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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 9 Executive function domains, training approaches, outcomes, evidence strength, and implementation contexts
Executive function domain
Training approach
Observed outcomes
Strength of evidence
Clinical implementation
Educational implementation
Working memoryComputerized training programs; curriculum-embedded memory scaffolding; adaptive rehearsal tasksReliable improvements in trained and closely related working memory tasks (near transfer); inconsistent effects on reading, mathematics, and global academic achievement (far transfer)Moderate for near transfer. Low-moderate for far transferIndividualized or small-group cognitive training (e.g., attention-deficit/hyperactivity disorder, learning disorders)Classroom scaffolding and curriculum-integrated strategies preferred
Inhibitory controlClassroom-based self-regulation curricula; rule-based games; mindfulness-informed practices; behavioral self-monitoringImproved attention regulation, classroom behavior, and task persistence; modest gains in early academic skillsModerate for behavioral outcomes. Low-moderate for academic transferBehavioral therapy and emotion regulation programsWhole-class social-emotional learning and self-regulation curricula
Cognitive flexibilityProblem-based learning; task-switching activities; metacognitive reflection; exposure to novelty and ambiguityEnhanced adaptive strategy use and task switching; limited direct academic transferLow-moderate, limited randomized controlled trialsCognitive remediation, executive coachingInquiry-based and project-based learning
Multi-component EF trainingIntegrated curricula targeting multiple EF domains within academic content; teacher-guided scaffolding; enriched learning environmentsBroader, more durable EF gains; improved engagement and selected academic outcomesModerate-high, strongest for embedded interventionsAdjunctive support for at-risk childrenPreferred universal or targeted school-based approach
Play-based EF interventions (early childhood)Structured play, pretend play, and social interaction-based EF challengesImproved self-regulation, social cognition, and learning readinessModerate, strongest in preschool yearsDevelopmental therapy settingsEarly childhood and preschool curricula


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