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Information may be lost in transition impacting skills and expertise long-term. Conclusion Roles and responsibilities between the therapist, the assistants and the computerized training system need to be clearly defined. A Cognitive Training Alliance model is being proposed which takes into consideration the challenges of delegating training responsibility to computer systems and non-professional assistants. © 2020 The Author. Published by Elsevier Ltd.Obesity is one of the primary causes of type 2 diabetes mellitus