A translational application of music for preschool cognitive development: RCT evidence for improved executive function,self-regulation,and school readiness

The benefits of active music participation and training for cognitive development have been evidenced in multiple studies, with this link leveraged in music therapy approaches with clinical populations. Although music, rhythm, and movement activities are widely integrated into children's play and early education, few studies have systematically translated music therapy-based approaches to a nonclinical population to support early cognitive development. This study reports the follow-up effects of the Rhythm and Movement for Self Regulation (RAMSR) program delivered by generalist preschool teachers in low socioeconomic communities. This randomized control trial (RCT) involved 213 children across eight preschools in disadvantaged communities in Queensland, Australia. The intervention group received 16–20 sessions of RAMSR over 8 weeks, while the control group undertook usual preschool programs. Primary outcome measures included executive function (child assessment of shifting, working memory, and inhibition) and self-regulation (teacher report), with secondary outcomes of school readiness and visual-motor integration. Data were collected pre- and post-intervention, and again 6 months later once children had transitioned into school. Results demonstrated significant intervention effects across the three time points for school readiness (p = 0.038, η_p² = 0.09), self-regulation (p < 0.001, η_p² = 0.08), and inhibition (p = 0.002 η_p² = 0.23). Additionally, the feasibility of building capacity in teachers without any music background to successfully deliver the program was evidenced. These findings are important given that children from low socioeconomic backgrounds are more likely to need support for cognitive development yet have inequitable access to quality music and movement programs.

Research Highlights

• Initial effects of self-regulation from a rhythm and movement program were sustained following transition into school for children from disadvantaged backgrounds.
• Delayed effects of inhibition and school readiness from a rhythm and movement program appeared 6 months post-intervention as children entered school.
• Generalist teachers can successfully implement a rhythm and movement program, which boosts critical developmental cognitive skills.

     

Predictive model for early math skills based on structural equations

Early math skills are determined by higher cognitive processes that are particularly important for acquiring and developing skills during a child's early education. Such processes could be a critical target for identifying students at risk for math learning difficulties. Few studies have considered the use of a structural equation method to rationalize these relations. Participating in this study were 207 preschool students ages 59 to 72 months, 108 boys and 99 girls. Performance with respect to early math skills, early literacy, general intelligence, working memory, and short‐term memory was assessed. A structural equation model explaining 64.3% of the variance in early math skills was applied. Early literacy exhibited the highest statistical significance (β = 0.443, p < 0.05), followed by intelligence (β = 0.286, p < 0.05), working memory (β = 0.220, p < 0.05), and short‐term memory (β = 0.213, p < 0.05). Correlations between the independent variables were also significant (p < 0.05). According to the results, cognitive variables should be included in remedial intervention programs.     

The shared and unique genetic relationship between mental well-being,depression and anxiety symptoms and cognitive function in healthy twins

Alterations to cognitive function are often reported with depression and anxiety symptoms, yet few studies have examined the same associations with mental well-being. This study examined the association between mental well-being, depression and anxiety symptoms and cognitive function in 1502 healthy adult monozygotic (MZ) and dizygotic (DZ) twins, and the shared/unique contribution of genetic (G) and environmental (E) variance. Using linear mixed models, mental well-being was positively associated (p?β?=?0.127), inhibition (β?=?0.096), cognitive flexibility (β?=?0.149), motor coordination (β?=?0.114) and working memory (β?=?0.156), whereas depression and anxiety symptoms were associated (p?β?=??0.134), inhibition (β?=??0.139), cognitive flexibility (β?=??0.116) and executive function (β?=??0.139). Bivariate twin modelling showed well-being shared a small environmental correlation with motor coordination and a small genetic correlation with working memory. Trivariate twin modelling showed well-being shared a small genetic correlation with inhibition, whereas depression and anxiety symptoms shared a small environmental correlation with inhibition. The remaining variance was mostly driven by unique G and/or E variance. Overall, well-being and depression and anxiety symptoms show both independent and shared relationships with cognitive functions but this is largely attributable to unique G or E variance and small shared G/E variance between pairs of variables.     

Working memory and fine motor skills predict early numeracy performance of children with cerebral palsy

Early numeracy is an important precursor for arithmetic performance, academic proficiency, and work success. Besides their apparent motor difficulties, children with cerebral palsy (CP) often show additional cognitive disturbances. In this study, we examine whether working memory, non-verbal intelligence, linguistic skills, counting and fine motor skills are positively related to the early numeracy performance of 6-year-old children with CP. A total of 56 children (M = 6.0, SD = 0.61, 37 boys) from Dutch special education schools participated in this cross-sectional study. Of the total group, 81% of the children have the spastic type of CP (33% unilateral and 66% bilateral), 9% have been diagnosed as having diskinetic CP, 8% have been diagnosed as having spastic and diskinetic CP and 2% have been diagnosed as having a combination of diskinetic and atactic CP. The children completed standardized tests assessing early numeracy performance, working memory, non-verbal intelligence, sentence understanding and fine motor skills. In addition, an experimental task was administered to examine their basic counting performance. Structural equation modeling showed that working memory and fine motor skills were significantly related to the early numeracy performance of the children (β = .79 and p < .001, β = .41 and p < .001, respectively). Furthermore, counting was a mediating variable between working memory and early numeracy (β = .57, p < .001). Together, these findings highlight the importance of working memory for early numeracy performance in children with CP and they warrant further research into the efficacy of intervention programs aimed at working memory training.     

Prospective associations between physical fitness and executive function in adolescents: The UP&DOWN study

IntroductionThe objective of the present work is to investigate the prospective associations between physical fitness components (cardiorespiratory fitness, motor fitness, and muscular strength) and two domains of executive function (working memory and inhibitory control) in adolescents.MethodsA total of 422 Spanish adolescents (13.35 ± 1.54 years, at baseline) from the UP&DOWN study with assessments at baseline and at 2-year follow-up were included in the analysis. Physical fitness was assessed using the ALPHA Fitness Test Battery. Working memory was measured by the n-back task and inhibitory control by the go/no-go task. Relationships of physical fitness components with working memory and inhibitory control were examined using linear regression models, adjusted for confounders.ResultsHigher baseline levels of the three physical fitness components (cardiorespiratory fitness, motor fitness, and muscular strength) individually predicted better performance on the working memory (β_ranged, from .159 to .207; all p < .012) and inhibitory control (β_ranged, from 0.168 to 0.263; all p < .004) tasks at the 2-year follow-up. Muscular strength was the only component associated with inhibitory control independent of the other 2 physical fitness components (β = 0.266; p = .005).ConclusionsAll components of adolescents’ physical fitness at baseline were individually associated with better working memory and inhibitory control at 2-year follow-up. Specifically, our results revealed that muscular strength was the component showing the strongest association with executive function, and even the only fitness component associated with inhibitory control independent of the other fitness components. These findings may have important public health and educational implication, since promoting exercise programs that improve physical fitness, and particularly, muscular strength, may positively influence cognitive health.     

Measuring executive function skills in young children in Kenya: Associations with school readiness

Most of what is known about the association between children’s executive function (EF) and school readiness skills is derived from research conducted in Western countries. We tested whether these associations were evident in a middle‐income country context. Participants were 1,480 children, aged 4–7 years old, who participated in an endline assessment of the Tayari program, an early childhood education (ECE) model that is being delivered by the Kenyan education system. High rates of task completion, low rates of floor effects, and high rates of assessor quality ratings supported the feasibility of large‐scale direct assessments of EF with young children. Assessor ratings of children’s attention‐related behaviors during testing were positively associated with their performance on EF tasks (rs = 0.12–0.27). An EF composite score was not related to demographic factors or to children’s exposure to the Tayari program. However, the EF composite score was uniquely associated with performance‐based measures of early literacy (β = 0.18, 95% confidence interval [CI] = 0.05, 0.31), early numeracy (β = 0.16, 95% CI = 0.07, 26), and social‐emotional competencies (β = 0.12, 95% CI = 0.03, 0.20), even after adjustment for multiple covariates. These results are discussed with respect to the ways in which EF skills inform ongoing efforts to invest in ECE in low‐ and middle‐income countries.     

Executive Functions in Preschool Children with Aggressive Behavior: Impairments in Inhibitory Control

The question whether executive function (EF) deficits in children are associated with conduct problems remains controversial. Although the origins of aggressive behavior are to be found in early childhood, findings from EF studies in preschool children with aggressive behavior are inconsistent. The current study aimed to investigate whether preschool children with aggressive behavior show impairments in EF. From a population-based sample, 82 preschool children who were showing aggressive behavior as indicated by scores at or above the 93rd percentile on the Aggressive Behavior Scale of the CBCL 1 1/2-5 were selected. These children with aggressive behavior were matched on IQ to a group of typically developing control children (N = 99). Six neuropsychological tasks were administered to assess set shifting, inhibition, working memory and verbal fluency. A factor analysis was conducted which yielded one clear factor: inhibition. Aggressive preschool children showed poorer performance on this inhibition factor than control children and boys performed worse on this factor than girls. This association between aggressive behavior and inhibition deficits was maintained after controlling for attention problems. In addition, gender differences in all EFs measured were found with boys exhibiting more impairment in EF than girls. These findings demonstrate that preschool children with aggressive behavior show impairments in inhibition, irrespective of attention problems.     

Motor planning between 4 and 7 years of age: Changes linked to executive functions

In the present study, we adopted the conceptual frameworks of Miyake et al. (2000) (organization of executive functions) and Sergeant (2000) (linking executive function to motor behaviour) to assess developmental changes in executive functions and motor behaviour, using a planning task with a sample of 4–7-years old children. More precisely, the aim of the study was to characterize the development of motor response planning between the ages of 4 and 7 as a measure of the integration of multiple executive function processes, namely inhibition, shifting and working memory, and to gain insight into the concurrent developmental contributions of these processes. Participants were divided into two groups: group 1 was composed of 24 children aged 4–5 years and group 2 was composed of 20 children aged 6–7 years. Each participant took tests for shifting, inhibition, working memory and motor planning (the egg-planning task). Our results suggest that the egg-planning task requires the inhibition of a pre-potent but inappropriate response, and to a lesser extent the manipulation of working memory strategies. These results are discussed in relation to the development of each executive function component.     

The role of executive function and social‐emotional skills in the development of literacy and numeracy during preschool: a cross‐lagged longitudinal study

The majority of evidence on the interplay between academic and non‐academic skills comes from high‐income countries. The aim of this study was to examine the bidirectional associations between Ghanaian children's executive function, social‐emotional, literacy, and numeracy skills longitudinally. Children (N = 3,862; M age = 5.2 years at time 1) were assessed using direct assessment at three time points over the course of two school years. Controlling for earlier levels of the same skill, early executive function predicted higher subsequent literacy and numeracy skills, and early literacy and numeracy skills predicted higher subsequent executive function, indicating that the development of executive function and academic skills is inter‐related and complementary over time. Early literacy and numeracy predicted subsequent social‐emotional skills, but early social‐emotional skills did not predict subsequent literacy and numeracy skills. The findings provide longitudinal evidence on children's learning and development in West Africa and contribute to a global understanding of the relations between various developmental skills over time.     

Two years of physically active mathematics lessons enhance cognitive function and gross motor skills in primary school children

Physically active lessons have been shown to enhance academic achievement. However, the effects on cognitive function and gross motor skill development remain unknown. The present study examined how the incorporation of physical activity bouts within Mathematics lessons affects cognitive function and gross motor skill development across 2 years in primary school children. Eighty-two children (6.6 ± 0.3 y) were allocated to an intervention (n = 36; completing 8 h/wk of physically active lessons) or control (n = 46) group. A battery of cognitive function tests was completed, alongside the TGMD-3 to assess gross motor skills. Physically active Mathematics lessons led to greater improvements across all measures of cognition, when compared to the control group (digit span forwards, p < 0.001, d = 1.5; digit span backwards, p = 0.017, d = 1.0; free word recall: p < 0.001, d = 1.3; selective visual attention: p < 0.001, d = 0.3; verbal fluency: p < 0.001, d = 0.9; arithmetic: p < 0.001, d = 1.8). Furthermore, the intervention group demonstrated greater improvements in overall score on the TGMD-3 (p < 0.001, d = 1.7), as well as the locomotion (p < 0.001, d = 1.1) and object control (p < 0.001, d = 1.5) sub-scales. The physically active Mathematics lessons intervention appears to offer synergistic benefits in relation to cognitive and motor development, which are critical for optimal development in the early years.     

Do group-based mindfulness meditation programs enhance executive functioning? A systematic review and meta-analysis of the evidence

Research examining the effects of group-based mindfulness interventions on executive functioning have yielded inconsistent findings, with some reports of enhanced performance and other reports of null findings. Inconsistencies in the literature may be due to methodological differences across studies, including the type of control group employed and sample characteristics (e.g., clinical vs. non-clinical samples). The current systematic review and meta-analysis examined the effect of group-based mindfulness programs on executive functioning in persons 18+ years of age. Following the standards for systematic review, a total of 29 studies were included in the meta-analysis, of which 21 comparisons contributed to the analysis of inhibition; nine to working memory; nine to attention shifting; and four to the analysis of verbal fluency. After removing outliers, random effects models suggested a small but significant synthesized effect of group-mindfulness training on overall executive functioning (95% CI = 0.256, 0.725). Examination of executive subdomains after removing outliers suggested a small, statistically significant effect for inhibition (95% CI = 0.055, 0.387), working memory (95% CI = 0.010, 0.437), and verbal fluency (95% CI = 0.071, 1.931). No significant pooled effects were found for attention shifting. A priori subgroup analysis by randomization, type of control group, and sample cohort revealed inconsistent results. Overall, the current review suggests that the effect of group-based mindfulness training on executive functioning is not robust.     

Measuring executive function skills in young children in Kenya

Interest in measuring executive function skills in young children in low- and middle-income country contexts has been stymied by the lack of assessments that are both easy to deploy and scalable. This study reports on an initial effort to develop a tablet-based battery of executive function tasks, which were designed and extensively studied in the United States, for use in Kenya. Participants were 193 children, aged 3–6 years old, who attended early childhood development and education centers. The rates of individual task completion were high (65–100%), and 85% of children completed three or more tasks. Assessors indicated that 90% of all task administrations were of acceptable quality. An executive function composite score was approximately normally distributed, despite higher-than-expected floor and ceiling effects on inhibitory control tasks. Children’s simple reaction time (β = –0.20, p = .004), attention-related behaviors during testing (β = 0.24, p = .0005), and age (β = –0.24, p = .0009) were all uniquely related to performance on the executive function composite. Results are discussed as they inform efforts to develop valid and reliable measures of executive function skills among young children in developing country contexts.     

The mediational role of executive functions for the relationship between motor ability and academic performance in pediatric cancer survivors

IntroductionPediatric Cancer Survivors (PCS) bear a high risk for late effects within motor abilities (MAs) and executive functions (EFs). In typically developing children, these domains are interrelated and predictors of academic performance. The current study investigated (i) whether MAs and EFs are also interrelated in PCS, and (ii) whether EFs mediate the relation between MAs and academic performance.Methods78 PCS (7–16 years; M = 11.23; SD = 2.49) participated in this study. Three MAs were assessed: coordination and strength (using the German Motor Test) and endurance (using a cycle ergometer test). EFs were assessed: inhibition and cognitive flexibility (Color-Word Interference Test) and working memory (Block Recall test); and academic performance by questionnaire asking for children’s grade point average.ResultsPearson correlations revealed associations of coordination and strength with EFs and associations of all three MAs with academic performance. A multiple regression model revealed that among the three MAs, coordination was the only significant predictor of EFs (β = 0.42, p = .001). Lastly, mediation analyses revealed that the association of MAs with academic performance was mediated by EFs (indirect effect: β = 0.167, p = .003). Regarding individual motor abilities, this was only true for coordination and strength, but not for endurance.ConclusionResults show that MAs and EFs are interrelated in PCS and that EFs mediate the relationship between coordination and strength with academic performance. This may be important for the design of future physical activity interventions to improve MAs, EFs and academic performance.     

Association of physical activity and fitness with executive function among preschoolers

It is well-documented in the literature that high levels of regular physical activity (PA), low levels of sedentary behavior (SB), and high levels of cardiorespiratory fitness (CRF) are associated with superior cognitive functioning, especially with regard to older populations. However, concerning other age groups (e.g., preschoolers) the available evidence documenting such a positive relationship is relatively scarce. Thus, this study aimed to investigate the association of time spent in different PA intensity zones and CRF with executive functions (EFs) in preschool-age children. To this end, preschoolers (n = 127) aged 3 to 6 years were recruited from 9 kindergarten classes in 2 districts of Shenzhen, China. The amount and the intensity of PA were assessed via accelerometry, and the CRF level was quantified by the 20-meter shuttle run test. EFs including inhibitory control and working memory were assessed using the one-on-one iPad-based Early Year Toolbox. Results suggested that children who had a higher CRF level (“impulse control” scores: β = 0.34, p < .001; “Go” accuracy: β = 0.31, p < .001; “No-Go” accuracy: β =0.28, < .001) and spentmore time in moderate-to-vigorous physical activity (MVPA) (“impulse control” scores: β = 0.50, p < .001; No-Go” accuracy: β = 0.52, p < .001) had higher scores on inhibitory control tasks, and those who had a higher CRF level had higher scores on a working memory task (β = 0.24, p < .05). The findings are discussed in light of the positive roles of MVPA and CRF for promoting EFs, but also consider the disproportionate association of PA and CRF with working memory relative to inhibition.     

Effects of acute aerobic exercise on multiple aspects of executive function in preadolescent children

ObjectiveThe current study assessed the effects of acute exercise on three core executive functions in preadolescents and controlled for the moderating role of age.DesignA true experimental design.MethodsThirty-four third-grade children and 53 fifth-grade preadolescents were randomly assigned into either an acute exercise group or a control group. The exercise protocol was designed for ecological validity and involved group jogging at moderate intensity for 30 min. Participants completed inhibition, working memory, and shifting-related executive function tasks prior to and following the treatment.ResultsAcute exercise facilitated performance in three executive function tasks in children in both grade groups; nevertheless, better performance was observed among the fifth graders in inhibition and working memory, but not in shifting, when compared with the third graders.ConclusionThese findings suggest that acute exercise benefited three primary aspects of executive function in general, regardless of the preadolescent age group, whereas the distinct components of executive function had different developmental trajectories.     

Parenting,corpus callosum,and executive function in preschool children

In this longitudinal population-based study (N?=?544), we investigated whether early parenting and corpus callosum length predict child executive function abilities at 4 years of age. The length of the corpus callosum in infancy was measured using postnatal cranial ultrasounds at 6 weeks of age. At 3 years, two aspects of parenting were observed: maternal sensitivity during a teaching task and maternal discipline style during a discipline task. Parents rated executive function problems at 4 years of age in five domains of inhibition, shifting, emotional control, working memory, and planning/organizing, using the Behavior Rating Inventory of Executive Function-Preschool Version. Maternal sensitivity predicted less executive function problems at preschool age. A significant interaction was found between corpus callosum length in infancy and maternal use of positive discipline to determine child inhibition problems: The association between a relatively shorter corpus callosum in infancy and child inhibition problems was reduced in children who experienced more positive discipline. Our results point to the buffering potential of positive parenting for children with biological vulnerability.     

Cognitive and behavioral rating measures of executive function as predictors of academic outcomes in children

Interrelations of two measurement methods (cognitive versus behavioral ratings) for executive function (EF) were examined and related to reading comprehension and math calculations in fourth and fifth grade students (n = 93) in the context of a diverse urban student population. Relations among measures within four EF processes (working memory, planning, inhibition and shifting) were modest; relations to academics were stronger. EF measures contributed to both academic outcomes even in the context of relevant covariates (age, language and educational program). Working memory was particularly important for reading comprehension across measurement type. Cognitive measures from all EF processes, particularly inhibition and planning, and behavioral ratings of working memory were important for math.     

Executive function during and after acute moderate aerobic exercise in adolescents

ObjectivesIn two experiments, we investigated the effects of acute moderate-intensity exercise on aspects of executive function in adolescents.DesignAn experimental design was used.MethodsFifty-five Japanese adolescents (Experiment 1: N = 28; Experiment 2: N = 27) performed a modified flanker task and a modified n-back task to assess inhibitory control and working memory before, during, and after walking on a treadmill at moderate intensity (Experiment 1: 60% maximal heart rate; Experiment 2: 70% maximal heart rate). In a separate session, the same testing sequence was administered while participants sat in a chair.ResultThe results revealed that reaction time for working memory increased during exercise in both experiments, while response accuracy decreased during exercise only at 70% maximal heart rate. Moderate intensity exercise had no substantial effect on inhibition control. Following cessation of the exercise, no effects were observed for either executive function assessment.ConclusionThese results indicate that moderate intensity exercise selectively affects executive function in adolescents. Further, during physical activity, adolescents maintain inhibitory control, but their working memory declines. Further research is required to reveal the mechanisms underlying this phenomenon and to expand beyond the laboratory setting to the areas of sports and physical activities of daily living.     

The effects of short-term L2 training on components of executive control in Indian bilinguals

This study investigated whether a short training (8 weeks) in the second-language (English) has any facilitative effect on components of executive functions in young adults. A pre-post design was used with two groups of participants: one group (experimental group) of students received English language training for eight weeks, and another group (control group) matched on age and background did not. Executive function tasks (Flanker, Stroop, and color-shape switching task) along with the object naming and working memory tasks were administered before and after the training. We observed that the experimental group demonstrated significant improvement in task switching, working memory capacity, and language skills. Findings from the study provide evidence that short training in second-language can enhance some components of executive functions besides improving language skills in young adult students. This finding contributes to a better understanding of language training and executive function among young adult bilinguals.

     

How Distinctive are ADHD and RD? Results of a Double Dissociation Study

The nature of the comorbidity between Attention-Deficit/Hyperactivity Disorder (ADHD) and Reading Disability (RD) was examined using a double dissociation design. Children were between 8 and 12 years of age and entered into four groups: ADHD only (n = 24), ADHD+RD (n = 29), RD only (n = 41) and normal controls (n = 26). In total, 120 children participated in the study; 38 girls and 82 boys. Both ADHD and RD were associated with impairments in inhibition and lexical decision, although inhibition and lexical decision were more severely impaired in RD than in ADHD. Visuospatial working memory deficits were specific to children with only ADHD. It is concluded that there was overlap on lexical decision and to a lesser extent on inhibition between ADHD and RD. In ADHD, impairments were dependent on IQ, which suggest that the overlap in lexical decision and inhibition is different in origin for ADHD and RD. The ADHD only group was specifically characterized by deficits in visuospatial working memory. Hence, no double dissociation between ADHD and RD was found on executive functioning and lexical decision.