Cognitive mechanisms underlying Armoni: A computer-assisted cognitive training programme for individuals with intellectual disabilities

  • Claudia Peñaloza-Salazar Department of Personality, Assessment and Psychological Treatments. Universitat de Barcelona
  • José Gutiérrez-Maldonado Department of Personality, Assessment and Psychological Treatments. Universitat de Barcelona
  • Marta Ferrer-García Department of Personality, Assessment and Psychological Treatments. Universitat de Barcelona
  • Alejandra Caqueo-Urízar Department of Philosophy and Psychology. Universidad de Tarapacá
  • Antonio Reverter-Guimeso Fundació Ave María
  • Yolanda Macías-Cajal Fundació Ave María
  • David Amela-Huemes Fundació Ave María
  • Sandra Perales-Josa Fundació Ave María
Keywords: Intellectual disabilities, cognitive functions, cognitive training, Armoni, computer-assisted


Although a number of cognitive deficits have been described in individuals with intellectual disabilities (ID), few studies have examined the use of computer-assisted cognitive training programmes in this group of people. This study sought to determine the cognitive mechanisms underlying 16 activities included in Armoni, a computerized cognitive training programme for individuals with ID, in order to validate its use with this population. Fifty adults with ID from four residential care centres in Spain underwent neuropsychological testing tapping attention, verbal memory, visual memory, comprehension, visuoperception, visuoconstruction, naming ability, verbal fluency, verbal reasoning and motor function. In addition, they performed 16 activities included in the Armoni programme. The relationships between cognitive function and the computer-based activities were assessed using Spearman correlations. Stepwise multiple regression analyses were then used to explore how cognitive function predicted the performance of individuals with ID on the programme activities. Most programme activities correlated with visuoconstruction, comprehension and naming ability. Naming ability, visual memory, comprehension and visuoconstruction contributed the most to the predictive models regarding performance on the Armoni activities. Our findings support the validity of Armoni for cognitive training in individuals with ID.


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Ayres, K., & Cihak, D. (2010). Computer- and Video-Based Instruction of Food-Preparation Skills: Acquisition, Generalization, and Maintenance. Intellectual and Developmental Disabilities, 48,195-208.

Baddeley, A., & Eysenck, M.W. (2009). Memory. New York: Psychology Press.

Barresi, B.A., Nicholas, M., Tabor Connor, L., Obler, L.K., & Albert, M.L. (2000). Semantic Degradation and Lexical Access in Age-Related Naming Failures. Aging Neuropsychology and Cognition, 7, 169-178.

Benton, A.L., Sivan, A.B., Hamsher, K.D., Varney, N., & Spreen, O. (1994). Visual Form Discrimination. Contributions to neuropsychological assessment. New York: Oxford University Press.

Carlesimo, G.A., Marotta, L., & Vicari, S. (1997). Long-term memory in mental retardation: Evidence for a specific impairment in subjects with Down's syndrome. Neuropsychologia, 35, 71-79.

Cha, K.H., & Merrill, E.C. (1994). Facilitation and inhibition effects in visual selective attention processes of individuals with and without mental retardation. American Journal of Mental Retardation, 98, 594-600.

Contestabile, A., Benfenati, F., & Gasparini, L. (2010). Communication breaks-Down: From neurodevelopment defects to cognitive disabilities in Down syndrome. Progressive Neurobiology, 91,1-22.

Davis, D., Stock, S., & Wehmeyer, M.L. (2003). Utilization of computer technology to facilitate money management by individuals with mental retardation. Education and Training in Developmental Disabilities, 38,106-112.

Done, D.J., & Hajilou, B.B. (2005). Loss of high-level perceptual knowledge of object structure in DAT. Neuropsychologia, 43, 60-68.

Edgin, J., Mason, G., Allman, M., Capone, G., DeLeon, I., Maslen, C., et al. (2010). Development and validation of the Arizona Cognitive Test Battery for Down syndrome. Journal of Neurodevelopmental Disorders, 2, 149-164.

Evrard M. (2002). Ageing and Lexical Access to Common and Proper Names in Picture Naming. Brain and Language, 81, 174-179.

Glass, G., Peckham, P., & Sanders, J. (1972). Consequences of Failure to Meet Assumptions Underlying the Fixed Effects Analyses of Variance and Covariance. Review of Educational Research, 42, 237-288.

Goodglass, H., & Kaplan, E. (1983). The assessment of aphasia and related disorders. Philadelphia: Lea & Febiger.

Halligan, P.W., & Wade, D.T. (2005). Effectiveness of rehabilitation for cognitive deficits. Oxford: Oxford University Press.

Hartman, E., Houwen, S., Scherder, E., & Visscher, C. (2010). On the relationship between motor performance and executive functioning in children with intellectual disabilities. Journal of Intellectual Disability Research,54, 468-477.

Junqué, C., & Barroso, J. (2009). Manual de Neuropsicología. Madrid: Editorial Síntesis, S.A.

Kaplan, E., Goodglass, H., & Weintraub, S. (2001). Boston Naming Test. Philadelphia: Lippincott Williams & Wilkins.

Lezak, M., Howieson, D.B., & Loring, D.W. (2004). Neuropsychological Assessment. Oxford: Oxford University Press.

Mechling, L.C., Gast, D.L., & Langone, J. (2002). Computer-Based Video Instruction to Teach Persons with Moderate Intellectual Disabilities to Read Grocery Aisle Signs and Locate Items. Journal of Special Education, 35, 224-240.

Mitrushina, M., Boone, K.B., Ramazi, J., & D' Elia, L.F. (2005). Handbook of normative data for neuropsychological assessment. New York: Oxford University Press.

Moreno, J., & Saldaña, D. (2005). Use of a computer-assisted program to improve metacognition in persons with severe intellectual disabilities. Research in Developmental Disabilities, 26, 341-357.

Navalón Vila, C., Pérez Sánchez, M.A., & López-García, J.J. (1997). Activación de información categorial en tareas de memoria de reconocimiento de dibujos. Anales de Psicología, 13, 77-83.

Palmer, G.A. (2006). Neuropsychological profiles of persons with mental retardation and dementia. Research in Developmental Disabilities, 27, 299-308.

Peña-Casanova J. (2005). Integrated neuropsychological exploration program-Barcelona test revised. Barcelona: Masson.

Purser, H.R.M., & Jarrold, C. (2005). Impaired verbal short-term memory in Down syndrome reflects a capacity limitation rather than atypically rapid forgetting. Journal of Experimental Child Psychology, 91, 1-23.

Reynolds, C.R., & Fletcher-Janzen, E. (2007). Encyclopedia of special education, a reference for the education of children, adolescents and adults with disabilities and other exceptional individuals. New Jersey: John wiley & Sons.

Robson C. (2002). Real world research: a resource for social scientists and practitioner-researchers. Malden: Wiley-Blackwell.

Rowe, J., Lavender, A., & Turk, V. (2006). Cognitive executive function in Down's syndrome. British Journal of Clinical Psychology, 45, 5-17.

Silverman W. (2007). Down Syndrome: cognitive phenotype. Mental Retardation and Developmental Disabilities Research Reviews,13, 228-236.

Standen, P., Rees, F., & Brown, D. (2009). Effect of playing computer games on decision making in people with intellectual disabilities. Journal of Assistive Technologies, 3, 4-12.

Su, C.Y., Lin, Y.H., Wu, Y.Y., & Chen, C.C. (2008). The role of cognition and adaptive behavior in employment of people with mental retardation. Research in Developmental Disabilities, 29, 83-95.

Taber, T.A. (2003). Obtaining assistance when lost in the community using cell phones. Research and Practice for Persons with Severe Disabilities, 28, 105-116.

Taylor, J.L., Lindsay, W.R., & Willner, P. (2008). CBT for People with Intellectual Disabilities: Emerging Evidence, Cognitive Ability and IQ Effects. Behavioral and Cognitive Psychotherapy, 36, 723-733.

Tiffin J. (1968). Purdue Pegboard: Examiner manual. Chicago: Science research Associates.

Tremblay, K.N., Richer, L., Lachance, L., & Côté, A. (2010). Psychopathological manifestations of children with intellectual disabilities according to their cognitive and adaptive behavior profile. Research in Developmental Disabilities, 31, 57-69.

Van der Molen, M.J., Van Luit, J.E.H., Van der Molen, M.W., Klugkist, I., & Jongmans, M.J. (2010). Effectiveness of a computerised working memory training in adolescents with mild to borderline intellectual disabilities. Journal of Intellectual Disabilitiy Research, 54, 433-447.

Vicari S. (2006). Motor Development and Neuropsychological Patterns in Persons with Down Syndrome. Behavior Genetics, 36, 355-364.

Vicari, S., Bellucci, S., & Carlesimo, G.A. (2006). Evidence from two genetic syndromes for the independence of spatial and visual working memory. Developmental Medicine and Child Neurology, 48, 126-131.

Wechsler, D. (1997a). Wechsler Adult Intelligence Scale-Third Edition (WAIS-III). San Antonio-Texas: The Psychological Corporation.

Wechsler, D. (1997b). Wechsler Memory Scale-Third Edition (WMS-III). San Antonio-Texas: The Psychological Corporation.

Wilson, B., Cockburn, K., & Baddeley, A. (1985). The Rivermead Behavioural Memory Test (RBMT). Bury St. Edmunds: Thames Valley Test, Co.

How to Cite
Peñaloza-Salazar, C., Gutiérrez-Maldonado, J., Ferrer-García, M., Caqueo-Urízar, A., Reverter-Guimeso, A., Macías-Cajal, Y., Amela-Huemes, D., & Perales-Josa, S. (2015). Cognitive mechanisms underlying Armoni: A computer-assisted cognitive training programme for individuals with intellectual disabilities. Anales De Psicología / Annals of Psychology, 32(1), 115-124.
Developmental and Educational Psychology