Mathematics AbilitiesFAMNCT05682729
Flexible Attention to Magnitudes and Early Math
A study testing Book Reading Intervention in people with Mathematics Abilities, run by University of Dayton at 1 site in United States.
Trial summary
The goal of this clinical trial is to test the malleability of preschool-aged children's flexible attention to numerical and spatial magnitudes. The main questions it aims to answer are: Does a flexible attention to magnitudes intervention improve young children's math abilities in the area of flexible attention to… Read more about this study
- Who is it for?
- Ages 3 to 5 yearsHealthy volunteers can take part
- Conditions the study is for
- Mathematics Abilities
- What is being tested?
- Book Reading Intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 116 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Sep 2022to 30 Jun 2023
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 3 to 5 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Child ages 3 - 5
Who cannot join
- -
Trial locations and contacts
1 site in 1 country.
United States1 site
Early Childhood Education Facilities
Dayton, Ohio, 45469
About this study
Official title: The Early Development of Flexible Attention to Numerical and Spatial Magnitudes: Clinical Trial
The goal of this clinical trial is to test the malleability of preschool-aged children's flexible attention to numerical and spatial magnitudes. The main questions it aims to answer are: Does a flexible attention to magnitudes intervention improve young children's math abilities in the area of flexible attention to magnitudes as well as executive functioning and number line estimation skills? Does this intervention improve young children's math abilities more than a traditional counting intervention? "Does the method of flexible attention to magnitudes intervention affect how much children improve in their math abilities?
Participants will complete a pre-test and post-test in their math abilities and three intervention sessions with a trained experimenter. Each intervention session will involve reading researcher-created books with one-on-one with children for about 20 minutes. Children will be assigned to one of four intervention conditions:
- Size to Number Intervention Condition
- Size and Number Mixed Intervention Condition
- Traditional Counting Intervention
- Non-Numerical Control Intervention
Read the detailed description
This experiment will test the following hypothesis: Children's flexible attention to magnitudes (FAM) ability is malleable and can be developed through innovative interventions. The experiment will include a clinical trial to assess the feasibility of a future clinical intervention to improve children's FAM ability for children at-risk for math difficulties.
Participants. Using results from recent number book interventions (ηp2 = .094; Gibson, Gunderson, \& Levine, under review), an estimated sample size of 116 preschool-aged children (3 - 5 years old), or 29 children per group, will be recruited. An additional 8 participants will be recruited to account for any possible attrition during the course of the experiment.
Method and Analyses. Children will be randomly assigned to one of 4 conditions: Size to Number condition, Mixed condition, or one of two control conditions - a Traditional Counting condition or an Non-Numerical Control condition. In each condition, children will complete a pre-test, followed by three intervention sessions with an experimenter, then a post-test. All assessments and intervention sessions will be completed in a one-on-one setting with an experimenter in a quiet area of the child's childcare center or school. Each condition will involve playing a game on a tablet with an experimenter, and the premise of each game will be children going to the zoo. All stimuli for conditions will be created by the University of Dayton computer engineering students in their research and design course. The stimuli for the Size to Number and Mixed conditions will be identical where all trials are incongruent with respect to numerical and spatial magnitudes across sets, but the ordering of instructions and item presentation will differ. In the Size to Number condition, children will view two sets of animals, each enclosed by a box, and will be asked to indicate which set has bigger animals. Children will then switch to a condition in which they are asked to switch and indicate which set has more animals, with 10 trials for both the number and size conditions. Children will receive feedback on each trial. In the Mixed condition, children will receive 20 trials in which size and number trials are intermixed. In the Traditional Counting condition, children will only see congruent numerical and spatial magnitudes, in other words, sets where the object set with more items will also have larger items and the set with fewer items will also have smaller items. Children will be asked to compare these sets, and feedback will be given. Finally, in the Non-Numerical Control condition, children will see various animals on each trial and will be asked to give the animal's name and sound.
An ANCOVA will be used to analyze participant data, with the 4 conditions as the between-subjects variable, and covariates will include children's pre-test, age, gender, and language. The investigator expects to find that both the Size to Number and Mixed conditions will produce higher FAM post-test scores compared to the Traditional Counting and Non-Numerical Control conditions, but do not have a specific prediction as to whether or not the Size to Number or Mixed conditions will outperform one another. The assessments administered at pre- and post-test will include the FAM task, and the investigator will also explore possible transfer effects to children's executive functioning skills and their number line estimation abilities.
- Conditions
- Mathematics Abilities
- Being tested
- Book Reading Intervention
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Book Reading InterventionBehavioural
Children read books containing relevant stimuli.
| Study group | Role | What they receive |
|---|---|---|
| Size to Number | Experimental | Not described Receives: Behavioral: Book Reading Intervention |
| Mixed | Experimental | Not described Receives: Behavioral: Book Reading Intervention |
| Traditional Counting | Active comparator | Not described Receives: Behavioral: Book Reading Intervention |
| Non-Numerical Control | Placebo comparator | Not described Receives: Behavioral: Book Reading Intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Flexible Attention to Magnitudes Task
Assesses preschool-aged children's ability to flexibly shift between attending to numerical and spatial magnitudes. The task is scored for accuracy (0 - 1), and higher scores indicate better outcomes. The outcome measure was change in accuracy from baseline to immediately after intervention, or 4 days.
Measured: Baseline and after intervention (up to 4 days)
Secondary outcomes (2)
Change in Minnesota Executive Function Scale
Ipad based card game assessing attention shifting. Standardized scores are calculated, with a mean of 100 and a standard deviation of 15. The mean change in standard score from pre-to-post test was examined across all 4 groups.
Measured: baseline and immediately after intervention (up to 4 days)
Change in Number Line Estimation Task
Child identifies location of a number on a 0 - 10 number line. Total scores range from 0 - 20, with higher scores indicating better performance. Pre-to-post test change scores were examined.
Measured: baseline and immediately after (up to 4 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jan 2023
- Study start1 Sep 2022
- Primary completion30 Jun 2023
- Study completion30 Jun 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Mathematics AbilitiesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 116 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Dayton
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05682729
- Sponsor's protocol ID
- R15HD100936
- Acronym
- FAM
- Status last verified
- Oct 2025
- First submitted
- 19 Dec 2022
- Last updated
- 30 Oct 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized pre- and post-test scores will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Early Development of Flexible Attention to Numerical and Spatial Magnitudes: Clinical Trial
- ClinicalTrials.gov ID
- NCT05682729
- Acronym / sponsor ID
- FAM / R15HD100936
- Conditions
- Mathematics Abilities
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 116 participants (actual)
- Lead sponsor
- University of DaytonUniversity, hospital or other
- Study start
- 1 Sep 2022 (actual)
- Primary completion
- 30 Jun 2023 (actual)
- Study completion
- 30 Jun 2023 (actual)
- First posted
- 12 Jan 2023 (actual)
- Results
- Posted 30 Oct 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to test the malleability of preschool-aged children's flexible attention to numerical and spatial magnitudes. The main questions it aims to answer are: Does a flexible attention to magnitudes intervention improve young children's math abilities in the area of flexible attention to magnitudes as well as executive functioning and number line estimation skills? Does this intervention improve young children's math abilities more than a traditional counting intervention? "Does the method of flexible attention to magnitudes intervention affect how much children improve in their math abilities?
Participants will complete a pre-test and post-test in their math abilities and three intervention sessions with a trained experimenter. Each intervention session will involve reading researcher-created books with one-on-one with children for about 20 minutes. Children will be assigned to one of four intervention conditions:
- Size to Number Intervention Condition
- Size and Number Mixed Intervention Condition
- Traditional Counting Intervention
- Non-Numerical Control Intervention
Detailed description
This experiment will test the following hypothesis: Children's flexible attention to magnitudes (FAM) ability is malleable and can be developed through innovative interventions. The experiment will include a clinical trial to assess the feasibility of a future clinical intervention to improve children's FAM ability for children at-risk for math difficulties.
Participants. Using results from recent number book interventions (ηp2 = .094; Gibson, Gunderson, \& Levine, under review), an estimated sample size of 116 preschool-aged children (3 - 5 years old), or 29 children per group, will be recruited. An additional 8 participants will be recruited to account for any possible attrition during the course of the experiment.
Method and Analyses. Children will be randomly assigned to one of 4 conditions: Size to Number condition, Mixed condition, or one of two control conditions - a Traditional Counting condition or an Non-Numerical Control condition. In each condition, children will complete a pre-test, followed by three intervention sessions with an experimenter, then a post-test. All assessments and intervention sessions will be completed in a one-on-one setting with an experimenter in a quiet area of the child's childcare center or school. Each condition will involve playing a game on a tablet with an experimenter, and the premise of each game will be children going to the zoo. All stimuli for conditions will be created by the University of Dayton computer engineering students in their research and design course. The stimuli for the Size to Number and Mixed conditions will be identical where all trials are incongruent with respect to numerical and spatial magnitudes across sets, but the ordering of instructions and item presentation will differ. In the Size to Number condition, children will view two sets of animals, each enclosed by a box, and will be asked to indicate which set has bigger animals. Children will then switch to a condition in which they are asked to switch and indicate which set has more animals, with 10 trials for both the number and size conditions. Children will receive feedback on each trial. In the Mixed condition, children will receive 20 trials in which size and number trials are intermixed. In the Traditional Counting condition, children will only see congruent numerical and spatial magnitudes, in other words, sets where the object set with more items will also have larger items and the set with fewer items will also have smaller items. Children will be asked to compare these sets, and feedback will be given. Finally, in the Non-Numerical Control condition, children will see various animals on each trial and will be asked to give the animal's name and sound.
An ANCOVA will be used to analyze participant data, with the 4 conditions as the between-subjects variable, and covariates will include children's pre-test, age, gender, and language. The investigator expects to find that both the Size to Number and Mixed conditions will produce higher FAM post-test scores compared to the Traditional Counting and Non-Numerical Control conditions, but do not have a specific prediction as to whether or not the Size to Number or Mixed conditions will outperform one another. The assessments administered at pre- and post-test will include the FAM task, and the investigator will also explore possible transfer effects to children's executive functioning skills and their number line estimation abilities.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Size to Number | Experimental | Behavioral: Book Reading Intervention |
| Mixed | Experimental | Behavioral: Book Reading Intervention |
| Traditional Counting | Active comparator | Behavioral: Book Reading Intervention |
| Non-Numerical Control | Placebo comparator | Behavioral: Book Reading Intervention |
Who may qualify
- Ages
- 3 to 5 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (1 listed)
- Child ages 3 - 5
Key exclusion criteria (1 listed)
- -
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Book Reading InterventionChildren read books containing relevant stimuli. | Behavioural | Mixed, Non-Numerical Control, Size to Number, Traditional Counting |
Primary outcome
Change in Flexible Attention to Magnitudes Task
Time frame: Baseline and after intervention (up to 4 days)
Assesses preschool-aged children's ability to flexibly shift between attending to numerical and spatial magnitudes. The task is scored for accuracy (0 - 1), and higher scores indicate better outcomes. The outcome measure was change in accuracy from baseline to immediately after intervention, or 4 days.
2 secondary outcomes
Change in Minnesota Executive Function Scale
Time frame: baseline and immediately after intervention (up to 4 days)
Change in Number Line Estimation Task
Time frame: baseline and immediately after (up to 4 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Oct 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Anonymized pre- and post-test scores will be shared.
Related trials for Mathematics Abilities
Not yet recruiting
Intervention on Mathematical Problem-Solving Skills
Math Learning Disability, Learning Disabilities
Recruiting
Interventions in Mathematics and Cognitive Skills
Math Learning Disability, Child Development
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Book Reading Intervention in people with Mathematics Abilities, run by University of Dayton at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Oct 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Flexible Attention to Magnitudes Task (time frame: Baseline and after intervention (up to 4 days)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2025.