Skip to main content
Top

Open Access 19-04-2024 | Review

Transparency in Cognitive Training Meta-analyses: A Meta-review

Authors: Alejandro Sandoval-Lentisco, Rubén López-Nicolás, Miriam Tortajada, José Antonio López-López, Julio Sánchez-Meca

Published in: Neuropsychology Review

Login to get access

Abstract

Meta-analyses often present flexibility regarding their inclusion criteria, outcomes of interest, statistical analyses, and assessments of the primary studies. For this reason, it is necessary to transparently report all the information that could impact the results. In this meta-review, we aimed to assess the transparency of meta-analyses that examined the benefits of cognitive training, given the ongoing controversy that exists in this field. Ninety-seven meta-analytic reviews were included, which examined a wide range of populations with different clinical conditions and ages. Regarding the reporting, information about the search of the studies, screening procedure, or data collection was detailed by most reviews. However, authors usually failed to report other aspects such as the specific meta-analytic parameters, the formula used to compute the effect sizes, or the data from primary studies that were used to compute the effect sizes. Although some of these practices have improved over the years, others remained the same. Moreover, examining the eligibility criteria of the reviews revealed a great heterogeneity in aspects such as the training duration, age cut-offs, or study designs that were considered. Preregistered meta-analyses often specified poorly how they would deal with the multiplicity of data or assess publication bias in their protocols, and some contained non-disclosed deviations in their eligibility criteria or outcomes of interests. The findings shown here, although they do not question the benefits of cognitive training, illustrate important aspects that future reviews must consider.
Appendix
Available only for authorised users
Footnotes
1
PROSPERO, the leading platform for preregistering systematic reviews and meta-analyses, was launched in 2011 (Page et al., 2018). If we consider only studies that were conducted after its implementation, the prevalence of preregistration increases to 38%.
 
2
A sensitivity analysis that included only studies published after the launch of PROSPERO in 2011 also showed a significant association between year and preregistration.
 
Literature
go back to reference Bartoš, F., Maier, M., Quintana, D. S., & Wagenmakers, E. J. (2022). Adjusting for publication bias in JASP and R: Selection models, PET-PEESE, and robust Bayesian meta-analysis. Advances in Methods and Practices in Psychological Science, 5(3). https://doi.org/10.1177/25152459221109259 Bartoš, F., Maier, M., Quintana, D. S., & Wagenmakers, E. J. (2022). Adjusting for publication bias in JASP and R: Selection models, PET-PEESE, and robust Bayesian meta-analysis. Advances in Methods and Practices in Psychological Science, 5(3). https://​doi.​org/​10.​1177/​2515245922110925​9
go back to reference Chen, S., Yu, J., Zhang, Q., Zhang, J., Zhang, Y., & Wang, J. (2021). Which factor is more relevant to the effectiveness of the cognitive intervention? A meta-analysis of randomized controlled trials of cognitive training on symptoms and executive function behaviors of children with attention deficit hyperactivity disorder. Frontiers in Psychology, 12, 810298. https://doi.org/10.3389/fpsyg.2021.810298CrossRefPubMed Chen, S., Yu, J., Zhang, Q., Zhang, J., Zhang, Y., & Wang, J. (2021). Which factor is more relevant to the effectiveness of the cognitive intervention? A meta-analysis of randomized controlled trials of cognitive training on symptoms and executive function behaviors of children with attention deficit hyperactivity disorder. Frontiers in Psychology, 12, 810298. https://​doi.​org/​10.​3389/​fpsyg.​2021.​810298CrossRefPubMed
go back to reference Cortese, S., Ferrin, M., Brandeis, D., Buitelaar, J., Daley, D., Dittmann, R. W., Holtmann, M., Santosh, P., Stevenson, J., Stringaris, A., Zuddas, A., & Sonuga-Barke, E. J. (2015). Cognitive training for attention-deficit/hyperactivity disorder: Meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. Journal of the American Academy of Child & Adolescent Psychiatry, 54(3), 164–174. https://doi.org/10.1016/j.jaac.2014.12.010CrossRef Cortese, S., Ferrin, M., Brandeis, D., Buitelaar, J., Daley, D., Dittmann, R. W., Holtmann, M., Santosh, P., Stevenson, J., Stringaris, A., Zuddas, A., & Sonuga-Barke, E. J. (2015). Cognitive training for attention-deficit/hyperactivity disorder: Meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. Journal of the American Academy of Child & Adolescent Psychiatry, 54(3), 164–174. https://​doi.​org/​10.​1016/​j.​jaac.​2014.​12.​010CrossRef
go back to reference Dardiotis, E., Nousia, A., Siokas, V., Tsouris, Z., Andravizou, A., Mentis, A. A., Florou, D., Messinis, L., & Nasios, G. (2018). Efficacy of computer-based cognitive training in neuropsychological performance of patients with multiple sclerosis: A systematic review and meta-analysis. Multiple Sclerosis and Related Disorders, 20, 58–66. https://doi.org/10.1016/j.msard.2017.12.017CrossRefPubMed Dardiotis, E., Nousia, A., Siokas, V., Tsouris, Z., Andravizou, A., Mentis, A. A., Florou, D., Messinis, L., & Nasios, G. (2018). Efficacy of computer-based cognitive training in neuropsychological performance of patients with multiple sclerosis: A systematic review and meta-analysis. Multiple Sclerosis and Related Disorders, 20, 58–66. https://​doi.​org/​10.​1016/​j.​msard.​2017.​12.​017CrossRefPubMed
go back to reference Ferrell, S., Demla, S., Anderson, J. M., Weaver, M., Torgerson, T., Hartwell, M., & Vassar, M. (2022). Association between industry sponsorship and author conflicts of interest with outcomes of systematic reviews and meta-analyses of interventions for opioid use disorder. Journal of Substance Abuse Treatment, 132, 108598. https://doi.org/10.1016/j.jsat.2021.108598CrossRefPubMed Ferrell, S., Demla, S., Anderson, J. M., Weaver, M., Torgerson, T., Hartwell, M., & Vassar, M. (2022). Association between industry sponsorship and author conflicts of interest with outcomes of systematic reviews and meta-analyses of interventions for opioid use disorder. Journal of Substance Abuse Treatment, 132, 108598. https://​doi.​org/​10.​1016/​j.​jsat.​2021.​108598CrossRefPubMed
go back to reference Gates, N. J., Rutjes, A. W., Nisio, M. D., Karim, S., Chong, L.-Y., March, E., Martínez, G., & Vernooij, R. W. (2020). Computerised cognitive training for 12 or more weeks for maintaining cognitive function in cognitively healthy people in late life. Cochrane Database of Systematic Reviews, 2. https://doi.org/10.1002/14651858.CD012277.pub3 Gates, N. J., Rutjes, A. W., Nisio, M. D., Karim, S., Chong, L.-Y., March, E., Martínez, G., & Vernooij, R. W. (2020). Computerised cognitive training for 12 or more weeks for maintaining cognitive function in cognitively healthy people in late life. Cochrane Database of Systematic Reviews, 2. https://​doi.​org/​10.​1002/​14651858.​CD012277.​pub3
go back to reference Harrer, M., Cuijpers, P., A, F. T., & Ebert, D. D. (2021). Doing meta-analysis with R: A hands-on guide (1.a ed.). Chapman & Hall/CRC Press. Harrer, M., Cuijpers, P., A, F. T., & Ebert, D. D. (2021). Doing meta-analysis with R: A hands-on guide (1.a ed.). Chapman & Hall/CRC Press.
go back to reference Hou, J., Jiang, T., Fu, J., Su, B., Wu, H., Sun, R., & Zhang, T. (2020). The long-term efficacy of working memory training in healthy older adults: A systematic review and meta-analysis of 22 randomized controlled trials. The Journals of Gerontology: Series B, 75(8), e174–e188. https://doi.org/10.1093/geronb/gbaa077CrossRef Hou, J., Jiang, T., Fu, J., Su, B., Wu, H., Sun, R., & Zhang, T. (2020). The long-term efficacy of working memory training in healthy older adults: A systematic review and meta-analysis of 22 randomized controlled trials. The Journals of Gerontology: Series B, 75(8), e174–e188. https://​doi.​org/​10.​1093/​geronb/​gbaa077CrossRef
go back to reference Kambeitz-Ilankovic, L., Betz, L. T., Dominke, C., Haas, S. S., Subramaniam, K., Fisher, M., Vinogradov, S., Koutsouleris, N., & Kambeitz, J. (2019). Multi-outcome meta-analysis (MOMA) of cognitive remediation in schizophrenia: Revisiting the relevance of human coaching and elucidating interplay between multiple outcomes. Neuroscience & Biobehavioral Reviews, 107, 828–845. https://doi.org/10.1016/j.neubiorev.2019.09.031CrossRef Kambeitz-Ilankovic, L., Betz, L. T., Dominke, C., Haas, S. S., Subramaniam, K., Fisher, M., Vinogradov, S., Koutsouleris, N., & Kambeitz, J. (2019). Multi-outcome meta-analysis (MOMA) of cognitive remediation in schizophrenia: Revisiting the relevance of human coaching and elucidating interplay between multiple outcomes. Neuroscience & Biobehavioral Reviews, 107, 828–845. https://​doi.​org/​10.​1016/​j.​neubiorev.​2019.​09.​031CrossRef
go back to reference Lakens, D., Page-Gould, E., van Assen, M. A. L. M., Spellman, B., Schönbrodt, F., Hasselman, F., Corker, K. S., Grange, J. A., Sharples, A., Cavender, C., Augusteijn, H. E. M., Augusteijn, H., Gerger, H., Locher, C., Miller, I. D., Anvari, F., & Scheel, A. M. (2017). Examining the reproducibility of meta-analyses in psychology: A preliminary report. MetaArXiv. https://doi.org/10.31222/osf.io/xfbjf Lakens, D., Page-Gould, E., van Assen, M. A. L. M., Spellman, B., Schönbrodt, F., Hasselman, F., Corker, K. S., Grange, J. A., Sharples, A., Cavender, C., Augusteijn, H. E. M., Augusteijn, H., Gerger, H., Locher, C., Miller, I. D., Anvari, F., & Scheel, A. M. (2017). Examining the reproducibility of meta-analyses in psychology: A preliminary report. MetaArXiv. https://​doi.​org/​10.​31222/​osf.​io/​xfbjf
go back to reference Light, R. J., & Pillemer, D. B. (1984). Summing up: The science of reviewing research. Harvard University Press. Light, R. J., & Pillemer, D. B. (1984). Summing up: The science of reviewing research. Harvard University Press.
go back to reference Melby-Lervåg, M., Redick, T. S., & Hulme, C. (2016). Working memory training does not improve performance on measures of intelligence or other measures of “Far Transfer”: Evidence from a meta-analytic review. Perspectives on Psychological Science, 11(4), 512–534. https://doi.org/10.1177/1745691616635612 Melby-Lervåg, M., Redick, T. S., & Hulme, C. (2016). Working memory training does not improve performance on measures of intelligence or other measures of “Far Transfer”: Evidence from a meta-analytic review. Perspectives on Psychological Science, 11(4), 512–534. https://​doi.​org/​10.​1177/​1745691616635612​
go back to reference Moeyaert, M., Ugille, M., Natasha Beretvas, S., Ferron, J., Bunuan, R., & Van den Noortgate, W. (2017). Methods for dealing with multiple outcomes in meta-analysis: A comparison between averaging effect sizes, robust variance estimation and multilevel meta-analysis. International Journal of Social Research Methodology, 20(6), 559–572. https://doi.org/10.1080/13645579.2016.1252189CrossRef Moeyaert, M., Ugille, M., Natasha Beretvas, S., Ferron, J., Bunuan, R., & Van den Noortgate, W. (2017). Methods for dealing with multiple outcomes in meta-analysis: A comparison between averaging effect sizes, robust variance estimation and multilevel meta-analysis. International Journal of Social Research Methodology, 20(6), 559–572. https://​doi.​org/​10.​1080/​13645579.​2016.​1252189CrossRef
go back to reference Oldrati, V., Corti, C., Poggi, G., Borgatti, R., Urgesi, C., & Bardoni, A. (2020). Effectiveness of computerized cognitive training programs (CCTP) with game-like features in children with or without neuropsychological disorders: A meta-analytic investigation. Neuropsychology Review, 30(1), 126–141. https://doi.org/10.1007/s11065-020-09429-5CrossRefPubMed Oldrati, V., Corti, C., Poggi, G., Borgatti, R., Urgesi, C., & Bardoni, A. (2020). Effectiveness of computerized cognitive training programs (CCTP) with game-like features in children with or without neuropsychological disorders: A meta-analytic investigation. Neuropsychology Review, 30(1), 126–141. https://​doi.​org/​10.​1007/​s11065-020-09429-5CrossRefPubMed
go back to reference Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & … McKenzie, J. E. (2021). PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ, 372, n160. https://doi.org/10.1136/bmj.n160 Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & … McKenzie, J. E. (2021). PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ, 372, n160. https://​doi.​org/​10.​1136/​bmj.​n160
go back to reference Savović, J., Jones, H. E., Altman, D. G., Harris, R. J., Jüni, P., Pildal, J., Als-Nielsen, B., Balk, E. M., Gluud, C., Gluud, L. L., Ioannidis, J. P. A., Schulz, K. F., Beynon, R., Welton, N. J., Wood, L., Moher, D., Deeks, J. J., & Sterne, J. A. C. (2012). Influence of reported study design characteristics on intervention effect estimates from randomized, controlled trials. Annals of Internal Medicine, 157(6), 429–438. https://doi.org/10.7326/0003-4819-157-6-201209180-00537CrossRefPubMed Savović, J., Jones, H. E., Altman, D. G., Harris, R. J., Jüni, P., Pildal, J., Als-Nielsen, B., Balk, E. M., Gluud, C., Gluud, L. L., Ioannidis, J. P. A., Schulz, K. F., Beynon, R., Welton, N. J., Wood, L., Moher, D., Deeks, J. J., & Sterne, J. A. C. (2012). Influence of reported study design characteristics on intervention effect estimates from randomized, controlled trials. Annals of Internal Medicine, 157(6), 429–438. https://​doi.​org/​10.​7326/​0003-4819-157-6-201209180-00537CrossRefPubMed
go back to reference Siegel, M., Eder, J. S. N., Wicherts, J. M., & Pietschnig, J. (2021). Times are changing, bias isn’t: A meta-meta-analysis on publication bias detection practices, prevalence rates, and predictors in industrial/organizational psychology. Journal of Applied Psychology, 107(11), 2013. https://doi.org/10.1037/apl0000991CrossRefPubMed Siegel, M., Eder, J. S. N., Wicherts, J. M., & Pietschnig, J. (2021). Times are changing, bias isn’t: A meta-meta-analysis on publication bias detection practices, prevalence rates, and predictors in industrial/organizational psychology. Journal of Applied Psychology, 107(11), 2013. https://​doi.​org/​10.​1037/​apl0000991CrossRefPubMed
go back to reference Signorell, A., Aho, K., Alfons, A., Anderegg, N., Aragon, T., Arppe, A., ... & Borchers, H. W. (2019). DescTools: Tools for descriptive statistics. R package version 0.99, 28, 17. Signorell, A., Aho, K., Alfons, A., Anderegg, N., Aragon, T., Arppe, A., ... & Borchers, H. W. (2019). DescTools: Tools for descriptive statistics. R package version 0.99, 28, 17.
go back to reference van den Akker, O. R., van Assen, M. A. L. M., Enting, M., de Jonge, M., Ong, H. H., Rüffer, F., Schoenmakers, M., Stoevenbelt, A. H., Wicherts, J. M., & Bakker, M. (2023). Selective hypothesis reporting in psychology: Comparing preregistrations and corresponding publications. Advances in Methods and Practices in Psychological Science, 6(3). https://doi.org/10.1177/25152459231187988 van den Akker, O. R., van Assen, M. A. L. M., Enting, M., de Jonge, M., Ong, H. H., Rüffer, F., Schoenmakers, M., Stoevenbelt, A. H., Wicherts, J. M., & Bakker, M. (2023). Selective hypothesis reporting in psychology: Comparing preregistrations and corresponding publications. Advances in Methods and Practices in Psychological Science, 6(3). https://​doi.​org/​10.​1177/​2515245923118798​8
go back to reference Veroniki, A. A., Jackson, D., Viechtbauer, W., Bender, R., Bowden, J., Knapp, G., Kuss, O., Higgins, J. P., Langan, D., & Salanti, G. (2016). Methods to estimate the between-study variance and its uncertainty in meta-analysis. Research Synthesis Methods, 7(1), 55–79. https://doi.org/10.1002/jrsm.1164CrossRefPubMed Veroniki, A. A., Jackson, D., Viechtbauer, W., Bender, R., Bowden, J., Knapp, G., Kuss, O., Higgins, J. P., Langan, D., & Salanti, G. (2016). Methods to estimate the between-study variance and its uncertainty in meta-analysis. Research Synthesis Methods, 7(1), 55–79. https://​doi.​org/​10.​1002/​jrsm.​1164CrossRefPubMed
go back to reference Wickham, H., Averick, M., Bryan, J., Chang, W., McGowan, L. D., François, R., Grolemund, G., Hayes, A., Henry, L., Hester, J., Kuhn, M., Pedersen, T. L., Miller, E., Bache, S. M., Müller, K., Ooms, J., Robinson, D., Seidel, D. P., Spinu, V., & … Yutani, H. (2019). Welcome to the Tidyverse. Journal of Open Source Software, 4(43), 1686. https://doi.org/10.21105/joss.01686 Wickham, H., Averick, M., Bryan, J., Chang, W., McGowan, L. D., François, R., Grolemund, G., Hayes, A., Henry, L., Hester, J., Kuhn, M., Pedersen, T. L., Miller, E., Bache, S. M., Müller, K., Ooms, J., Robinson, D., Seidel, D. P., Spinu, V., & … Yutani, H. (2019). Welcome to the Tidyverse. Journal of Open Source Software, 4(43), 1686. https://​doi.​org/​10.​21105/​joss.​01686
go back to reference Wilkinson, M. D., Dumontier, M., Aalbersberg, I. J., Appleton, G., Axton, M., Baak, A., Blomberg, N., Boiten, J.-W., da Silva Santos, L. B., Bourne, P. E., Bouwman, J., Brookes, A. J., Clark, T., Crosas, M., Dillo, I., Dumon, O., Edmunds, S., Evelo, C. T., Finkers, R., & ... Mons, B. (2016). The FAIR Guiding Principles for scientific data management and stewardship. Scientific Data, 3(1), Article 1. https://doi.org/10.1038/sdata.2016.18 Wilkinson, M. D., Dumontier, M., Aalbersberg, I. J., Appleton, G., Axton, M., Baak, A., Blomberg, N., Boiten, J.-W., da Silva Santos, L. B., Bourne, P. E., Bouwman, J., Brookes, A. J., Clark, T., Crosas, M., Dillo, I., Dumon, O., Edmunds, S., Evelo, C. T., Finkers, R., & ... Mons, B. (2016). The FAIR Guiding Principles for scientific data management and stewardship. Scientific Data, 3(1), Article 1. https://​doi.​org/​10.​1038/​sdata.​2016.​18
go back to reference Woolf, C., Lampit, A., Shahnawaz, Z., Sabates, J., Norrie, L. M., Burke, D., Naismith, S. L., & Mowszowski, L. (2022). A systematic review and meta-analysis of cognitive training in adults with major depressive disorder. Neuropsychology Review, 32(2), 419–437. https://doi.org/10.1007/s11065-021-09487-3 Woolf, C., Lampit, A., Shahnawaz, Z., Sabates, J., Norrie, L. M., Burke, D., Naismith, S. L., & Mowszowski, L. (2022). A systematic review and meta-analysis of cognitive training in adults with major depressive disorder. Neuropsychology Review, 32(2), 419–437. https://​doi.​org/​10.​1007/​s11065-021-09487-3
go back to reference Zhang, H., Huntley, J., Bhome, R., Holmes, B., Cahill, J., Gould, R. L., Wang, H., Yu, X., & Howard, R. (2019). Effect of computerised cognitive training on cognitive outcomes in mild cognitive impairment: A systematic review and meta-analysis. BMJ OPEN, 9(8). https://doi.org/10.1136/bmjopen-2018-027062 Zhang, H., Huntley, J., Bhome, R., Holmes, B., Cahill, J., Gould, R. L., Wang, H., Yu, X., & Howard, R. (2019). Effect of computerised cognitive training on cognitive outcomes in mild cognitive impairment: A systematic review and meta-analysis. BMJ OPEN, 9(8). https://​doi.​org/​10.​1136/​bmjopen-2018-027062
Metadata
Title
Transparency in Cognitive Training Meta-analyses: A Meta-review
Authors
Alejandro Sandoval-Lentisco
Rubén López-Nicolás
Miriam Tortajada
José Antonio López-López
Julio Sánchez-Meca
Publication date
19-04-2024
Publisher
Springer US
Published in
Neuropsychology Review
Print ISSN: 1040-7308
Electronic ISSN: 1573-6660
DOI
https://doi.org/10.1007/s11065-024-09638-2