1. Web-based cognitive rehabilitation intervention for cancer-related cognitive impairment following chemotherapy for aggressive lymphoma: a randomised pilot trial.
- Author
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Gates, Priscilla, Green, Heather J., Gough, Karla, Dhillon, Haryana M., Vardy, Janette L., Dickinson, Michael, Krishnasamy, Mei, Guarnera, Jade, Livingston, Patricia M., White, Victoria M., Ugalde, Anna, and Caeyenberghs, Karen
- Subjects
MEDICAL care ,LYMPHOMAS ,INTERNET ,TREATMENT effectiveness ,CONFERENCES & conventions ,CANCER chemotherapy ,COGNITION disorders ,COGNITIVE therapy - Abstract
Introduction Cancer-related cognitive impairment is common among people diagnosed with and treated for cancer. This can be a distressing and disabling side effect for impacted individuals. Interventions to mitigate cognitive dysfunction are available, but, most have been trialled in samples that are largely composed of people with solid tumours. Aims The main aim of this study is to test the feasibility and acceptability of methods and procedures intended for use in a definitive trial of a web-based cognitive rehabilitation program, Responding to Cognitive Concerns (eReCog), in people who have received chemotherapy for aggressive lymphoma. Methods The study was a single-site, parallel-group, pilot randomised controlled trial, with one baseline and one follow-up (or post-intervention) assessment. After baseline assessment, participants were randomised one-to-one to receive usual care only (a factsheet about changes in memory and thinking for people with cancer) or eReCog plus usual care. The fourweek eReCog intervention consisted of four online modules offering psychoeducation on cognitive impairment associated with cancer and its treatment, skills training for improving memory and attention and relaxation training. Study outcomes included feasibility of recruitment and retention at follow-up assessment, as well as adherence to, usability of and intrinsic motivation to engage with eReCog, and compliance with study measures. The potential efficacy of eReCog was also evaluated. Results 28 of the 38 people from the target population with low perceived cognitive function based on the Cognitive Change Screen, were recruited from a specialist cancer centre since July 2023. Of the 12 participants allocated eReCog, only one did not complete. Participants were motivated to engage in the intervention: "I found the program so helpful; I recommended it to my friend having treatment for breast cancer." Conclusions The web-based intervention will address an evidence gap in interventions and will increase equity of access to cognitive rehabilitation to improve cognitive outcomes for people experiencing cancer-related cognitive impairment. [ABSTRACT FROM AUTHOR]
- Published
- 2024