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Comparison of a standard computer-assisted cognitive training program to a music enhanced program: A mixed methods

Theresa M Smith1, Wanyi Wang1

  • 1Texas Woman's University, Houston, Texas, USA.

Cancer Reports (Hoboken, N.J.)
|December 10, 2020
PubMed
Summary

Computer-assisted cognitive training enhanced with music (CACT+A) improved memory and quality of life in breast cancer survivors (BCS). This accessible at-home intervention offers a promising option for BCS experiencing cognitive deficits.

Keywords:
behavioral sciencebreast cancercomplementary medicinesurvival

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Area of Science:

  • Neuroscience
  • Oncology
  • Rehabilitation

Background:

  • Breast cancer survivors (BCS) frequently experience long-term cognitive deficits affecting memory, attention, processing speed, and executive function.
  • These deficits significantly impact survivors' quality of life and daily activities.

Purpose of the Study:

  • To compare a standard computer-assisted cognitive training (CACT) program with a music-enhanced CACT (CACT+A) program.
  • To evaluate the effects of CACT and CACT+A on BCS' memory, cognition, quality of life (QOL), and participation in everyday activities.
  • To gather participant perspectives on program effectiveness to inform best practices.

Main Methods:

  • A mixed-methods study employing an embedded design with pre and post-tests, followed by qualitative interviews.
  • Twenty-five BCS reporting cognitive problems were recruited from support groups.
  • Standard CACT and music-enhanced CACT+A interventions were administered and assessed.

Main Results:

  • The standard CACT group showed significant improvements in working memory, QOL, and daily activity participation.
  • The CACT+A group demonstrated significant enhancements in cognitive function (FACT-Cog) and overall QOL.
  • Qualitative data revealed BCS in the CACT+A group reported a higher ratio of improvements, particularly in memory and QOL.

Conclusions:

  • The music-enhanced computer-assisted cognitive training (CACT+A) is a beneficial intervention for BCS with self-reported cognitive issues.
  • CACT+A offers a convenient, at-home option that supports safe self-isolation for BCS.
  • This intervention shows promise for improving cognitive function and quality of life in breast cancer survivors.