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Evidence Matters
...I had two recent experiences that had me wondering about the importance of evidence in marketing of products....The first experience
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Technology – ...
There have a flurry of articles recently about the negative impact to brain performance from the increased reliance and usage of technology.  Examples
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Learning From Your ...
In the excellent blog The Frontal Cortex, Jonah Lehrer offers his take on a couple of recent studies about how
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All Research Studies

Learn more about research studies conducted using Posit Science software, both completed and in progress. You can view our studies by product or by clinical indication.

Evaluation of Approaches to Auditory Rehabilitation For Mild TBI
This in-progress study is testing the efficacy of the Brain Fitness Program on improving auditory performance in veterans with mild traumatic brain injuries.
N/A - Study in progress
Brain Fitness Program
Gabrielle Saunders
Portland VA Medical Center
Traumatic Brain Injury (TBI)
Brain Fitness for Improved Quality of Life in Chronic Heart Failure

The goal of this in-progress study is to determine whether a brain fitness routine improves quality of life measures for people with chronic heart failure.

N/A - Study in progress
Brain Fitness Program
Pressler, S
University of Michigan
Heart Failure
Brain Fitness in Parkinson's Disease

The goal of this in-progress study is to determine whether the Brain Fitness Program improves outcomes for people with Parkinson's disease.

N/A - Study in progress
Brain Fitness Program
Edwards, JD
University of South Florida
Parkinson's
Cognitive Training for Post-Traumatic Stress Disorder (PTSD)

The goal of this in-progress study is to determine whether cognitive training improves outcomes for veterans suffering from post-traumatic stress disorder (PTSD.)

N/A - Study in progress
Brain Fitness Program
Seal, K
SF Veterans Administration Medical Center / University of California, San Francisco
Post Traumatic Stress Disorder (PTSD)
Improving Cognitive Speed of Processing in Adults Aging with HIV

The major goal of this study is to investigate the effectiveness of speed of processing training in adults with HIV-related cognitive decline, with special emphasis on aging with this disease. The study has been completed and is awaiting publication.

N/A - Study complete and awaiting publication
InSight
Vance, DE
University of Alabama at Birmingham
HIV-Related Cognitive Decline
Cognitive Training for Tinnitus

The goal of this in-progress pilot study is to determine whether cognitive auditory training ameliorates the symptoms of tinnitus.

N/A - Study in progress
Brain Fitness Program
Kreze, M
University of Buffalo
Tinnitus
UFOV performance and driving ability following traumatic brain injury

This study of people with TBI showd that in individuals with traumatic brain injury, there is a significant relationship between UFOV performance and on-road driving performance.

Brain Injury
DriveSharp
InSight
Novack TA, Baños JH, Alderson AL, Schneider JJ, Weed W, Blankenship J, Salisbury D
University of Alabama at Birmingham
Driving
The ACTIVE cognitive training trial and health-related quality of life: protection that lasts for 5 years.

In this study, 2802 adults aged 65 years or older were randomized to three cognitive interventions or a no-contact control group. Data on 1804 participants were available at both the 2- and 5-year follow-ups. Of the 4 groups, the group that trained with Posit Science programs had the most clinically significant protection against declines in health-related quality of life (HRQoL)at both 2 and 5 years post-training.

The Journals of Gerontology
DriveSharp
InSight
Wolinsky FD, Unverzagt FW, Smith DM, Jones R, Stoddard A, Tennstedt SL.
VA Iowa City Health Care System
Healthy Aging
Long-term effects of cognitive training on everyday functional outcomes in older adults.

This is a 5-year follow-up of a 4-arm cognitive training study that was conducted in nearly 3000 older adults. 67% of the original study participants were re-tested in cognitive and everyday measures after five years with no additional training. The study showed that those who trained with Posit Science were still protected from decline in instrumental activites of daily living five years after training.

Journal of the American Medical Association
DriveSharp
InSight
Willis SL, Tennstedt SL, Marsiske M, Ball K, Elias J, Koepke KM, Morris JN, Rebok GW, Unverzagt FW, Stoddard AM, Wright E; ACTIVE Study Group
Department of Human Development and Family Studies, Pennsylvania State University
Healthy Aging
The effects of the ACTIVE cognitive training trial on clinically relevant declines in health-related quality of life

Over 2000 participants age 65 and older participated in this study measuring the effects of cognitive training on health-related quality of life (HRQoL) measures. Those who did Posit Science training were shown to have reduced risk of serious declines in HRQoL, while active controls and participants who trained on other types of brain training exercises showed no significant improvement in risk for HRQoL declines.

The Journals of Gerontology
DriveSharp
InSight
Wolinsky FD, Unverzagt FW, Smith DM, Jones R, Wright E, Tennstedt SL
University of Iowa
Healthy Aging
Identifying crash involvement among older drivers: agreement between self-report and state records.

This study looked at the level of agreement between self-reported and state-recorded crash involvement. Useful field of view impairment was associated with both self-reported and state-recorded crash involvement; however, the magnitude of the associations was disparate.

Accident; Analysis and Prevention
DriveSharp
InSight
McGwin G Jr, Owsley C, Ball K
University of Alabama at Birmingham
Driving
Speed of processing training protects self-rated health in older adults: enduring effects observed in the multi-site ACTIVE randomized controlled trial

Speed of processing training protects self-rated health in older adults: enduring effects observed in the multi-site ACTIVE randomized controlled trial

A recent independent study from the ACTIVE Group looked at 1,804 healthy older adults five years after they had just 10 hours of training. They found that the technology in Posit Science’s InSight brain fitness program contributes to better overall health and may even help people live longer. Researchers found a significant difference in overall health and calculated that this difference should reduce their mortality rate by 0.8 percent.

International Psychogeriatrics
DriveSharp
InSight
Wolinsky FD, Mahncke HW, Vander Weg MW, Martin R, Unverzagt FW, Ball KK, Jones RN, Tennstedt SL
University of Iowa, Posit Science, Indiana University, University of Alabama, Hebrew Senior Life (Boston, MA), New England Research Institutes (Boston, MA), Posit Science
Healthy Aging
Risk of falls and motor vehicle collisions in glaucoma

This study of 97 people looked at correlative factors of motor vehicle crashes and glaucoma. The strongest risk factor for crashes in patients with glaucoma was impaired useful field of view (UFOV).

Investigative Ophthalmology & Visual Science
DriveSharp
InSight
Haymes SA, Leblanc RP, Nicolela MT, Chiasson LA, Chauhan BC
Dalhousie University
Driving, Healthy Aging
Transfer of a speed of processing intervention to near and far cognitive functions.

This study in 97 people (mean age 73.71) showed that Posit Science training may enhance the speed at which older adults can perform instrumental activities of daily living.

Gerontology
DriveSharp
InSight
Edwards JD, Wadley VG, Myers RS, Roenker DL, Cissell GM, Ball KK.
Center for Research on Applied Gerontology, University of Alabama at Birmingham
Healthy Aging
The ACTIVE cognitive training interventions and the onset of and recovery from suspected clinical depression

This study examined the effects of cognitive training on 1606 people without suspected clinical depression at baseline. Only the Posit Science program intervention group had a significant effect on depression, with its participants being 38% less likely to develop suspected clinical depression at a 1 year follow-up.

Journals of Gerontology
DriveSharp
InSight
Wolinsky FD, Mahncke HW, Weg MW, Martin R, Unverzagt FW, Ball KK, Jones RN, Tennstedt SL.
Iowa City Veterans Administration Medical Center, University of Alabama Birmingham, Posit Science
Depression, Healthy Aging
Does Cognitive Training Improve Internal Locus of Control Among Older Adults?

This study evaluated the effects of 3 different types cognitive training among 1,534 participants on 5-year improvements in 3 cognitive-specific measures of locus of control. The group who trained on Posit Science programs reflected improvements in internal locus of control between baseline and the 5-year follow-up. The researchers concluded that older adults who complete correctly calibrated cognitive training can improve the cognitive-specific sense of personal control over one's life, even at the 5-year mark.

Journals of Gerontology
DriveSharp
InSight
Wolinsky FD, Vander Weg MW, Martin R, Unverzagt FW, Willis SL, Marsiske M, Rebok GW, Morris JN, Ball KK, Tennstedt SL.
University of Iowa, University of Alabama Birmingham, Posit Science
Healthy Aging
The ACTIVE cognitive training trial and predicted medical expenditures

Health care expenditures for older adults are disproportionately high and increasing at both the individual and population levels. This study evaluated the effects of three different cognitive training interventions on changes in predicted medical care expenditures. in 1804 adults 65 and older, the participants who trained with Posit Science programs showed an average decline in medical expenditures of $223 after 1 year and $128 after 5 years. Neither the other 2 active groups nor the control group showed statistically significant declines in medical expenditures.

BMC Health Services Research
DriveSharp
InSight
Wolinsky FD, Mahncke HW, Kosinski M, Unverzagt FW, Smith DM, Jones RN, Stoddard A, Tennstedt SL.
Iowa City Veterans Administration Medical Center, University of Alabama Birmingham, Posit Science
Healthy Aging
Divided visual attention as a predictor of bumping while walking: the Salisbury Eye Evaluation.

This study in over 1500 people aged 72-92 showed that the Posit Science program independently predicts the number of bumps while walking. Poor performance on the program is correlated with more bumps.

Investigative Ophthalmology & Visual Science
DriveSharp
InSight
Broman AT, West SK, Muñoz B, Bandeen-Roche K, Rubin GS, Turano KA
The Johns Hopkins University
Healthy Aging
The influence of perceptual training on working memory in older adults

This 30-person controlled study is the first to show direct transfer-of-benefits from perceptual discrimination training to working memory performance in older adults. Moreover, using electroencephalography to evaluate participants before and after training revealed neural evidence of functional plasticity in older adult brains. In layman's terms, the healthy older participants who trained with Posit Science software not only improved their perceptual abilities significantly, but also increased the accuracy of their visual working memory by about ten per cent and had physical changes in their brains.

PLoS One
InSight
Berry AS, Zanto TP, Clapp WC, Hardy JL, Delahunt PB, Mahncke HW, Gazzaley A
UCSF Medical Center
Healthy Aging
Can high-risk older drivers be identified through performance-based measures in a Department of Motor Vehicles setting?

This study of nearly 2000 people 55 and over showed that performance on Posit Science programs is predictive of future at-fault crashes in older adults. Cognitive performance, in particular, is a salient predictor of subsequent crash involvement in older adults. Those who perform poorly in the training are twice as likely to crash than those who perform well.

Journal of the American Geriatrics Society
DriveSharp
InSight
Ball KK, Roenker DL, Wadley VG, Edwards JD, Roth DL, McGwin G Jr, Raleigh R, Joyce JJ, Cissell GM, Dube T
University of Alabama at Birmingham, Edward R. Roybal Center for Translational Research on Aging and Mobility
Driving, Healthy Aging
Acquired brain injury, visual attention, and the useful field of view test: A pilot study

This study of 15 participants with brain injury showed that Posit programs can be used to effectively determine the patients' visual divided attention abilities. Poor performance on Posit Science program associated with poor performance on six measures of visual attention.

Archives of Physical Medicine and Rehabilitation
DriveSharp
InSight
Calvanio R, Williams R, Burke DT, Mello J, Lepak P, Al-Adawi S, Shah MK
Spaulding Rehabilitation Hospital, Boston
Traumatic Brain Injury (TBI)
A prospective, population-based study of the role of visual impairment in motor vehicle crashes among older drivers: the SEE study

In a study of 1800 people aged 65-84, researchers showed that poor performance on the Posit Science program was a significant predictor of crash involvement. Those who performed poorly on the program were more than twice as likely to have been involved in a crash in a four year period.

Investigative Ophthalmology & Visual Science
DriveSharp
InSight
GS, Ng ES, Bandeen-Roche K, Keyl PM, Freeman EE, West SK
Institute of Ophthalmology, University College London
Driving
Visual processing impairment and risk of motor vehicle crash among older adults

This study of over 200 older drivers showed that people who perform poorly on the Posit Science program are 2.2 times more likely to crash during the next 3 years than those who perform well on the program.

Journal of the American Medical Association
DriveSharp
InSight
Owsley C, Ball K, McGwin G Jr, Sloane ME, Roenker DL, White MF, Overley ET
University of Alabama, Birmingham
Driving
Exploratory study of incident vehicle crashes among older drivers

This study of 174 people 55 and over showed that performance on the Posit Science program can predict crash risk. Poor performers are 1.9 times more likely to crash than those who perform well.

The Journals of Gerontology
DriveSharp
InSight
Sims RV, McGwin G Jr, Allman RM, Ball K, Owsley C.
University of Alabama, Birmingham
Driving
Effects of cognitive training interventions with older adults: a randomized controlled trial

This study involving nearly 3000 participants looked at the effects of 3 different cognitive training strategies immediately following training and at a 2 year follow-up. Those who trained with Posit Science for 10 hours demonstrated improvement in both cognitive measures and everyday functioning immediately following training. After 2 years, training effects in cognition were shown to endure. Those who did a shorter “booster” session at the end of Year 1 improved even more across the board, both after training and at the 2 year mark.

Journal of the American Medical Association
DriveSharp
InSight
Ball K, Berch DB, Helmers KF, Jobe JB, Leveck MD, Marsiske M, Morris JN, Rebok GW, Smith DM, Tennstedt SL, Unverzagt FW, Willis SL; Advanced Cognitive Training for Independent and Vital Elderly Study Group.
University of Alabama at Birmingham
Healthy Aging
Speed-of-processing and driving simulator training result in improved driving performance

This controlled 3-arm study with 95 participants showed that Posit Science visual brain training improved driving safety. During a post-training driving evaluation, it was observed that Posit-trained drivers traveling at 55 MPH stopped 22 feet sooner than drivers in the two control groups and performed fewer dangerous maneuvers overall. The improvement in driving safety persisted in an 18-month follow-up test. Control participants who trained on a traditional driving simulator only showed no improvement in driving safety.

Human Factors
DriveSharp
InSight
Roenker DL, Cissell GM, Ball KK, Wadley VG, Edwards JD.
Western Kentucky University
Driving, Healthy Aging
Visual/cognitive correlates of vehicle accidents in older drivers
Psychology and Aging
DriveSharp
InSight
Owsley C, Ball K, Sloane ME, Roenker DL, Bruni JR.
University of Alabama, Birmingham
Driving, Healthy Aging
Using neuroplasticity-based auditory training to improve verbal memory in schizophrenia

Impaired verbal memory in schizophrenia is a key factor for functional outcome, does not respond to currently available medications, and shows only modest improvement after conventional behavioral remediation. This study of 55 people with schizophrenia showed that a group trained on Posit Science programs showed significant gains in global cognition, verbal working memory, and verbal learning and memory. They also showed reliable and significant improvement in auditory psychophysical performance.

The American Journal of Psychiatry
Brain Fitness Program
Fisher M, Holland C, Merzenich MM, Vinogradov S
UCSF Medical Center
Useful field of view after traumatic brain injury

The objective of this study was to explore the possibility that UFOV is compromised after TBI. UFOV performance of 23 TBI survivors and 18 young adults without neurological impairment were compared. The TBI survivors indicated a significantly greater functional loss of peripheral vision.

The Journal of Head Trauma Rehabilitation
InSight
Fisk GD, Novack T, Mennemeier M, Roenker D
Georgia Southwestern State University
Traumatic Brain Injury (TBI)
Relation of useful field of view and other screening tests to on-road driving performance

In this study of 43 participants referred to the Bryn Mawr Rehab Adapted Driving Program, Posit Science program performance predicted pass/fail of driving tests better than other visual and cognitive measures.

Perceptual and Motor Skills
DriveSharp
InSight
Myers RS, Ball KK, Kalina TD, Roth DL, Goode KT
University of Alabama at Birmingham
Driving, Healthy Aging
Association between visual attention and mobility in older adults

In this study of 342 adults aged 55-85, researchers saw that lower scores on Posit Science visual attention/processing speed exercises were significantly related to poorer scores on the performance mobility assessment, even after adjustment for age, sex, race, education, number of chronic medical conditions, cognitive status, depressive symptoms, visual acuity, and contrast sensitivity. Scores on the visual attention/processing speed test were unrelated to the self-reported measures of mobility.

Journal of the American Geriatrics Society
DriveSharp
InSight
Owsley C, McGwin G Jr.
University of Alabama at Birmingham
Healthy Aging
Cumulative meta-analysis of the relationship between useful field of view and driving performance in older adults: current and future implications

Meta-analysis of eight studies using different methodologies confirms the importance of the UFOV assessment as a valid and reliable index of driving performance and safety. Recent prospective studies have confirmed a relationship between UFOV performance and future crashes, further supporting the use of this instrument as a potential screening measure for at-risk older drivers.

Optometry and Vision Science
DriveSharp
InSight
Clay OJ, Wadley VG, Edwards JD, Roth DL, Roenker DL, Ball KK
University of Alabama at Birmingham
Driving, Healthy Aging
Predictors of driving exposure and avoidance in a field study of older drivers from the state of Maryland

This study looked at a field sample of 4,234 Maryland drivers, 55 years of age and older. A performance-based assessment showed that cognitive functioning had direct effects on both driving exposure and driving avoidance; physical functioning did not have a direct effect on driving exposure or avoidance.

Accident; Analysis and Prevention
DriveSharp
InSight
Vance DE, Roenker DL, Cissell GM, Edwards JD, Wadley VG, Ball KK
Center for Translational Research on Aging and Mobility, University of Alabama at Birmingham
Driving, Healthy Aging
Computer-Based Therapy for Mild Cognitive Impairment: results from a pilot randomized, controlled trial
Alzheimer's Disease and Associated Disorders
Brain Fitness Program
Kramer J, Yaffe K, Barnes D, Reed B, DeCarli C, Gabrieli J, Rosen A
Stanford, UCSF, UC Davis
Mild Congitive Impairment (MCI)
The impact of speed of processing training on cognitive and everyday functions

Researchers in this study combined data from six studies that all used the same Posit Science training exercises, as a way to examine the mechanisms of training gain and the impact of training on cognitive and everyday abilities of older adults. Results indicated that training produced immediate improvements across the exercises and maintained the benefits of training for at least 2 years. The gains from training translated to improvements in everyday abilities, including efficient performance of instrumental activities of daily living and safer driving performance.

The Journals of Gerontology
DriveSharp
InSight
Ball K, Edwards JD, Ross LA
Edward R. Roybal Center for Translational Reseach on Aging and Mobility, University of Alabama at Birmingham
Healthy Aging
Memory enhancement in healthy older adults using a brain plasticity-based training program: a randomized, controlled study.
Proceedings of the National Academy of Sciences of the United States of America
Brain Fitness Program
Mahncke HW, Connor BB, Appelman J, Ahsanuddin ON, Hardy JL, Wood RA, Joyce NM, Boniske T, Atkins SM, Merzenich MM
Posit Science
Healthy Aging
Brain plasticity and functional losses in the aged: scientific bases for a novel intervention

The goals of this initial pilot study were to test brain plasticity-based brain training exercises and to estimate the effect size on standardized neuropsychological measures of memory in trained individuals. Pre- and post-testing of participants showed a significant improvement in memory among the group that trained with Posit Science. The active control and no-contact control groups showed no improvements in memory.

Progress in Brain Research
Brain Fitness Program
Mahncke HW, Bronstone A, Merzenich MM
Posit Science
Healthy Aging
Age and visual search: expanding the useful field of view

In older adults, the peripheral vision field, known as the useful field of view (UFOV), reduces in size. This study showed that UFOV field size can be partially recovered by training on Posit Science programs. Older individuals who use Posit Science training improve UFOV perfmorance to levels closer to those of younger people.

Journal of the Optical Society of America
DriveSharp
InSight
Ball KK, Beard BL, Roenker DL, Miller RL, Griggs DS
Western Kentucky University
Healthy Aging
Combined Cognitive Remediation and Vocational Therapies for Schizophrenia

This in-progress study in individuals with schizophrenia combines Posit Science programs and vocational therapies to measure improvements in cognitive tasks, task engagement, and everyday function.

N/A - study is in progress
Brain Fitness Program
Wexler B
Yale New Haven Medical Center
Brain-Plasticity-Based Cognitive Training in Cancer Survivors with Self-Reported Memory Impairment

This ongoing study is a collaboration between the University of Toronto and Gilda's Club. Approximately 1 in 3 chemotherapy patients experiences chemotherapy-induced memory loss, also known as "chemobrain" or "chemofog." 30 participants suffering from chemobrain are training with the Brain Fitness Program so that researchers can measure memory thresholds before and after training.

N/A - study is in progress
Brain Fitness Program
Henderson T
University of Toronto
Chemobrain
The AD-AChEI Study

Case studies have shown that Posit Science training shows promise in helping patients with early Alzheimer's disease retain cognitive function. This in-progress study aims to more thoroughly test the benefits of brain training on patients with early Alzheimer's.

N/A - study is in progress
Brain Fitness Program
Choi J, Bell M
Columbia University, Yale School of Medicine
Alzheimer's Disease
Improving Task Engagement in Schizophrenia

People with schizophrenia frequently have impairments in attention ("task engagement") which have been shown to be related to overall functioning. The goal of this study is to test whether the Brain Fitness Program improves task engagement in individuals with schizophrenia.

N/A - study is in progress
Brain Fitness Program
Choi J, Bell M
Columbia University, Yale School of Medicine
Alabama Senior Driver Study

The goal of this large-scale, controlled, randomized study is to determine the effects of Posit Science training on crash risk. The study is currently in progress.

N/A - study is in progress
DriveSharp
Ball K, Roenker D
University of Alabama, Birmingham
Driving
A cognitive training program based on principles of brain plasticity: results from the Improvement in Memory with Plasticity-based Adaptive Cognitive Training (IMPACT) study.

With 487 participants, the IMPACT Study is one of the largest controlled randomized clinical trial of any brain fitness program to date. Participants in the active group who used the Brain Fitness Program increased their auditory processing speed by 131% and experienced an improvement in memory equivalent to approximately 10 years. Improvements generalized beyond trained tasks to other measures of memory. Three out of four people who used the Posit Science program self-reported positive changes in their everyday lives.

Journal of the American Geriatrics Society
Brain Fitness Program
Smith, GE, Housen P, Yaffe K, Ruff R, Kennison RF, Mahncke HW, Zelinski EM
Mayo Clinic, USC, Posit Science
Healthy Aging
The neural correlates of an expanded functional field of view

This study used fMRI brain imaging and behavioral measures to examine the effects of Posit Science visual brain training in older adults. Brain scans revealed increased activation of several brain areas in the trained participants. The imaging data combined with behavioral measures showed that the training improved visual attention in active participants.

The Journals of Gerontology
DriveSharp
InSight
Scalf PE, Colcombe SJ, McCarley JS, Erickson KI, Alvarado M, Kim JS, Wadhwa RP, Kramer AF.
University of Illinois at Urbana-Champaign
Healthy Aging