Using Single-Case Experimental Design and Patient-Reported Outcome Measures to Evaluate the Treatment of Cancer-Related Cognitive Impairment in Clinical Practice

被引:0
作者
Ferguson, Robert J. [1 ]
Terhorst, Lauren [2 ]
Gibbons, Benjamin [3 ]
Posluszny, Donna M. [1 ]
Chang, Hsuan [1 ]
Bovbjerg, Dana H. [4 ]
Mcdonald, Brenna C. [5 ]
机构
[1] Univ Pittsburgh, Dept Med, Div Hematol Oncol, Pittsburgh, PA 15232 USA
[2] Univ Pittsburgh, Sch Hlth Rehabil Sci, Dept Occupat Therapy, Pittsburgh, PA 15260 USA
[3] Univ Pittsburgh, Sch Med, Dept Family Med, Pittsburgh, PA 15260 USA
[4] Univ Pittsburgh, UPMC Hillman Canc Ctr, Dept Psychiat, Biobehav Canc Control Program, Pittsburgh, PA 15232 USA
[5] Indiana Univ Sch Med, Dept Radiol & Imaging Sci, Indianapolis, IN 46202 USA
关键词
cancer survivorship; cognition; cognitive-behavioral therapy; single-case experimental design; POSTCONCUSSION-LIKE SYMPTOMS; BREAST-CANCER; RECOMMENDATIONS; INTERVENTIONS; CHEMOTHERAPY; SURVIVORS; LIFE; MANAGEMENT;
D O I
10.3390/cancers15184643
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancer-related cognitive impairment (CRCI) affects a large proportion of cancer survivors and has significant negative effects on survivor function and quality of life (QOL). Treatments for CRCI are being developed and evaluated. Memory and attention adaptation training (MAAT) is a cognitive-behavioral therapy (CBT) demonstrated to improve CRCI symptoms and QOL in previous research. The aim of this article is to describe a single-case experimental design (SCED) approach to evaluate interventions for CRCI in clinical practice with patient-reported outcome measures (PROs). We illustrate the use of contemporary SCED methods as a means of evaluating MAAT, or any CRCI treatment, once clinically deployed. With the anticipated growth of cancer survivorship and concurrent growth in the number of survivors with CRCI, the treatment implementation and evaluation methods described here can be one way to assess and continually improve CRCI rehabilitative services.
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页数:16
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