
  • Parents reported positive training characteristics but high effort.
  • Clinically significant improvements were observed in visual working memory and speed variability post-training.

Conclusions:

  • BrainGame Brian is a feasible intervention for very preterm children with attention problems.
  • The training shows promise for improving specific executive functions relevant to attention.
  • Further research is warranted to confirm efficacy in larger trials.