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Cognitive and problem solving training in children with cancer: a pilot project.
Sunita K Patel1, Ernest R Katz, Ralph Richardson
1City of Hope National Medical Center and Beckman Research Institute, Duarte, CA 91010-3000, USA. spatel@coh.org
Journal of Pediatric Hematology/Oncology
|August 27, 2009
Summary
This pilot study evaluated a training program for childhood cancer survivors with cognitive deficits. While participants found the skills useful and reported improvements, low enrollment suggests challenges in program acceptance within oncology clinics.
Area of Science:
- Neuroscience
- Pediatric Oncology
- Psychology
Background:
- Neurocognitive deficits are common and debilitating late effects for childhood cancer survivors.
- These deficits significantly impact educational, social, and adaptive development.
- There is a need for evidence-based interventions to address these psychosocial morbidities.
Purpose of the Study:
- To evaluate the acceptance and impact of a clinic-based training program.
- The program aimed to teach compensatory learning and problem-solving skills.
- Targeted survivors of childhood cancer with cognitive deficits.
Main Methods:
- A pilot study involving a 15-session training program.
- The intervention focused on improving daily problem-solving, attention, memory, and academic performance.
- Program evaluation included objective performance measures and participant/parent feedback.
Main Results:
- 12 survivors completed the program, showing positive trends in objective performance scores.
- Parents perceived the skills as useful, improving problem-solving and learning.
- Children reported high satisfaction and found the program beneficial for academic challenges.
Conclusions:
- Most participating families completed the training, but overall enrollment was low.
- Low participation raises concerns about the widespread acceptance of such programs in oncology settings.
- Study limitations and future research directions are discussed.
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