Cognitive Training: Transfer Beyond the Laboratory?

OBJECTIVE: To assess the evidence of general transfer from training on abstract computer-based exercises and video games to driving and flight control. BACKGROUND: Many believe that training on abstract computer-based exercises and video games enhances cognitive capacities to the benefit of performance in operational contexts. The basic research in this area is controversial. METHOD: We summarize reviews of the basic research data on transfer from training on abstract computer-based exercises and video games and undertake a detailed methodological review of flight and driving transfer studies. RESULTS: Reviews of basic transfer research fail to reveal evidence of general transfer, although a few applied studies are said to show general transfer to driving or flight control. Our review of these applied studies identifies issues with research methods and data interpretation that compromise the credibility of their results to an extent that they do not provide robust evidence of general transfer from abstract computer-based exercises or video games. CONCLUSION: The state of cognitive training and video game training in relation to transfer has failed to meet early expectations. Much of the research in this area suffers from inadequate experimental control and flawed interpretation of results. We call for adherence to robust experimental design, critical evaluation of data patterns, and replication of keystone results. We also call for a theoretically grounded research effort, and we outline relevant theoretical conceptions of transfer. APPLICATION: A robust theory of transfer and better understanding of transfer effects can guide development of principles for design and use of training simulators.

Healthcare information systems: the cognitive challenge.

BACKGROUND: Healthcare work is, to a considerable extent, cognitive. Subsequently, the analysis and the design of supporting technology must be sensitive to the cognitive and adaptive demands of the work and to the cognitive strategies employed by healthcare practitioners. Despite the vital role that cognition plays in healthcare work, current technocentric design approaches for healthcare technology do not account for it, failing to observe it during analysis and failing to develop support for it during design. MAIN BODY: By review and analysis of case studies, we show that healthcare systems developed without input from cognitive analysis and cognitive design fail to take account of important healthcare work processes and workflows. In contrast, systems developed with a cognitively-focused design strategy demonstrate how it is possible to introduce technology that supports and enhances the work strategies of those engaged in patient care. CONCLUSION: Significant problems emerge when technological support systems are developed without any serious and comprehensive attempt to understand the cognitive capabilities and skills deployed by those involved in patient care. In contrast, significant benefits accrue from taking full account of those cognitive capabilities and skills. Subsequently, the design and development of supporting technology must be sensitive to the cognitive demands of the work and the cognitive strategies employed by healthcare practitioners.

Use of Cognitive Work Analysis for exploration of safety management in the operation of motorcycles and scooters.

The risk of accident, injury and death is disproportionately higher for motorcycle riders than for motorists. In this paper, we investigate strategies of safety management associated with operation of powered two-wheel vehicles (motorcycles and scooters). Accident prevention is most often driven by an epidemiological approach that investigates the risk factors associated with accidents. By focusing on risk factors, these types of studies fail to examine the strengths of the system in any depth. In this paper we employ an ethnographic approach structured by reference to the framework of Cognitive Work Analysis, to identify how riders of powered two-wheel vehicles manage their own safety and the safety of others. We anticipate that this research will open up a rich, relatively untapped, area for exploration of safety interventions.