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Published on: August 1, 2019
Internet-Based Cognitive Rehabilitation for Working Cancer Survivors: A Process Evaluation.
Kete M Klaver1, Saskia F A Duijts, Chantal A V Geusgens
1From the Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands (K.M.K., S.B.S.); Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Center location Vrije Universiteit, Amsterdam, the Netherlands (K.M.K., S.F.A.D. A.J.V.D.B.); Department of Research & Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands (S.F.A.D.), Department of Medical Psychology, Amsterdam University Medical Center location Vrije Universiteit, Amsterdam, the Netherlands (S.F.A.D., R.W.H.M.P.); Department of Medical Psychology, Zuyderland MC, Sittard, The Netherlands (C.A.V.G.); Department of Medical Oncology, GROW-School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands (M.J.B.A.); and Brain and Cognition Group, University of Amsterdam, Amsterdam, The Netherlands (S.B.S).
This study shows that online cognitive rehabilitation programs are feasible for cancer survivors experiencing work-related cognitive issues. Both basic and extensive versions were successfully implemented, indicating potential for real-world application.
Area of Science:
- Oncology
- Rehabilitation Medicine
- Digital Health
Background:
- Cancer survivors often face cognitive challenges impacting their return to work.
- Existing interventions may not adequately address these work-specific cognitive deficits.
Purpose of the Study:
- To evaluate the implementation and feasibility of an online cognitive rehabilitation program for cancer survivors with work-related cognitive problems.
- To assess the usefulness and experiences of participants and therapists with the program.
Main Methods:
- A randomized controlled trial involving 279 cancer survivors.
- Participants were assigned to basic or extensive online cognitive rehabilitation, or a waitlist control group.
- Program implementation, reach, dosage, perceived usefulness, and user experiences were assessed via questionnaires and logbooks.
Main Results:
- Acceptable implementation rates (63%-76%) were achieved for both basic and extensive program versions.
- Cancer survivors and cognitive therapists reported moderate to high perceived usefulness of the program.
- Overall user experiences with the online cognitive rehabilitation program were positive.
Conclusions:
- Both basic and extensive online cognitive rehabilitation programs were successfully implemented within a randomized controlled trial.
- The findings suggest the feasibility of these online programs as interventions to support cancer survivors' return to work.
- Online cognitive rehabilitation offers a promising avenue for addressing work-related cognitive difficulties in cancer survivors.

