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Copyright: ©Author(s) 2026.
World J Clin Pediatr. Dec 9, 2026; 15(4): 120091
Published online Dec 9, 2026. doi: 10.5409/wjcp.120091
Table 10 Cognitive training and brain games: Evidence, transfer effects, and recommended use
Training type
Evidence base
Transfer effects
Recommended use
Computerized working memory trainingMultiple randomized controlled trials and meta-analyses demonstrate consistent improvements on trained tasksStrong near transfer; weak and inconsistent far transfer to academic outcomesAdjunctive use in clinical populations (e.g., attention-deficit/hyperactivity disorder); not recommended as a standalone educational intervention
Attention and processing speed gamesModerate evidence for task-specific gains; variable methodological qualityNear transfer common; limited generalization to classroom performanceSupplementary tool to support attentional engagement alongside structured instruction
Commercial “brain game” platformsHeterogeneous evidence; limited independent validationPredominantly near transfer; minimal evidence for durable far transferUse cautiously; appropriate for engagement and motivation, not cognitive remediation
Multidomain cognitive training programsEmerging evidence suggests broader cognitive engagementModest transfer when integrated with educational contentBest implemented within hybrid educational or therapeutic frameworks
Game-based training integrated into curriculaGrowing support from school-based trialsImproved classroom engagement; selective academic transferPreferred educational model, especially when teacher-guided
Clinician-guided cognitive remediationStronger evidence in neurodevelopmental and clinical populationsFunctional improvements are more likely with individualized targetsClinical settings for targeted cognitive deficits, combined with behavioral support


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