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Cognitive Health
Do Brain Training Games Really Work? The Science Behind Cognitive Training
Dr. Amanda Foster, PhD
December 11, 2023
9 min read

Bottom Line

While most commercial brain training games show limited real-world benefits, specific types of cognitive training—particularly those targeting multiple cognitive domains—can reduce dementia risk by up to 29%.

The Brain Training Industry: Promise vs. Reality

The brain training industry generates over $3 billion annually, promising to enhance memory, prevent dementia, and boost cognitive performance. Apps like Lumosity, Peak, and CogniFit have millions of users worldwide. But after decades of research, the scientific consensus is clear: most commercial brain training games don't deliver on their promises.

The Transfer Problem

The biggest issue with brain training games is the lack of "transfer"—improvements in game performance rarely translate to real-world cognitive benefits. You might get better at the specific game, but this doesn't make you better at remembering names, multitasking, or preventing dementia.

Key Finding: A comprehensive 2016 review of 132 studies found that brain training games produced no meaningful improvements in general cognitive function, memory, or attention in healthy adults.

What Actually Works: Evidence-Based Cognitive Training

While most commercial games fall short, certain types of cognitive training have shown genuine benefits for brain health and dementia prevention. The key is understanding which approaches are backed by rigorous scientific evidence.

The ACTIVE Study: Landmark Research

The Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study followed 2,832 older adults for 10 years. Participants who received speed-of-processing training showed a 29% reduction in dementia risk—the first time any intervention had demonstrated such protection in a randomized controlled trial.

Effective Cognitive Training Approaches

Speed of Processing Training

Exercises that challenge your ability to quickly identify and respond to visual information. This type of training has the strongest evidence for dementia prevention.

Example: Rapidly identifying objects in your peripheral vision while focusing on a central task.

Working Memory Training

Activities that challenge your ability to hold and manipulate information in your mind. Effective when combined with other cognitive domains.

Example: N-back tasks where you identify when a stimulus matches one from several steps back.

Dual N-Back Training

Advanced working memory training that simultaneously challenges visual and auditory processing. Shows promise for improving fluid intelligence.

Research: 19 days of dual n-back training improved fluid intelligence scores in young adults.

Cognitive Control Training

Exercises that improve your ability to focus attention, ignore distractions, and switch between tasks effectively.

Example: Stroop tasks where you identify colors while ignoring conflicting word meanings.

Real-World Cognitive Activities That Work

The most effective cognitive training often doesn't come from apps or games, but from engaging in complex, real-world activities that challenge multiple cognitive domains simultaneously.

High-Impact Cognitive Activities:

Learning New Skills

Learning a musical instrument, new language, or complex hobby engages multiple brain networks simultaneously.

Evidence: Adults who learned piano for 6 months showed improved executive function and processing speed.

Strategic Games

Chess, bridge, and complex board games require planning, memory, and strategic thinking.

Evidence: Regular chess players show 15% lower dementia risk compared to non-players.

Reading and Writing

Complex reading materials and creative writing engage language, memory, and analytical thinking.

Evidence: Lifelong readers show 32% slower cognitive decline in old age.

The Goldilocks Principle of Cognitive Challenge

Effective cognitive training follows the "Goldilocks Principle"—it must be challenging enough to promote growth but not so difficult as to cause frustration. The sweet spot is activities that are about 85% within your current ability level, requiring effort but remaining achievable.

Signs of Optimal Cognitive Challenge:

  • You need to concentrate but don't feel overwhelmed
  • You make mistakes but can learn from them
  • You feel engaged and motivated to continue
  • You notice gradual improvement over time

Building Your Cognitive Training Program

The 3-Domain Approach

Research suggests that training programs targeting multiple cognitive domains are most effective. Aim to include activities from each category:

1. Processing Speed & Attention

  • • Timed visual search tasks
  • • Rapid decision-making exercises
  • • Attention switching activities

2. Working Memory & Executive Function

  • • Mental math and calculation
  • • Complex planning tasks
  • • Dual-task coordination

3. Learning & Memory

  • • New skill acquisition
  • • Memory strategy training
  • • Complex information processing

Your 8-Week Cognitive Training Plan

Weeks 1-2: Foundation Building

  • • Choose one new challenging activity (instrument, language, etc.)
  • • Practice 20-30 minutes daily
  • • Add strategic games 2-3 times per week

Weeks 3-4: Expansion

  • • Increase practice time to 30-45 minutes
  • • Add working memory exercises
  • • Incorporate speed-of-processing activities

Weeks 5-6: Integration

  • • Combine multiple cognitive domains in single activities
  • • Challenge yourself with more complex tasks
  • • Track your progress and adjust difficulty

Weeks 7-8: Optimization

  • • Focus on activities showing the most improvement
  • • Maintain variety to prevent plateaus
  • • Plan for long-term sustainability

Key Takeaway

Skip the commercial brain training games. Instead, challenge yourself with complex, real-world activities that engage multiple cognitive domains. Your brain will thank you with better function and protection against dementia.