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Enhancing attention in children using an integrated cognitive-physical videogame: A pilot study
J A Anguera1,2, M A Rowe3, J J Volponi4,5
1Neuroscape Center, Department of Neurology, University of California, San Francisco, USA. joaquin.anguera@ucsf.edu.
NPJ Digital Medicine
|April 12, 2023
Summary
This study found that a combined cognitive-physical video game intervention (body-brain trainer or BBT) was feasible for children and improved attention. Benefits were observed in parent reports, cognitive tests, and neural measures, with lasting effects one year later.
Area of Science:
- Child Psychology
- Cognitive Neuroscience
- Educational Technology
Background:
- Inattention significantly impacts children's home and school functioning.
- Cognitive and physical interventions are promising non-pharmaceutical approaches for attention enhancement.
- Combined interventions are often marketed without robust research validation.
Purpose of the Study:
- To assess the feasibility of an integrated cognitive-physical, closed-loop video game (body-brain trainer or 'BBT') as an after-school program.
- To evaluate attention benefits following the use of the BBT intervention.
Main Methods:
- A proof-of-concept, single-arm, longitudinal study involving 22 children (7-12 years).
- Participants completed 24 sessions over 8 weeks (~30 min/day) of the BBT program.
- Attention was assessed using parent surveys, objective performance-based cognitive tests, and neural measures.
Main Results:
- High compliance (95%) was observed for the BBT program.
- Significant improvements were noted in parent-reported inattention, cognitive test performance, and neural attention measures.
- Exploratory findings indicated improvements in other cognitive control abilities and physical fitness, with benefits sustained one year later.
Conclusions:
- The integrated cognitive-physical BBT intervention is a feasible after-school program for children.
- The BBT demonstrated significant attention-enhancing benefits comparable to existing research.
- Findings support further research into the efficacy of this novel intervention for improving attention in children.

