They work, but it can take several applications to turn the star wheel a meaningful amount. There’s like 20 points on those wheels, so each application turns the star wheel one click, or 15°, or some tiny fraction of a millimeter on the threads.
Every service manual I’ve ever seen has you adjust it by hand before engaging the self adjusting. If you’re a couple of turns off on the depth of that star wheel, you’re gonna have to back up literally hundreds of times applying the brakes before you get the brakes into adjustment.
However, if it is not working at all, you might have a bad return spring, or the arm itself may have worn to the point where it’s a rounded edge that’s catching each tooth on the star wheel. Take a good look at the self adjusting mechanism.
“Back in the day “ I had to take a file to a couple of those adjusting arms to reestablish a nice square edge that would catch the points on the star wheel.