Assessment & Research

Cognitive training as a resolution for early executive function difficulties in children with intellectual disabilities.

Kirk et al. (2015) · Research in developmental disabilities 2015
★ The Verdict

Cognitive-training studies for kids with ID are too shaky to trust, so stick to interventions with solid evidence until stronger EF trials arrive.

✓ Read this if BCBAs working with school-age children with intellectual disability who are thinking about executive-function software or apps.
✗ Skip if Clinicians only serving clients with ASD but no ID, or those already using data-backed prompting and motor-skill protocols.

01Research in Context

01

What this study did

Austin et al. (2015) looked at every paper that tried to boost executive function in kids with intellectual disability. They only kept studies that used computer games or table-top drills called cognitive training.

The team graded each study for quality. They checked if kids were picked at random, if trainers were blind to goals, and if gains lasted after sessions ended.

02

What they found

Most trials had weak designs. Many lacked control groups or follow-up tests. Because of these holes, results bounced all over the place.

The authors say we cannot trust any program yet. Better studies must come before schools or clinics buy cognitive-training packages.

03

How this fits with other research

Sutton et al. (2022) pooled 26 studies and found people with ID do score lower on EF tasks than mental-age peers. That meta-analysis used stricter rules, so its small but clear deficit adds weight to the call for tighter methods.

van Wingerden et al. (2014) showed kids with ID can decode text on level yet still fail at reading between the lines. Their quasi-experiment hints that EF problems are real, which may explain why training gains are hard to capture.

Capio et al. (2013) and Chiviacowsky et al. (2013) both ran clean motor-learning trials with error-reduced or external-focus cues. These RCTs got positive, lasting effects while cognitive-training papers falter, underscoring that design quality, not the kids, drives the muddy EF picture.

04

Why it matters

Before you buy that shiny brain-training license, demand peer-review evidence that beats the weak set E et al. flag. Spend your budget on well-built ABA or motor-skill programs that already show clear gains, and keep watching for an EF curriculum that finally survives rigorous testing.

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Audit your current EF program for random assignment, blind assessors, and maintenance probes; if any piece is missing, pause the program and switch to evidence-based prompting or errorless teaching tactics.

02At a glance

Intervention
not applicable
Design
systematic review
Population
intellectual disability
Finding
not reported

03Original abstract

Core executive functions (EF) such as attention, and working memory have been strongly associated with academic achievement, language development and behavioral stability. In the case of children who are vulnerable to cognitive and learning problems because of an underlying intellectual disability, EF difficulties will likely exacerbate an already compromised cognitive system. The current review examines cognitive training programs that aim to improve EF, specifically focusing on the potential of this type of intervention for children who have intellectual disabilities. We conclude that despite considerable discrepancies regarding reported intervention effects, these inconsistencies can be attributed to flaws in both program and study design. We discuss the steps needed to address these limitations and to facilitate the advancement of non-pharmaceutical interventions for children with intellectual disabilities.

Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2014.12.026