Evidence map›Paper›PMID 26460306›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2015

Computerized Cognitive Training for Amelioration of Cognitive Late Effects Among Childhood Cancer Survivors: A Randomized Controlled Trial.

Heather M Conklin, Robert J Ogg, Jason M Ashford, Matthew A Scoggins, Ping Zou, Kellie N Clark, Karen Martin-Elbahesh, Kristina K Hardy, Thomas E Merchant, Sima Jeha and 2 more

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06312969 (Cognitive Training Through Technological Gaming To Ameliorate Cognitive Effects Related To Childhood Cancer Treatment), which is not on this map. Cited by 93 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 7 pooled it
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06312969 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Cognitive Training Through Technological Gaming To Ameliorate Cognitive Effects Related To Childhood Cancer Treatment (WINNERS)

TypeinterventionalSponsorAntonio Pérez MartínezRan2023 to 2025Enrolled56ConditionsSurvivors of Childhood CancerArmsVideo game based training
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 7 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Psychosocial interventions for children and adolescents across the cancer care continuum: A systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  15. Working Memory Training in Alcohol Use Disorder: A Randomized Controlled Trial.Alcoholism, clinical and experimental research · 2019
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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Heather M ConklinHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC. heather.conklin@stjude.org.
Robert J OggHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Jason M AshfordHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Matthew A ScogginsHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Ping ZouHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Kellie N ClarkHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Karen Martin-ElbaheshHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Kristina K HardyHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Thomas E MerchantHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Sima JehaHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Lu HuangHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
Hui ZhangHeather M. Conklin, Robert J. Ogg, Jason M. Ashford, Matthew A. Scoggins, Ping Zou, Kellie N. Clark, Karen Martin-Elbahesh, Thomas E. Merchant, Sima Jeha, Lu Huang, and Hui Zhang, St Jude Children's Research Hospital, Memphis, TN; and Kristina K. Hardy, Children's National Medical Center and George Washington University School of Medicine, Washington, DC.
St. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765NCI NIH HHS P30 CA21765
6 · The paper itself

Abstract

purposeChildren receiving CNS-directed therapy for cancer are at risk for cognitive problems, with few available empirically supported interventions. Cognitive problems indicate neurodevelopmental disruption that may be modifiable with intervention. This study evaluated short-term efficacy of a computerized cognitive training program and neural correlates of cognitive change. PATIENT AND

methodsA total of 68 survivors of childhood acute lymphoblastic leukemia (ALL) or brain tumor (BT) with identified cognitive deficits were randomly assigned to computerized cognitive intervention (male, n = 18; female, n = 16; ALL, n = 23; BT, n = 11; mean age ± standard deviation, 12.21 ± 2.47 years) or waitlist (male, n = 18; female, n = 16; ALL, n = 24; BT, n = 10; median age ± standard deviation, 11.82 ± 2.42 years). Intervention participants were asked to complete 25 training sessions at home with weekly, telephone-based coaching. Cognitive assessments and functional magnetic resonance imaging scans (intervention group) were completed pre- and postintervention, with immediate change in spatial span backward as the primary outcome.

resultsSurvivors completing the intervention (n = 30; 88%) demonstrated greater improvement than controls on measures of working memory (mean ± SEM; eg, Wechsler Intelligence Scale for Children [fourth edition; WISC-IV] spatial span backward, 3.13 ± 0.58 v 0.75 ± 0.43; P = .002; effect size [ES], 0.84), attention (eg, WISC-IV spatial span forward, 3.30 ± 0.71 v 1.25 ± 0.39; P = .01; ES, 0.65), and processing speed (eg, Conners' Continuous Performance Test hit reaction time, -2.10 ± 1.47 v 2.54 ± 1.25; P = .02; ES, .61) and showed greater reductions in reported executive dysfunction (eg, Conners' Parent Rating Scale III, -6.73 ± 1.51 v 0.41 ± 1.53; P = .002; ES, 0.84). Functional magnetic resonance imaging revealed significant pre- to post-training reduction in activation of left lateral prefrontal and bilateral medial frontal areas.

conclusionStudy findings show computerized cognitive training is feasible and efficacious for childhood cancer survivors, with evidence for training-related neuroplasticity.

Indexed as

AdolescentBrain NeoplasmsChildChild, PreschoolCognition DisordersCognitive Behavioral TherapyComputer-Assisted InstructionFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMemory, Short-TermNeuropsychological TestsPrecursor Cell Lymphoblastic Leukemia-LymphomaRisk Assessment

Identifiers

PMID26460306
PMCPMC4652013
OpenAlexW2174439219

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.