The feasibility of a combined model of online interventions for adults with cancer-related cognitive impairment

Maeir, Talia; Nahum, Mor; Makranz, Chen; Hoba, Afik; Peretz, Tamar; Nagary, Shai Netanel; Silberman, Nechama; Gilboa, Yafit

doi:10.1177/0308022620950993

Cited by 9 publications

(12 citation statements)

References 34 publications

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“…The group results, as well as the individual results, are in line with previous traditional face-to-face CO-OP studies with this population [ 27 , 29 , 31 , 33 , 34 , 74 , 75 , 76 ]. In addition, our preliminary results corroborated previous CO-OP telerehabilitation feasibility studies that reported improved daily function among adults in the chronic phase after ABI [ 32 , 39 ] and individuals with other health conditions, including cancer survivors with cognitive decline [ 36 ], older adults with subjective cognitive complaints [ 35 ], and adolescents with myelomeningocele [ 37 ]. Moreover, this is the first pilot study to evaluate the benefits of tele-CO-OP in comparison to a control group, thus extending the previous quasi-experimental tele-CO-OP findings.…”

Section: Discussionsupporting

confidence: 86%

“…The use of the CO-OP remotely (Tele-CO-OP) enables the application of the intervention in an accessible manner in the home environment. The feasibility and the potential long-term benefits of the tele-CO-OP were demonstrated in a few small pilot studies among patients with various chronic health conditions [ 35 , 36 , 37 ]. Tele-CO-OP meets the definition of a complex intervention; therefore, the development and evaluation process can be based on the Medical Research Council (MRC) guidelines [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

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A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study

et al. 2022

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This pilot study aimed to investigate the initial effect of a remotely delivered performance-based client-centered intervention on activity performance and participation among adults in the chronic phase after acquired brain injury (ABI). Sixteen participants living at home with little to no assistance in basic daily activities were allocated into intervention or waitlist control groups. Assessments were conducted at the baseline, after the 3-month intervention/wait period, and at a 3-month follow-up. The primary outcomes were activity performance using the Canadian Occupational Performance Measure (COPM) and the Performance Quality Rating Scale (PQRS) and participation using the Mayo-Portland Adaptability Inventory-4 (MPAI-4). The intervention included weekly videoconferencing sessions using the Cognitive Orientation to Daily Occupational Performance approach (tele-CO-OP). The participants identified five functional goals, of which three were directly addressed. Wilcoxon signed-ranks test results showed no significant improvements in the control group at the end of the 3-month wait period. Pooled data from both groups showed significant improvements in COPM scores for trained and untrained goals following the intervention. Significant improvements were also found in the PQRS and MPAI-4 scores. Improvements were partially maintained at follow-up. Our preliminary results suggest that tele-CO-OP may positively impact the lives of adults after ABI who are coping with long-term disability.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study

et al. 2022

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“…This result supports a recent study which found that developing and maintaining a therapeutic relationship is feasible also in a remote mode of delivery. 8 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…4 OT delivered remotely has proven to be highly acceptable and effective for individuals with a variety of health conditions across their life-span. 5 Efficacy had also been established in multiple studies analyzing interventions for varying populations such as children with autism, 6 adolescents with myelomeningocele, 7 adults cancer-survivors, 8,9 and people with acquired brain injury. 10,11 The World Federation of Occupational Therapists affirmed the efficacy of telehealth for the delivery of rehabilitation and OT services, stating its use "leads to similar or better clinical outcomes when compared to conventional inperson interventions."…”

Section: Introductionmentioning

confidence: 99%

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Remote Delivery of Service: A Survey of Occupational Therapists’ Perceptions

Almog

Gilboa

2022

Rehabilitation Process and Outcome

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Background: Telehealth has been declared an accepted method of occupational therapy (OT) service delivery and has been shown to be effective. However, studies done before the outbreak of coronavirus disease (COVID-19) show that most occupational therapists didn’t use it. Aim: The aim of this exploratory study was to examine the perceptions of occupational therapists regarding remote delivery of service following the COVID-19 outbreak. Material and methods: An online survey, including 11-item five-point Likert scale, and 2 open-ended questions were distributed to occupational therapists. Results: Responses were received from 245 Israeli occupational therapists. The majority of the participants (60%) strongly agreed that remote delivery allows an ecological and effective intervention, while 76% strongly agreed that an ideal treatment is one that would combine telehealth with in-person intervention. Qualitative findings indicated that the most significant advantage was providing care in the natural environment and improving accessibility to the service. The most salient barriers were limitations of the therapeutic relationship and threats on clinical reasoning. Conclusion: The study results highlight the complexity of telehealth. Findings indicate that overall occupational therapists perceive remote care as an effective and legitimate service delivery method that cannot be used as an alternative to in-person treatment. These findings can help in developing intervention programs for remote treatment, and their implementation.

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Cognitive Retraining and Functional Treatment (CRAFT) for adults with cancer related cognitive impairment: a preliminary efficacy study

Maeir

Makranz

Peretz

et al. 2023

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Purpose To examine the preliminary efficacy of Cognitive Retraining and Functional Treatment (CRAFT) combining remote computerized cognitive training (CCT) and occupation-based treatment in adults with cancer-related cognitive impairment (CRCI). Methods Three-armed randomized controlled trial including 74 individuals with CRCI, randomized into 12 weeks of either CRAFT, CCT alone, or treatment-as-usual. Assessments evaluating participation in daily life, perceived cognition, cognitive performance, quality-of-life, and treatment satisfaction were administered at baseline, post-intervention, and 3-month follow-up. Results Significant time × group interactions in favor of the CRAFT and CCT groups were found for participation in daily life ( F 2,34 = 5.31, p = .01, eta = .238), perceived cognition ( F 2,34 = 4.897, p = .014, eta = .224), and cognitive performance on speed of processing test ( F = 5.678, p = .009, eta = .289). The CRAFT group demonstrated significantly larger clinically meaningful gains on participation in daily life (chi-square = 6.91, p = .032) and significantly higher treatment satisfaction. All treatment gains were maintained at a 3-month follow-up ( n = 32). Conclusions CCT and CRAFT were found to have a positive impact on participation and cognitive outcomes among individuals with CRCI. The CRAFT showed an additional advantage in improving self-chosen occupation-based goals suggesting that a combination of cognitive training with occupation-based intervention has a positive synergistic effect resulting in “real world” health benefits. Implications for cancer survivors A combination of cognitive training with occupation-based intervention has a positive effect resulting in clinically meaningful improvements in participation in daily life, objective cognitive performance, and subjective cognitive impairment. Clinical trial registration: ClinicalTrials.gov NCT04210778, December 26, 2019, retrospectively registered. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-023-07611-y.

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The feasibility of a combined model of online interventions for adults with cancer-related cognitive impairment

Cited by 9 publications

References 34 publications

A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study

A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study

Remote Delivery of Service: A Survey of Occupational Therapists’ Perceptions

Cognitive Retraining and Functional Treatment (CRAFT) for adults with cancer related cognitive impairment: a preliminary efficacy study

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