Computer-assisted cognitive training shows mixed results for working memory in children with developmental disorders.
A scoping review and meta-analysis examined computer-assisted cognitive training (CCT) in children with developmental disorders. The review included 22 studies describing 21 devices, covering populations with ADHD, learning-related developmental conditions, intellectual developmental conditions, and autism spectrum disorder (ASD). The primary outcome was not reported, while secondary outcomes focused on working memory and executive-function measures. CCT was compared against mock training.
Results indicated that improvements in working memory and selected executive-function outcomes were reported in some programs. However, specific effect sizes, absolute numbers, and statistical significance were not reported for these improvements. In studies specifically addressing ASD, CCT did not demonstrate superiority over mock training. No adverse events, serious adverse events, discontinuations, or tolerability data were reported in the review.
The evidence base was characterized by heterogeneity across diagnoses, intervention architectures, comparators, and outcome measures. Evidence regarding learning-related and intellectual developmental conditions was particularly variable and device-specific. The single ASD study identified failed to show superiority over the control condition. Funding sources and conflicts of interest were not reported.
CCT appears clinically attractive due to its adaptability, gamified delivery, and potential for home-based use. However, the current evidence is uneven and does not support broad efficacy claims across developmental disorders. Clinicians should interpret findings with caution given the lack of standardized reporting and the variable nature of the included studies.