Children's Executive Function Skills Research Articles

Assessment of Executive Function Skills in Children with Isolated Growth Hormone Deficiency: A Cross-sectional Study

The aim of this study was to evaluate executive function (EF), such as inhibition and working memory, in children with isolated growth hormone deficiency (IGHD) using performance-based tests and parent-report scales. A total of seventy children between the ages of 7 and 12 years were included in the study. Half (n=35) had children with IGHD and half were healthy controls. To evaluate the EF performances of the participants, the Visual Aural Digit Span Test-B Form (VADS-B) and Stroop task were applied. EF was also evaluated using the Behavior Rating Inventory of Executive Function (BRIEF). Children with IGHD scored lower on the VADS-B form for short-term memory (p<0.05) compared to healthy controls. In addition, the completion time for the Stroop-color/word test was significantly longer in children with IGHD (p<0.05). For children with IGHD, their parents reported higher scores on all sub-scales of the BRIEF scale, with statistically significant differences for all sub-scales with the exception of “organization of materials” (p<0.05). In this study, children with IGHD had poorer EF skills compared to unaffected peers. EF skills may influence academic success by affecting children’s language skills, mathematical comprehension, cognitive flexibility, and hypothetical thinking. We believe that psychiatric evaluation of children with IGHD before and during treatment may positively contribute to both their academic performance and social relationships.

Do Performance-Based Measures and Behavioral Ratings of Executive Functioning Complement Each Other in Predicting Reading and Mathematics in Chinese?

We examined what executive functioning (EF) components predict reading and mathematics within the same study and whether the effects of behavioral ratings of EF overlap or complement those of performance-based measures. One hundred and nine Grade 2 Mandarin-speaking Chinese students from Chengdu, China (55 girls, 54 boys, Mage = 8.15 years), were assessed on measures of EF (planning, inhibition, shifting, and working memory), speed of processing, reading and mathematics. Parents also rated their children's EF skills using the Childhood Executive Functioning Inventory. Results of hierarchical regression analyses showed that only working memory among the performance-based EF measures predicted reading and mathematics. In addition, none of the behavioral ratings of EF made a significant contribution to reading and mathematics after controlling for mother's education and speed of processing. Taken together, these findings suggest that working memory is a domain general predictor of academic achievement, but only when measured with cognitive tasks.

Spanking and executive functioning in US children: A longitudinal analysis on a matched sample

BackgroundSpanking has been linked to multiple maladaptive child outcomes. However, previous research linking spanking with children's executive function skills (EFs; inhibitory control, cognitive flexibility, and working memory) is limited by research designs that do not adequately address selection bias concerns, wherein the participant characteristics potentially differ between those who are spanked versus not spanked. ObjectiveUsing a representative sample of US children aged 5 to 6, this study strengthened the evidence for causal estimates on the link between spanking and subsequent EFs with a matched-group design. Low-frequency spanking and potential moderators (child gender, parent race/ethnicity, parental warmth) were tested to determine if they moderated the link between spanking and EFs. ParticipantsData were drawn from the Early Childhood Longitudinal Study, Kindergarten Class of 2010–11 (Ns = 12,750-12,830). To mitigate selection bias, entropy-balanced matching was utilized to match spanked versus not-spanked groups, and lagged dependent variable regression analyses were conducted on the matched sample to predict EFs by spanking group status. ResultsAfter matching, spanking at age 5 was associated with lower inhibitory control and lower cognitive flexibility at age 6, but was not significantly predictive of later working memory. The association with inhibitory control was observed even for low frequency spanking. However, no evidence of moderation by child gender, parent race/ethnicity, and parental warmth was identified. ConclusionsThis study provides evidence that spanking is associated with lower executive functioning in children, although the associations varied by different EF domains.

Informing the Development of School‐Based Strategies to Promote Children's Executive Function Skills: Considerations, Challenges, and Future Directions

AbstractIn recent years awareness of the importance of executive function (EF) skills for students' academic growth has increased. Research suggests that experience in school promotes EF development; however, recommendations regarding evidence‐based practices that educators can use to support EF in their classrooms are limited. Here we outline two main reasons that this may be the case. First, there are significant challenges in the measurement of EF, which have implications for our understanding of how children use EF skills in support of learning in the moment and in real‐world settings like the classroom. Second, there is limited direct research on the types of classroom experiences that promote EF. In describing both, we highlight emerging evidence and new methods that are helping us better understand the development of EF and the ways in which school experiences shape this growth, which will ultimately inform the development of school‐based strategies to promote these skills.

Executive Function and Narrative Language Abilities in Emergent Bilingual Preschoolers: An Exploratory Study.

In light of the importance of preschool oral narrative skills as precursors to literacy, this exploratory study examined expressive language skills among emergent bilingual Latine preschoolers using a naturalistic personal narrative task. To understand the factors that support language use in the personal narrative context for this population, we examined the contribution of children's executive function (EF) skills to their narrative language abilities. Children completed two subtests from the Preschool Self-Regulation Assessment to measure EF and produced two personal narratives in response to conversational prompts. A series of linear regressions were used to evaluate the relation between children's EF skills and their narrative production ability, narrative organization, and expressive language skills derived from automated analyses of narrative samples. EF was found to predict children's ability to produce a personal narrative but not the language skills children demonstrated in these narratives. The current findings suggest that EF is implicated in emergent bilingual Latine children's narrative abilities. At the preschool age, the contribution of EF to narrative language production is apparent in the global task of producing a narrative, rather than in the organizational or linguistic features of the narrative. As such, supporting both EF and narrative skills might be an important means of facilitating preliteracy among bilingual children.

Do Neighborhood Resources Mitigate Family Risk to Preschool Children's Executive Function Skills Growth?

Despite previous studies showing that children's development of executive function (EF) skills is associated with the differing contexts in which children live, evidence about the independent and synergistic effects of families and neighborhoods is limited. Using a sample from a two-cohort longitudinal study of preschoolers from low-income families, we examined whether residential neighborhood resources (measured with the Child Opportunity Index (COI)) moderated the relationship between family cumulative risk and the growth trajectory of children's EF skills. Results from conditional growth curve models indicate family cumulative risk was negatively related to baseline EF skills and the rate of EF skill growth. In contrast, the overall COI and the COI social and economic domain z-score were positively associated with the initial, but not linear, growth of EF skills. We found no evidence of moderator effects. Policies that aim to better target and support the most vulnerable children should consider the unique contribution of family risks and neighborhood resources to child development.

The role of executive function in shaping the longitudinal stability of math achievement during early elementary grades

There is substantial rank-order stability in children's mathematical skills throughout development. Research has shown that children who enter school with relatively low math skills are unlikely to catch up to peers who begin kindergarten with more developed math skills. Emerging evidence suggests that children's executive function skills might play an important role in shaping the rate and stability of mathematical skill development during early development. Therefore in the present study, we used data from the Early Childhood Longitudinal Study-Kindergarten Cohort 2010-11—a prospective sample of over 18,000 children in the United States—to examine executive function as an antecedent to characteristics of growth in math skills and to test whether executive function moderates the longitudinal stability of math achievement from kindergarten through second grade. Latent growth curve models reveal that executive function is related to not only the level of math skills at school entry but also to the rate of growth in early elementary years. Moreover, we found that executive function moderated the stability of math achievement from kindergarten to second grade, suggesting that early executive function skills can serve as a compensatory mechanism for children who enter school with lower levels of mathematical skills. These findings might have important implications for narrowing gaps in math achievement during early elementary school.

Effect of Occupation Performance Coaching with Four-Quadrant Model of Facilitated Learning on Children with Specific Learning Disorder.

Background Children with a specific learning disability (SLD) have deficits in everyday occupations along with executive function in addition to academic issues. Objective The present study is aimed at investigating the effectiveness of Occupational Performance Coaching (OPC) and the Four-Quadrant Model of Facilitated Learning (4QM) interventions on the participation in occupational performance and executive function skills in children with SLD. Method This study was a single-case experimental design (multiple baselines) in which six children with SLD were randomly assigned to three groups. In the baseline phase, three groups of children underwent repeated executive function assessments using the Stroop Color and Word Test (SCWT) and the Wisconsin Card Sorting Test (WCST) in the multiple baselines. In the intervention phase, all six mothers of children with SLD individually received OPC and 4QM interventions once a week for 14 sessions of 60 minutes and during this period, children were evaluated six more times for executive function skills according to SCWT and WCST. In addition, The Canadian Occupational Performance Measure (COPM) and Behavior Rating Inventory of Executive Function (BRIEF) at the beginning and the end of the baseline phase and the end of the intervention phase were completed by mothers of children with SLD. Results More than 50% PND of the SCWT and WCST in the visual analysis graph's information along with significant changes in COPM scores and large effect size of BRIEF subscales (Cohen's d ≥ 0.8) in pre- and postintervention showed the effectiveness of OPC and 4QM on the participation in occupational performance and executive function skills in children with SLD. Conclusion The results of the study support the effectiveness of OPC and 4QM interventions on children with SLD. However, research with more participants and experimental methods can provide further evidence.

Examining the role of demographic characteristics, attachment, and language in preschool children’s executive function skills

ABSTRACT Executive function (EF) skills play a crucial role in young children’s academic and social-emotional development. Given that factors associated with poverty can compromise the development of EF skills, it is vital to continue to examine what factors help predict and support EF skills in children from at-risk backgrounds. Using a sample of Head Start children (N=43), we examined the role of children’s demographic characteristics, attachment relationship to adults, and receptive language skills and bilingual status in children’s EF skills. Results of the analysis showed that most children in this sample performed within the ‘average’ range in EF performance and that females performed significantly higher on the MEFS compared to boys. Results from a sequential regression analysis showed that receptive language skills in English and being bilingual were predictive of EF skills above and beyond demographic characteristics and attachment relationship to adults. Implications for early childhood learning and practice are discussed.

Promoting EF With Preschool Interventions: Lessons Learned From 15 Years of Conducting Large-Scale Studies

In the past two decades, a growing number of early childhood interventions that aim to improve school readiness have also targeted children's executive function (EF), building on the theory that promoting EF skills in preschool may play a key role in reducing the substantial gaps in school readiness and later achievement associated with family income. Despite the expansion of school readiness interventions across preschool, research evidence is mixed regarding what works to promote EF development and the impact of these interventions on children's EF skills, and subsequently, their academic and behavioral outcomes. This paper reviews four intervention approaches designed to support school readiness that may also improve children's EF skills by: (a) encouraging adaptive classroom behaviors, (b) improving social-emotional learning, (c) promoting play and direct training of EF skills, and (d) improving cognitive skills related to EF. We describe program effects from rigorous trials testing these approaches, including summarizing the takeaways from four large-scale intervention research studies conducted by the authors, involving over 5,000 children. We conclude by exploring open questions for the field and future directions for research and intervention program development and refinement.

Musical Activities, Prosocial Behaviors, and Executive Function Skills of Kindergarten Children

Prosocial behaviors and executive function are staples of child development. Engagement in music has been associated with enhanced prosocial behaviors and executive function skills in children and youth. Yet, research concerning the role of formal music programs in the development of these important behaviors and skills remains elusive. The aim of this exploratory study was to investigate the role of a 5-week music program on prosocial behaviors (instrumental helping and sharing) and executive function skills (cognitive flexibility and working memory/inhibition control) of 103 kindergarten children from two public schools in a large urban center in the United States, serving predominantly Latinx children from underserved communities. Our data suggested that the short music program positively influenced children's cognitive flexibility, but not working memory, nor prosocial skills (sharing and helping). Findings are discussed in light of earlier studies, methodological issues, and limitations, and in relation to developmental and cultural issues surrounding child participants. Implications for future research and practice are outlined.

Rhythmic Physical Activity Intervention: Exploring Feasibility and Effectiveness in Improving Motor and Executive Function Skills in Children.

IntroductionIncreasing literature has emerged investigating the importance of considering the qualitative characteristics of physical activity (PA) interventions and sports as well as considering the role of motor competence in the exercise–cognition interplay. The purpose of this pilot study was to examine the feasibility and effectiveness of a rhythmic PA intervention compared to a standard physical education program, on motor and hot and cool executive function (EF) skills.MethodsChildren ages 6–11 were enrolled in one of the two programs: a rhythmic program (n = 22) and a physical education program (n = 17), both meeting for 30 min, twice per week, for 7 weeks. The rhythmic program emphasized moving to the beat of music and moving in various rhythmic patterns with whole body movements, clapping, and drumsticks. The children also created their own rhythmic patterns and socially engaged with other children by working in pairs and sharing their routines with the group. The physical education group engaged in ball skills, locomotor patterns, team sports, and moving through stations in small groups, with no emphasis on rhythm. Pretest and posttest measurements included measurement of balance (Movement ABC-2), cool and hot EF (Flanker, SWAN), and social factors, whereas throughout the implementation period data on affective valence, enjoyment, cognitive engagement, perceived exertion, and PA levels were collected at every lesson in both groups.ResultsThe rhythmic program used in this study was feasible, scalable, affordable, and able to be implemented with minimal preparatory time. Children in both groups (rhythmic and physical education) engaged in a similar level of PA and had similar positive experiences from the programs. Both groups improved in balance and cool EF, and there were significant correlations in the change scores between balance and cool EF, as well as between cool EF with hot EF and socio-emotional factors.DiscussionThis study contributes to the literature by exploring the potential value of rhythmic programs as a vehicle in helping children develop motor and EF skills while deriving joy and positive social interactions from the program.

School-based intervention to address self-regulation and executive functioning in children attending primary schools in remote Australian Aboriginal communities.

Executive functioning and self-regulation influence a range of outcomes across the life course including physical and mental health, educational success, and employment. Children prenatally exposed to alcohol or early life trauma (ELT) are at higher risk of impairment of these skills and may require intervention to address self-regulation deficits. Researchers partnered with the local Aboriginal health organization and schools to develop and pilot a manualized version of the Alert Program® in the Fitzroy Valley, north Western Australia, a region with documented high rates of fetal alcohol spectrum disorder and ELT. This self-controlled cluster randomized trial evaluated the effect of an 8-week Alert Program® intervention on children’s executive functioning and self-regulation skills. Following parent or caregiver consent (referred to hereafter as parent), 271 students were enrolled in the study. This reflects a 75% participation rate and indicates the strong community support that exists for the study. Teachers from 26 primary school classrooms across eight Fitzroy Valley schools received training to deliver eight, one-hour Alert Program® lessons over eight-weeks to students. Student outcomes were measured by parent and teacher ratings of children’s behavioral, emotional, and cognitive regulation. The mean number of lessons attended by children was 4.2. Although no significant improvements to children’s executive functioning skills or behavior were detected via the teacher-rated measures as hypothesized, statistically significant improvements were noted on parent-rated measures of executive functioning and behavior. The effectiveness of future self-regulation programs may be enhanced through multimodal delivery through home, school and community based settings to maximize children’s exposure to the intervention. Despite mixed findings of effect, this study was an important first step in adapting and evaluating the Alert Program® for use in remote Australian Aboriginal community schools, where access to self-regulation interventions is limited.

Collaborative Problem Solving reduces children's emotional and behavioral difficulties and parenting stress: Two key mechanisms.

This study aimed to evaluate the effectiveness of the Collaborative Problem Solving (CPS) approach in home-based family therapy and to explore two hypothesized mechanisms of change. Sixty-seven families with children aged 3-12 years old completed a 12-week home-based CPS treatment program. Parent-report measures were completed pre- and post-intervention, including measures on parents' fidelity of using CPS, parents' empathy, children's executive functioning, children's behavioral difficulties, and parenting stress. There were significant reductions in children's behavioral difficulties and parenting stress, and significant improvements in children's executive functioning and parents' empathy. These improvements were greatest for parents who had the greatest fidelity to CPS. Improvements in children's executive functioning and parents' empathy mediated the relationship between parents' CPS fidelity and outcomes. These results provide evidence that home-based family treatment with CPS may achieve positive child and family outcomes by building children's executive function skills and improving parents' empathy.

The efficacy of different interventions to foster children's executive function skills: A series of meta-analyses.

In the present meta-analysis all available evidence regarding the efficacy of different behavioral interventions for children's executive function skills were synthesized. After a systematic search we included experimental studies aiming to enhance children's (up to 12 years of age) executive functioning with neurodevelopmental tests as outcome measures. The results of 100 independent effect sizes in 90 studies including data of 8,925 children confirmed that it is possible to foster these skills in childhood (Diamond & Lee, 2011). We did not find convincing evidence, however, for the benefits to remain on follow-up assessment. Different approaches were effective for typically and nontypically developing samples. For nontypically developing children (including children with neurodevelopmental disorders or behavior problems) acquiring new strategies of self-regulation including biofeedback-enhanced relaxation and strategy teaching programs were the most effective. For typically developing children we found evidence for the moderate beneficial effects of mindfulness practices. Although small to moderate effects of explicit training with tasks loading on executive function skills in the form of computerized and noncomputer training were found, these effects were consistently weaker for nontypically developing children who might actually be more in need of such training. Thus, atypically developing children seem to profit more from acquiring new strategies of self-regulation as compared with practice with executive function tasks. We propose that explicit training does not seem to be meaningful as the approaches that implicitly foster executive functions are similarly or more effective, and these activities are more enjoyable and can be more easily embedded in children's everyday activities. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

A randomized efficacy trial of the second step early learning (SSEL) curriculum

A classroom randomized efficacy trial conducted over four years in 7 community-based preschool and 6 Head Start programs investigated effects of the Second Step Early Learning (SSEL) curriculum on end of preschool executive functioning (EF) and social-emotional (SE) skills in low-income children. Outcomes are reported for n = 770 four-year-olds independently assessed for EF and SE by study staff in fall and spring of the prekindergarten year. Main outcomes were analyzed using two, three- level hierarchical linear models, one each for EF and SE skills. A significant effect (effect size of 0.15) for EF and a nonsignificant effect for SE were found. Secondary analyses found no significant differences on pre-academic skills. SSEL appears to have a meaningful impact on at-risk children's EF skills that supports its continued dissemination.

Executive function, dispositional resilience, and cognitive engagement in Latinx children of migrant farmworkers

Children from Latinx migrant farmworker (LMFW) families are one of the most educationally disenfranchised and marginalized student populations in the United States. They experience significant contextual risks and stressors which are linked to poor adjustment as well as lower academic engagement and success. Given that LMFW children are understudied, especially likely to experience substantial adversity, and are a vulnerable student population, it is imperative for researchers to examine factors that contribute to their well-being and school success. In the present study, we assessed whether behavioral tasks of executive function contributed to resilience and academic mastery/efficacy in LMFW children (N = 66, mean age = 12.79, 55% male). Results found associations between executive function tasks and dispositional resilience; however, executive function was not directly associated with academic mastery/efficacy. Dispositional resilience was significantly positively associated with academic mastery/efficacy. These findings suggest that it may be critically important for organizations working with LMFW children to foster and boost children's executive function skills. Additional research mitigating adversity and promoting the academic success and engagement of LMFW children is needed.

Multimethod Assessment of Attention, Executive Functions, and Motor Skills in Children With and Without ADHD: Children’s Performance and Parents’ Perceptions

Objective: We examined whether children with attention-deficit/hyperactivity disorder (ADHD) differ from children without ADHD in attention, executive functions, and motor skills and whether measures of parents’ perceptions and children’s performance reveal comparable results. Method: About 52 children with ADHD and 52 children without ADHD aged 6 to 13 years completed performance-based measures of attention, executive functions, and motor skills. Parents completed questionnaires to rate their children’s skills. Results: Parent questionnaires but not performance-based measures revealed higher inattention and lower executive function skills in children with ADHD compared to controls. For motor skills, both measurement methods revealed lower mean values and a higher number of children showing an impairment in the ADHD group. Parent-reported difficulties but not performance-based measures were related to the presence of an ADHD diagnosis. Conclusion: Our findings suggest that considering both parent questionnaires and performance-based measures will lead to a comprehensive picture of a child’s strengths and difficulties.

Chronic Absenteeism and Preschool Children's Executive Functioning Skills Development

ABSTRACTInvestments in preschool programs for children from disadvantaged backgrounds have historically been supported by research showing that these programs help children build school readiness skills and narrow the income-achievement gap. However, results from recent studies of the links between preschool participation and increases in school readiness skills are more mixed. Significant variation in regular preschool attendance and the availability of high-quality early learning environments could help explain mixed findings on preschool effectiveness. Using data from a preschool expansion demonstration project, we explored associations between children's attendance rates, classroom quality, and neighborhood poverty and children's fall to spring gains in a set of important school readiness skills in executive functioning. Children (N = 197) lived in neighborhoods where 26% of households (range = 0 – 92%) lived below the poverty line and attended 48 classrooms in public and private settings. Attendance rates, including chronic absenteeism, were significantly associated with children's gains in executive functioning skills, but only when children attended high-quality classrooms. Results suggest that efforts to increase attendance rates may benefit children's executive functioning skills among children living in higher poverty neighborhoods the most when communities also invest in increasing preschool classroom quality.

Mindfulness Plus Reflection Training: Effects on Executive Function in Early Childhood.

Executive function (EF) skills are essential for academic achievement, and poverty-related stress interferes with their development. This pre-test, post-test, follow-up randomized-control trial assessed the impact of an intervention targeting reflection and stress reduction on children's EF skills. Preschool children (N = 218) from schools serving low-income families in two U.S. cities were randomly assigned to one of three options delivered in 30 small-group sessions over 6 weeks: Mindfulness + Reflection training; Literacy training; or Business as Usual (BAU). Sessions were conducted by local teachers trained in a literacy curriculum or Mindfulness + Reflection intervention, which involved calming activities and games that provided opportunities to practice reflection in the context of goal-directed problem solving. EF improved in all groups, but planned contrasts indicated that the Mindfulness + Reflection group significantly outperformed the BAU group at Follow-up (4 weeks post-test). No differences in EF were observed between the BAU and Literacy training groups. Results suggest that a brief, small-group, school-based intervention teaching mindfulness and reflection did not improve EF skills more than literacy training but is promising compared to BAU for improving EF in low-income preschool children several weeks following the intervention.