專注力不足與認知訓練系列之二


由於PowerBrainRX「免費」認知能力測試,(留意6歲以上先係),咁梗係又約嚟玩咗。

同類嘅TEST可以喺Cognifit搵到。

報告都講得好details,起碼同我預計嘅近似,佢係聰明轉數好快小朋友,聽覺記憶力更高(都解釋到點解14個月大就可以哼歌仔),但專注力就…


呢幅圖由powerbrain啲小冊子度嚟,專心係學習嘅第一步,好難唔同意。
直到目前呢點,我基本上都係覺得唔買都睇吓,份報告係話到一啲你小朋友嘅能力畀你聽嘅。同埋consultant亦都幾溫柔解釋得幾詳細。當然,佢哋始絡係商業公司,訓練內容要保密,佢都畀咗一個例子我嘅,有啲似你係Lumosity搵到嘅免費遊戲。咁,訂價當然係唔會平,但我問咗好多意見都話每堂幾百至數千元係呢類私營治療嘅門檻。

好,然後,如果真係有留意薯淘同雞嘅朋友,應該知我份人成日寫攻略。我用還原水「醫好咗」我嘅原發性血小板增生,數據正常當好啦吓,實情係少飲水就會上返,反正要keep住check。

於是就去睇一大堆嘢,好很攰,but seems promising!呢個list應該會繼續expand落去~

了解4項專注力
大致係呢啲:
Types of Attention
Sustained attention is the ability to focus on one specific task for a continuous amount of time without being distracted.

Selective attention is the ability to select from many factors or stimuli and to focus on only the one that you want while filtering out other distractions.

Alternating attention is the ability to switch your focus back and forth between tasks that require different cognitive demands.

Divided attention is the ability to process two or more responses or react to two or more different demands simultaneously. Divided attention is often referred to as multi-tasking.

關於 brain / cognitive training 嘅研究時間好短,甚至比還元水仲短。PowerbrainRX套方法係由美國LearningRX為亞洲人,尤其香港學童修改而嚟(因為要寫中文字,難過英文字母好多咁話,背後理據如何,邊個改,點樣改唔知,反正你又搵唔到原本嚟對比架喇。)


我諗呢個viedo大概可以簡介吓brain training係做乜。大概就係好似鍛鍊二頭肌等你肌肉發逹後可以舉重少少嘢一樣,鍛練你個腦相應腦區。香港呢邊consultant話衝動行為,執行能力不足係前額葉嘅觸突呀連結呀發展得唔夠,佢話透過1對1鍛練就可以增加返呢啲觸突同連結。(嗱,你唔需要去做MRI住,反正唔好期望佢哋講嘅嘢係金科玉律,幾權威嘅人都會錯,我唔係SELL你嘢,冇責任幫你check埋真假。)

咁,如果想睇多啲,可以由喼神入手…啩。LearningRX創辦人。
Dr KEN GIBSON


係,上去做TEST,consultant都好樂意免費送呢本書仔,入面有獨立研究報告指出上完LearningRX各方面能力提升3幾年咁話。

另外佢研究所Gibson Institute都有幾十年呢啲research內容summary
例如最新呢篇Jedlicka, E. (2017). LearningRx cognitive training for children and adolescents ages 5-18: Effects on academic skills, behavior, and cognition. Frontiers in Education, 2(62). doi: 10.3389/feduc.2017.00062
重點:梗係話有效,留意湖池係私立,又唔係話排最top果啲學府。

更多關於間公司嘅:
2013年3月31日
LearningRX Insider Secrets: How to Negotiate a Better Price from LearningRX
重點:
According to one LearningRX insider (who’s contributing under the name Former LRX), despite the company’s claims that its programs benefit nearly every student, the LearningRX program “helps some a lot, some a little, and some not at all…”
“LRX gets good results for those students who work hard and stay focused on training, who have fun through the process,” writes Former LRX.
“Signing up is the right answer as long as you do so with your eyes wide open. That’s why I am here, because I don’t think most parents have their eyes wide open.”
雞髀仔去TEST果日就好開心,佢其實只要有奬pocketmon嘢就好開心,成日問我幾時再去上。

員工點睇
重點:似乎員工幾like公司,不單單為錢。

其他關於認知訓練:

Neuroplasticity 神經可塑性(未睇呀)

2013年02月01日
港大參與研究發現「專注力不足/過度活躍症」的非藥物治療療效存疑
http://www.hku.hk/press/c_news_detail_9186.html
重點:冇詳細講係邊種認知訓練嘅內容。

2014年10月20日
A Consensus on the Brain Training Industry from the Scientific Community
針對美國o既brain training industry,實有業者吹到天花龍鳯,所以有堆科學家出嚟插話呢啲嘢冇用架。

2014年12月17日
127 Scientists Challenge the purported brain training consensus released by Stanford Center for Longevity
但好難得嘅係,同年年尾有另外一堆科學家,更確切係neuroscientists神經學科嘅專家出嚟反駁。

The OPEN LETTER
重點:佢哋覺得有得拗,有啲人有得著,唔應該因為業界誇張失實完全否定brain training

Media Guide on LearningRx Settlement with the Federal Trade Commission
重點:FTC曾經告過一堆BRAIN TRAINING SERVICE PROVIDER,而LearningRX搵返位去反駁,講成件事點settle,照計間嘢目前仍然未執笠,即係有理由相係可能work嘅。

D. Expert Validation of LearningRx’s Substantiation
LearningRx’s substantiation has been reviewed by Dr. Howard Wainer, Distinguished Research Scientist with the National Board of Medical Examiners, retired Professor of Statistics at the Wharton School of the University of Pennsylvania, former Principal Research Scientist with the Educational Testing Service, and author of numerous articles and books on statistics. See Dr. Wainer’s analysis and findings, along with his curriculum vitae. He concludes that:

(1) Research other than RCTs, including powerful observational studies, can and commonly do provide “evidence to estimate causal effect”;

(2) LearningRx’s observational and randomized controlled studies “all support the credibility of the claims made that those trained using the LearningRx approach markedly increased scores on IQ tests and, more particularly, on sub-scores of those tests”;

(3) Randomization was not feasible for the small subgroups, such as TBI, autism, and dyslexia, but “with effects as consistently large as was being observed, the decision to go forward, as was done, was both ethically and scientifically preferable. Within the constraints that exist, therefore, there is convincing evidence supporting the claims of efficacy made.”
In sum, LearningRx’s efficacy claims are well-supported by the pre-post data from the many thousands of students who have completed the program, RCTs, the expert opinion of an eminent statistician, and the scientific literature with regard to the claims of correlation between cognitive ability and academic, financial, and athletic achievement.

佢哋自己做嘅更多independent support (冇人知係咪真係independent)

但brain training只有幾十年,其實佢哋啲研究結果已經比還元水吸引少少,雞髀6歲,等debate到佢7、8十歲?大量testimonial話work,但即使2015年亦繼續有研究話冇乜明顯效果,但依然改善咗working memory:
Cognitive Training for Attention-Deficit/Hyperactivity Disorder: Meta-Analysis of Clinical and Neuropsychological Outcomes From Randomized Controlled Trials

另,繼續搵落去,更多腦部訓練電腦遊戲推介:

其中呢個耶魯大學研發嘅ACTIVATE™
好似幾吸引,仲繼續研究緊有冇效:
Cognitive computer training in children with attention deficit hyperactivity disorder (ADHD) versus no intervention: study protocol for a randomized controlled trial

咁,其實已經同意雞髀去PowerBrainRX上堂,再睇吓點。問咗會唔會有咩可以喺屋企畀佢做,consultant話唔使,但我笨唔係浪得虛名嘅。
6 Brain Training Exercises for Children and Teens
重點:教家長喺屋企幫吓佢哋,睇落都幾合理。
3. The Concentration Game. Activities to improve memory and concentration are important for all of us! For younger children, you can take a few of their toys and line them up. Then cover them and take one away. See if they can tell you which one is missing. You can also have them try to remember short lists of familiar objects in the home. Try remembering them forward and backward. For older children and teens, try putting random objects in front of them for 15 seconds, then remove the objects and see how many they can remember. Start out with five and keep increasing the number as they master the task. You can also help auditory memory by giving them a random list of numbers or words orally and having them repeat them. Start with only 2 or 3 and work up from there.
對雞髀咁差嘅visual short-term memory好似幾有用,可以試吓。

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