The First Digital Strategy-Based Method for Training of Executive Functions: Impact on Cognition and Behavioral and Emotional Regulation, and Academic Success in Children With and Without Psychosocial Risk
Abstract
:1. Introduction
1.1. Conceptualization of Executive Functions
1.2. Executive Function Alterations: Children at Psychosocial Risk
1.3. Executive Function Interventions: The Novel Scope of EF Training + Metacognition
1.4. Objectives
2. Methods
2.1. Participants
2.2. Assessments
- Background information questionnaire: This questionnaire was created ad hoc by the researchers. It was used to collect participant data related to the inclusion criteria and filled out by the children’s legal guardians. The questionnaire requested the following information: the participant’s age and sex; whether the child had received psychological or psychiatric treatment; whether the child had been diagnosed with specific educational needs; whether the child had repeated a school year; and whether the child had been identified by educational guidance services as being in a psychosocial risk situation. In cases where parents indicated that their children received psychological treatment or had specific educational needs, the information was assessed according to the study’s exclusion criteria. Children diagnosed with conditions such as ADHD, autism spectrum disorder, or significant learning disabilities were not eligible to participate. However, at this stage, no participants were excluded based on the information provided in the questionnaire.
- Five Digit Test (FDT) (Sedó, 2007): This assessment tool has different sections: Reading, Counting, Choice, and Alternation. In the Choice subscale, participants must count the numbers in a box instead of reading them. In the Alternation subscale, participants must change their strategy (from counting the numbers in a box to reading the numbers in it). The boxes in which the strategy is changed are marked by a blue frame. Additionally, the test includes subindices for “Reading time” and “Counting time”, which use the measure of processing speed. In the “Reading time” task, the child must read the numbers displayed in the box as quickly as possible. In the “Counting time” task, the child is required to count the number of asterisks in each box and say the total out loud. For example, if the card shows the stimulus “***”, the child should respond with “three”. We used inhibition and flexibility scores as variables of inhibition and flexibility. The inhibition score was determined by subtracting the reading time from the choice time. The flexibility score was determined by subtracting the reading time from the alternation time. Lower scores were associated with better results. The Spearman–Brown coefficient for this test ranges from 0.92 to 0.95.
- WM sub-index of the Wechsler Intelligence Scale (WISC-V): We used the Spanish adaptation of the WISC-V for children (2014), focusing on the WM index subtests: (1) Digits, which involves repeating digits in direct, reverse, and ascending order; (2) Drawing Span, requiring participants to recall and order drawings after brief exposure; and (3) Letters and Numbers, in which participants repeat numbers in ascending order and letters alphabetically after hearing a mixed series. The WM index is obtained through conversion to a composite index, which is calculated by summing the scaled scores of the Digits, Drawing Span, and Letter and Numbers subtests. The WM auditory index is obtained through conversion to a composite index, which is calculated by summing the scaled scores of the Digits and Letter and Numbers subtests. The Spanish adaptation for children WISC-V (Wechsler, 2015) was applied. Higher scores were associated with better results.
- Reynolds Brief Intelligence Test (RIST): RIST (Reynolds & Kamphaus, 2013) is a screening intelligence test that contains two subscales: Riddles, to assess verbal intelligence, and Categories, to assess non-verbal intelligence. The sum of both subscales determines the intelligence index (M = 100; SD = 15). Higher scores were associated with better results. The reliability for this test, based on Cronbach’s alpha, is 0.91.
- Behavior Rating Inventory of Executive Function (BRIEF-2) (Gioia et al., 2017): This standardized test for youth aged 5 to 18 focuses on assessing EFs with two versions, one for teachers and one for parents. For the purposes of this study, we focused on the family version. It is a Likert-type assessment in which the parent/guardian responds regarding frequency to a series of questions. Three main indices comprise the different clinical scales: the Behavioral Regulation Index, Emotional Regulation Index, and Cognitive Regulation Index. The Global index of executive function is made up of all three. It provides various scores related to EFs, such as inhibition, flexibility, self-control, WM, and cognitive regulation. Higher scores indicate problems or difficulties (T, typical scale; M = 50, SD = 10). This study used the Spanish adaptation (Gioia et al., 2017). This test has high reliability (based on Cronbach’s alpha M = 0.86).
- School performance: The numerical evaluations provided by the participants’ tutors in mathematics and language were used. The students’ academic performance ranged from 0 to 10. In the Spanish educational system at the primary education level, the homeroom tutor is the teacher responsible for a specific group of students. Academic performance in Spain is typically measured on a scale from 0 to 10, where 0 represents the lowest score and 10 represents the highest.
2.3. Interventions
2.4. Data Analysis
3. Results
3.1. Variables Considered to be Near Transfer Assessed Individually
- WISC-V Working Memory Index
- WISC-V Auditory Working Memory Index
- FDT Inhibition
- FDT Flexibility
- FDT Counting Time (Processing Speed)
- FDT Reading Time (Processing Speed)
3.2. Variables Considered to be Transferable in Participants’ Daily Lives Were Assessed Through Parent Questionnaires
- BRIEF-2 Inhibition
- BRIEF-2 Flexibility
- BRIEF-2 Working Memory
- BRIEF-2 Metacognition Index
- BRIEF-2 Global Index of Executive Function
3.3. Variables Considered to be Far Transfer (Not Directly Trained)
- RIST Intelligence Index
- Spanish Language Academic Performance
- Mathematics Academic Performance
- BRIEF-2 Emotional Control
- BRIEF-2 Behavioral Regulation Index
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
No-risk | Children without psychosocial risk |
At-risk | Children at psychosocial risk |
EFs | Executive functions |
WM | Working memory |
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RIST | Gender F/M | Age | ||
---|---|---|---|---|
Pretest | No-risk experimental group | 91.1 (4.76) | 14/17 | 133 (12.9) |
No-risk control group | 90.7 (3.70) | 12/20 | 131 (6.96) | |
At-risk experimental group | 89.8 (3.22) | 14/16 | 135 (8.76) | |
At-risk control group | 90.8 (3.53) | 21/10 | 133 (10.3) | |
F(3.120) | 0.69 (p = 0.057) | 1.13 (p = 0.34) | ||
Post-test | No-risk experimental group | 94.3 (5.06) | 14/17 | 136 (12.9) |
No-risk control group | 90.7 (3.17) | 12/20 | 135 (6.96) | |
At-risk experimental group | 94.2 (4.04) | 14/16 | 138 (8.75) | |
At-risk control group | 90.8 (3.53) | 21/10 | 133 (10.3) | |
F(3.120) | 10.1 (p < 0.001) | 1.14 | ||
Follow-up | No-risk experimental group | 96.2 (5.36) | 14/17 | 140 (12.9) |
No-risk control group | 90.0 (2.62) | 12/20 | 138 (6.94) | |
At-risk experimental group | 96.8 (3.54) | 14/16 | 142 (8.76) | |
At-risk control group | 90.5 (3.00) | 21/10 | 90.5 (3.00) | |
F(14.5) | 32.4 (p < 0.001) | 1.13 |
No-Risk Experimental Group | No-Risk Control Group | No-Risk ANOVA t1 p-Value | At-Risk Experimental Group | At-Risk Control Group | At-Risk ANOVA t1 p-Value | ||
---|---|---|---|---|---|---|---|
M (SD) | M (SD) | M (SD) | M (SD) | ||||
WISC-V Working Memory Index | Pretest | 89.2 (4.69) | 88.1 (3.45) | 0.31 | 88.4 (2.92) | 87.3 (3.61) | 0.20 |
Post-test | 101.2(8.10) | 87.4 (2.34) | 99.3 (4.28) | 89.2 (3.26) | |||
Follow-up | 104.2 (7.53) | 88.8 (2.77) | 102.7 (4.23) | 89.8 (4.15) | |||
WISC-V Auditory Working Memory Index | Pretest | 95.0 (4.17) | 96.4 (5.36) | 0.27 | 94.3 (5.07) | 95.2 (5.45) | 0.49 |
Post-test | 110.5 (7.39) | 96.4 (4.75) | 110.3 (4.88) | 97.6 (3.72) | |||
Follow-up | 114 (6.56) | 100 (4.45) | 114 (4.02) | 101 (4.66) | |||
FDT Inhibition | Pretest | 26.2 (8.43) | 26.3 (9.53) | 0.95 | 26.9 (8.37) | 25.4 (7.94) | 0.47 |
Post-test | 22.8 (5.96) | 31.2 (5.52) | 22.9 (4.06) | 30.2 (6.20) | |||
Follow-up | 22.9 (5.80) | 30.3 (4.49) | 23.7 (5.04) | 30.1 (5.55) | |||
FDT Flexibility | Pretest | 35.0 (9.90) | 35.8 (9.44) | 0.75 | 37.5 (9.55) | 36.7 (10.7) | 0.76 |
Post-test | 30.3 (6.47) | 37.0 (6.14) | 29.7 (5.90) | 38.4 (5.28) | |||
Follow-up | 29.4 (5.74) | 37.8 (6.07) | 30.3 (5.80) | 38.4 (5.82) | |||
FDT Counting Time | Pretest | 33.8 (6.55) | 34.6 (5.29) | 0.62 | 35.3 (6.19) | 36.0 (8.29) | 0.72 |
Post-test | 32.2 (4.91) | 35.0 (2.88) | 33.7 (5.47) | 36.0 (8.26) | |||
Follow-up | 33.2 (5.20) | 37.8 (4.89) | 33.5 (5.16) | 38.1 (6.49) | |||
FDT Reading Time | Pretest | 28.0 (4.64) | 30.6 (5.32) | 0.04 | 30.2 (6.75) | 32.0 (6.68) | 0.3 |
Post-test | 25.5 (3.78) | 28.3 (3.23) | 25.3 (3.11) | 28.8 (6.38) | |||
Follow-up | 25.2 (3.17) | 29.3 (3.43) | 23.8 (2.67) | 30.1 (5.82) |
No-Risk Experimental Group | No-Risk Control Group | No-Risk ANOVA t1 p-Value | At-Risk Experimental Group | At-Risk Control Group | At-Risk ANOVA t1 p-Value | ||
---|---|---|---|---|---|---|---|
M (SD) | M (SD) | M (SD) | M (SD) | ||||
BRIEF-2 Inhibition | Pretest | 13.3 (2.57) | 15.2 (3.25) | 0.03 | 15.1 (6.23) | 14.3 (3.50) | 0.59 |
Post-test | 12.5 (1.81) | 13.9 (3.03) | 13.3 (3.22) | 15.5 (3.68) | |||
Follow-up | 13.3 (1.70) | 15.0(2.68) | 13.5 (2.73) | 16.5 (3.64) | |||
BRIEF-2 Flexibility | Pretest | 11.2 (2.35) | 12.4 (2.50) | 0.11 | 13.5 (6.54) | 11.9 (3.17) | 0.28 |
Post-test | 10.1 (2.05) | 12.8 (2.80) | 11.0 (2.96) | 13.4 (3.15) | |||
Follow-up | 10.3 (1.81) | 13.0 (3.05) | 10.7 (2.54) | 13.8 (2.85) | |||
BRIEF-2 Working Memory | Pretest | 14.2 (2.71) | 15.5 (2.22) | 0.32 | 16.5 (7.15) | 15.4 (2.63) | 0.45 |
Post-test | 13.7 (2.40) | 14.8 (3.84) | 14.5 (3.54) | 17.0 (3.55) | |||
Follow-up | 12.4 (1.34) | 15.0 (2.71) | 12.8 (2.94) | 16.0 (3.81) | |||
BRIEF-2 Metacognition Index | Pretest | 62.5 (10.09) | 67.6 (9.62) | 0.09 | 63.1 (10.86) | 64.8 (11.16) | 0.58 |
Post-test | 61.8 (11.7) | 66.9 (14.5) | 61.3 (11.9) | 73.0 (13.9) | |||
Follow-up | 57.1 (6.86) | 67.6 (11.20) | 57.5 (9.70) | 71.6 (14.12) | |||
BRIEF-2 Global Index of Executive Functions | Pretest | 101 (15.9) | 107 (25.6) | 0.36 | 102 (19.4) | 106 (19.3) | 0.53 |
Post-test | 97.2 (14.2) | 109.0 (20.9) | 99.1 (19.1) | 118.6 (22.2) | |||
Follow-up | 93.4 (9.55) | 111.0 (17.70) | 94.7 (15.93) | 118.0 (22.62) |
No-Risk Experimental Group | No-Risk Control Group | No-Risk ANOVA t1 p-Value | At-Risk Experimental Group | At-Risk Control Group | At-Risk ANOVA t1 p-Value | ||
---|---|---|---|---|---|---|---|
M (SD) | M (SD) | M (SD) | M (SD) | ||||
RIST Intelligence Index | Pretest | 91.1 (4.76) | 38.6 (6.60) | 0.66 | 89.8 (3.22) | 90.0 (3.53) | 0.23 |
Postest | 94.3 (5.06) | 35.4 (3.38) | 94.2 (4.04) | 90.2 (2.68) | |||
Follow-up | 96.2 (5.36) | 36.3 (3.51) | 96.8 (3.54) | 90.5 (3.00) | |||
Spanish Language academic performance | Pretest | 6.58 (1.52) | 6.74 (2.18) | 0.74 | 5.50 (1.61) | 6.46 (1.14) | 0.01 |
Postest | 7.45 (1.39) | 6.31 (1.53) | 7.20 (1.24) | 5.61 (1.28) | |||
Follow-up | 7.29 (1.49) | 7.19 (1.71) | 6.67 (1.60) | 6.39 (1.56) | |||
Mathematics academic performance | Pretest | 6.16 (1.55) | 6.26 (2.16) | 0.84 | 5.23 (1.65) | 5.89 (1.34) | 0.10 |
Postest | 7.00 (1.13) | 6.06 (1.58) | 6.63 (1.35) | 5.32 (1.30) | |||
Follow-up | 7.03 (1.60) | 6.84 (1.89) | 6.47 (1.74) | 5.90 (1.85) | |||
BRIEF-2 Emotional Control | Pretest | 14.1 (2.97) | 14.7 (2.66) | 0.51 | 15.4 (5.55) | 14.6 (3.21) | 0.54 |
Postest | 12.7 (1.39) | 15.4 (2.84) | 13.3 (3.07) | 16.6 (4.53) | |||
Follow-up | 12.7 (1.60) | 15.5 (2.92) | 13.0 (2.68) | 16.3 (4.16) | |||
BRIEF-2 Behavioral Regulation Index | Pretest | 38.6 (6.60) | 43.0 (6.47) | 0.03 | 40.8 (5.61) | 41.0 (8.76) | 0.12 |
Postest | 35.4 (3.38) | 42.1 (7.47) | 37.8 (8.14) | 45.6 (9.56) | |||
Follow-up | 36.3 (3.51) | 43.5 (7.29) | 37.2 (6.97) | 46.4 (9.12) |
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Cáceres-González, D.; Rossignoli-Palomeque, T.; Rodríguez, M.V. The First Digital Strategy-Based Method for Training of Executive Functions: Impact on Cognition and Behavioral and Emotional Regulation, and Academic Success in Children With and Without Psychosocial Risk. Behav. Sci. 2025, 15, 633. https://doi.org/10.3390/bs15050633
Cáceres-González D, Rossignoli-Palomeque T, Rodríguez MV. The First Digital Strategy-Based Method for Training of Executive Functions: Impact on Cognition and Behavioral and Emotional Regulation, and Academic Success in Children With and Without Psychosocial Risk. Behavioral Sciences. 2025; 15(5):633. https://doi.org/10.3390/bs15050633
Chicago/Turabian StyleCáceres-González, David, Teresa Rossignoli-Palomeque, and María Vaíllo Rodríguez. 2025. "The First Digital Strategy-Based Method for Training of Executive Functions: Impact on Cognition and Behavioral and Emotional Regulation, and Academic Success in Children With and Without Psychosocial Risk" Behavioral Sciences 15, no. 5: 633. https://doi.org/10.3390/bs15050633
APA StyleCáceres-González, D., Rossignoli-Palomeque, T., & Rodríguez, M. V. (2025). The First Digital Strategy-Based Method for Training of Executive Functions: Impact on Cognition and Behavioral and Emotional Regulation, and Academic Success in Children With and Without Psychosocial Risk. Behavioral Sciences, 15(5), 633. https://doi.org/10.3390/bs15050633