Are Computerized Attention Games Helpful for ADHD?

Are We There Yet?

The effectiveness of computerized attention games is a “hot topic” area and potentially exciting–but emphasis on “potentially.” The Science Says: It’s not there yet.

Researchers have been trying for decades to use computerized training programs to help people with cognitive skills, like reading, memory (particularly in older adults), as well as attention. I discuss new and developing treatment ideas, and sort fact from fiction, in Getting Ahead of ADHD (I discuss brain training at some length in Chapter 5 ).

What The Science Says

Computer training programs for some academic skills, like reading and math, are potentially helpful, and there is some promise in improving children’s academic skills and learning with attention training. But when it comes to ADHD itself, the data are underwhelming.

In “open label” tests (with no control group, and no “blinding” or disguising of the fact they are trying a special intervention), children’s attention (or other skill) improves somewhat. But those designs are only a first, minimal test—they do not rule out placebo or expectancy effects. Sometimes, even on well-controlled experiments a computer program can improve children’s scores on attention and other tests of cognitive skills. However, so far, the best summaries of controlled trials, using raters who are blind to the treatment condition (placebo or active), fail to see improvement in ADHD symptoms from computerized cognitive or attention training.

The Effectiveness Of Computerized Attention Games Is Still Under Study

Now, as computer games get more emotionally engaging and realistic, “next generation” training programs deserve to be studied—they may one day get there. If they do, then it will be important to discover whether the money and time spent on the computer training did more good for the ADHD (or learning, or other target problem) than an equal effort on physical exercise, counseling, skill based learning, or other intervention. It may be that in the future certain aspects of ADHD are helped, at least for some children, and that ultimately this can be identified and verified.  In the meantime, parents can expect to see periodic, excited press releases as first tests come out on new computerized programs. Remember, these are likely to be preliminary results. For now, be somewhat skeptical. Computerized training is not ready for prime time as an ADHD treatment quite yet.