ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Remote group intervention for adults with cancer-related cognitive impairment: a feasibility study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aimed to examine the feasibility of a remote group intervention, Computerized Retraining and Functional Treatment Group (CRAFT-G), among adults with cancer-related cognitive impairment (CRCI). CRAFT-G is designed to improve occupational performance, objective and subjective cognitive functions, quality of life (QoL), and sense of loneliness.
methodA single-arm quasi-experimental design using mixed quantitative and qualitative methods was applied. Five cancer survivors with CRCI, aged 30 to 57 years, received the CRAFT-G intervention, which includes 6 weekly group sessions along with 18 sessions of individualized computerized cognitive training (CCT; 3 per week). Feasibility was measured in terms of recruitment, retention, adherence, acceptability, and potential effectiveness. Outcome measures were administered at baseline and post intervention.
resultsThe recruitment rate was 35% (6/17), and the retention rate was 83.2%. Partial adherence was found to the group sessions (80%) and to the CCT (40%). Participants expressed moderate to very high satisfaction with the intervention. Three main themes emerged from the feedback interviews: (a) group dynamic and therapeutic context, (b) intervention components, and (c) client factors. Significant improvements in occupational performance and clinically significant improvements in self-perceived cognitive function were also found, demonstrating potential effectiveness.
conclusionThe results support the feasibility and potential effectiveness of the CRAFT-G among adults with CRCI. A controlled, larger trial should be conducted to validate these results. IMPLICATIONS FOR CANCER SURVIVORS: A combined intervention approach of an occupation-based intervention along with cognitive training and psychoeducation about CRCI applied in remote group format may be considered when treating adults with CRCI.
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