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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Online Group Cognitive Rehabilitation Program for Prostate Cancer Survivors: Development Using Codesign and the

Lorna Pembroke¹, Kerry A Sherman¹, Haryana M Dhillon²

¹Lifespan Health and Wellbeing Research Centre, Macquarie University, New South Wales, Australia; School of Psychological Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University & Macquarie University Hospital, New South Wales, Australia.

Seminars in Oncology Nursing

|July 25, 2024

Summary

A new online cognitive rehabilitation program, ProCog, was developed for prostate cancer survivors experiencing cognitive impairment. This program was codesigned with survivors and uses the Theoretical Domains Framework to ensure it meets their needs.

Keywords:

Cancer survivorship Cancer-related cognitive impairment Cognitive rehabilitation Prostate cancer

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Area of Science:

Oncology
Neuroscience
Rehabilitation Medicine
Health Psychology

Background:

Prostate cancer survivors (PCS) frequently experience cancer-related cognitive impairment.
Existing cognitive rehabilitation programs require adaptation for telehealth delivery and patient-centered design.
The Theoretical Domains Framework (TDF) provides a structured approach to behavior change interventions.

Purpose of the Study:

To adapt and codesign a group cognitive rehabilitation program for PCS with cognitive impairment.
To deliver the program via telehealth, incorporating survivor feedback and TDF principles.
To develop a manualized intervention for future piloting.

Main Methods:

An existing cancer-related cognitive rehabilitation program was adapted for PCS.
A codesign focus group workshop with six PCS was conducted to gather feedback.
Feedback was analyzed using a template approach, and the intervention was refined and mapped to TDF domains.

Main Results:

A four-week online group cognitive rehabilitation program, 'Promoting Cognitive Wellbeing in Prostate Cancer Survivors (ProCog)', was developed.
The program includes four 2-hour sessions covering cognitive functions, treatment impacts, emotional regulation, goal-setting, and strategies for fatigue, attention, memory, and executive functioning.
Survivor feedback influenced program structure, topics, order, and rehabilitation activities.

Conclusions:

The codesign approach and TDF ensure a robust development process for the ProCog intervention, aligning with PCS needs and preferences.
The developed ProCog program is an accessible, online intervention tailored for PCS experiencing cognitive difficulties.
This research highlights the importance of addressing cognitive impairment in PCS and offers a practical rehabilitation strategy for nursing practice.