Monday, June 28, 2010

LearningRx

A friend told me about LearningRx recently. She had just had both her sons tested and her excitement and relief on sharing their results were palpable. She was so glad to finally be able to pinpoint exactly what their cognitive strengths and weaknesses and how those specifically explained the problems the boys were having in school. She even said that based on one of her son’s Cognitive Skills Profile, he was going to be admitted to a school for the gifted and talented. This is a boy who hates school and has had problems, so this was big news for her family. She is now doing the ThinkRx program with Learning Rx to help remedy the cognitive weaknesses that were discovered on the assessment.

After all that we have been through with Ronan (different public and private schools, homeschooling, assessments, tutors, vision therapy, repeating 1st grade, reading specialists….) I have doubts that there is anything that could make school easier and enjoyable for him, but clearly I am willing to help him anyway I can. There was a special price in May on these assessments, and after hearing about my friend’s experience I was (skeptically) curious, so we went to take the assessment. I figured it couldn’t hurt anything. The Occupational Therapist explained what they were testing and why, but I didn’t drop my skepticism or give much of my attention to it until after I saw the assessment summary. Then I sounded similar to my friend.

The test measures seven different cognitive skills: Long-term memory, visual processing, logic and reasoning, short-term memory, word attack, auditory processing, and executive processing speed. Ronan’s visual processing skills were exceedingly high (more like those of a 24 year old) and so was his logic and reasoning ability. These skills have enabled him to form and manipulate pictures in his mind, helping in skills like puzzles and math. The areas in which he fell below average were long-term memory and executive processing speed. For these skills he was about a year behind his peers, which is exactly where his reading ability is, not coincidentally. The academic implications for these deficits are that he has difficulty remembering things he has learned or read previously (if the subject is not associated with an interest or emotion), he takes longer to process information (mentally "keeping up"), and that he struggles to focus while filtering out distractions. When I read this I felt just like my friend – it made so much sense and I couldn’t help feeling grateful to finally understand the underlying problems that affect his academic life!

Given Ronan’s age and his areas of weakness, it was recommended that we begin a training program. LearningRx develops tailored programs to train and strengthen each of those seven cognitive skills that were tested, with a focus on those that are below average. Instead of tutoring, which they contend is largely ineffective because it re-delivers content and doesn’t get at the underlying cognitive causes of the academic problems, they instead pair up each student with a trainer for one-on-one cognitive training. It looks to the student like fun games and they enjoy trying to beat the clock to improve their own time and scores while simultaneously training cognitive skills needed for success in school. They even claim to help kids and adults with ADD/ADHD, autism, learning disabilities, and traumatic brain injuries.

After learning more about their programs, I have put my skepticism aside and enrolled Ronan in the ThinkRx program. This will be three months of one-on-one training at their site for three hours a week and three hours a week at home (they do have a five day a week option that is done solely at their site as well.) We started last week and Ronan has really enjoyed it so far. Every kid I saw there seemed to like being there as well and two of the parents I encountered separately gushed about their child’s experience there, which was comforting to say the least. I will be occasionally chronicling our experience with LearningRx as we continue with this program and how it affects Ronan’s year in 3rd Grade.

15 comments:

  1. I will be curious to see whether the cognitive training helps in your son's case! I'm a cognitive researcher, and no cognitive training to date (more or less) has been shown to generalize to school, work or life in general. The results on the Learning Rx website are also just about the kids improving on the tests or task-types they're using in therapy. People do get better on the tests they work on even if they are standardized, but not much else.

    All that said, patients of mine definitely report improvements, but I've always thought it was a mix of actual cognitive improvement and self efficacy improvement :)

    Thanks for your blog-I'm not usually a commenter, but I enjoy seeing what's out there!

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  2. Hi Sarah,

    Actually LearningRx tests both ability and achievement scores using the Woodcock. The 2009 control study was on students with reading problems. As you can see from the study, cognitive skills like memory, and processing speed improved as well as a 4.5 year improvement in word attack skills. The treatment group in the study had dramatic improvements compared to the control group. LearningRx is also currently working with an independent researcher under the National Science Foundation to look at the affects of their cognitive training on math scores. He recently testified in front of congress that the results showed measureable improvements in academics. He should be finished with his full study next year. LearningRx also shows great improvements with adults and Tramatic Brain Injury. You should be able to see results of their studies on the website this fall. (they are currently finishing a pilot program with a group of soldiers in WA)

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  3. Sarah,
    Don't mean to contradict your post, but I have seen multiple recent studies stating the opposite...that improved cognitive skills DO generalize into academic gains....I will locate a few of them and post for those interested. Kris

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  4. Tracy,
    I am moved by your commitment to your sons. My son is 29 and I would like for him to take the assessment and find "something" that will empower him. Having an understanding of how we learn is a big part of the journey. Thank you.

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  5. Thank you for your commitment. I would like my 29 year old son assessed. Understanding what stops him would be very beneficial to determining how to approach the future.

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  6. I don't mind being contradicted! It may have been a couple of years since I've been up on the research. The studies I've read that show improvements are pretty flawed and don't really show what's improving, though. If you find some that you find good generalization studies, please let me know!

    The Woodcock Johnson test that was cited is still just a test, and that's all I was saying. I'm pretty familiar with it, and I know that the skills it tests are pretty directly taught in many cases. I would be interested to see the academic achievement results.

    Like I said, I see people improve all the time-I'm just pretty skeptical that it's from cognitive improvement from training and not just self-efficacy gains. There are several studies that show just contact with a therapist (who isn't training cognition) improves cognitive testing and achievement!

    For SortingThingsOut--I would be especially interested in any results with TBI survivors as that's my area of expertise! I guess I'll keep my eye on it.

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  7. As someone that recently got interested in LearningRx but with a keen interest in all things neuro/cognitive, I am fascinated by the debates in the interweb on the success/placebo effects of LearningRx. I read Sarah's last comment as a type of tacit acknowledgement that although strict rigorous proof of LearningRx methods is lacking, the training may improve what she calls the self-efficacy of the trainees leading to possible carry-over into academic areas. What I would love to see is an academic peer-reviewed take on Dr.Gibson's methods.

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  8. Do you have any feedback to describe regarding Ronan's experience in the LearningRx program?

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  9. I will be posting our experiences shortly, as we are in the half way point.

    Tracy

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  10. Thanks for your prompt response. We are considering enrolling our nine year old son in LearningRx, but the lack of peer reviewed studies is a concern. Although there is considerable anecdotal information "out there," we certainly look forward to hearing from someone with some expertise in this field.

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  11. Going from reading 15 wpm to over 45 is impressive. I am often a doubter about these things but when you see it working for your child, it's just awesome!

    My son went to an OT to work on his handwriting and went from illegible to having better handwriting than his dad :) I agree that just having small group or one-on-one time with a specialist is great for children. It certainly worked for our son. He's been asking to go back to this OT for classes, but he already "graduated". I'm thinking LearningRx might be a good next step for him.

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  12. Tracy, do you have any updates on the Learning rx program and how it worked for your son?

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  13. Hi Cindhy. If you look at the last few blog posts you will see the half-way point summary and the end summary. He continues to do well in school - his best year ever!

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  14. Tracy, We are considering Learning Rx for our 8 year old daughter. Who was your son's coach?
    Thanks

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