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Klaver, Kete M; Duijts, Saskia F A; Geusgens, Chantal A V; Kieffer, Jacobien M; Agelink van Rentergem, Joost; Hendriks, Mathijs P; Nuver, Janine; Marsman, Hendrik A; Poppema, Boelo J; Oostergo, Tanja; Doeksen, Annemiek; Aarts, Maureen J B; Ponds, Rudolf W H M; van der Beek, Allard J; Schagen, Sanne B

Internet-based cognitive rehabilitation for working cancer survivors: results of a multicenter randomized controlled trial

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  • Medientyp: E-Artikel
  • Titel: Internet-based cognitive rehabilitation for working cancer survivors: results of a multicenter randomized controlled trial
  • Beteiligte: Klaver, Kete M; Duijts, Saskia F A; Geusgens, Chantal A V; Kieffer, Jacobien M; Agelink van Rentergem, Joost; Hendriks, Mathijs P; Nuver, Janine; Marsman, Hendrik A; Poppema, Boelo J; Oostergo, Tanja; Doeksen, Annemiek; Aarts, Maureen J B; Ponds, Rudolf W H M; van der Beek, Allard J; Schagen, Sanne B
  • Erschienen: Oxford University Press (OUP), 2024
  • Erschienen in: JNCI Cancer Spectrum, 8 (2024) 1
  • Sprache: Englisch
  • DOI: 10.1093/jncics/pkad110
  • ISSN: 2515-5091
  • Schlagwörter: Cancer Research ; Oncology
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: Abstract Background Cognitive problems contribute to decline in work performance. We evaluated (1) the effectiveness of basic self-management and extensive therapist-guided online cognitive rehabilitation on attainment of individually predetermined work-related goals among occupationally active cancer survivors, and (2) whether effectiveness of the programs differed for survivors with and without formal cognitive impairment. Methods In a 3-arm randomized controlled trial (NCT03900806), 279 non–central nervous system cancer survivors with cognitive complaints were assigned to the basic program (n = 93), the extensive program (n = 93), or a waiting-list control group (n = 93). Participants completed measurements pre-randomization (T0), 12 weeks post-randomization upon program completion (T1), and 26 weeks post-randomization (T2). Mixed-effects modeling was used to compare intervention groups with the control group on goal attainment, and on self-perceived cognitive problems, work ability, and health-related quality of life. Results Participants in the extensive program achieved their predetermined goals better than those in the control group, at short- and long-term follow-up (effect size [ES] = .49; P < .001; ES = .34; P = .014). They also had fewer recovery needs after work (ES = -.21; P = .011), more vitality (ES = .20; P = .018), and better physical role functioning (ES = .0.43 P = .015) than controls. At long-term follow-up, this finding persisted for physical role functioning (ES = .42; P = .034). The basic program elicited a small positive nonsignificant short-term (not long-term) effect on goal attainment for those with adequate adherence (ES = .28, P = .053). Effectiveness of the programs did not differ for patients with or without cognitive impairment. Conclusions Internet-based therapist-guided extensive cognitive rehabilitation improves work-related goal attainment. Considering the prevalence of cognitive problems in survivors, it is desirable to implement this program.
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