Training Cognitive Functions Using Mobile Apps in Breast Cancer Patients: Systematic Review

Vergani, Laura; Marton, Giulia; Pizzoli, Silvia Francesca Maria; Monzani, Dario; Mazzocco, Ketti; Pravettoni, Gabriella

doi:10.2196/10855

Cited by 23 publications

(17 citation statements)

References 70 publications

(161 reference statements)

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“…Second, if ET leads to significant cognitive impairment, adherence to medication may be easily compromised. Third, specific supportive treatments (training strategies) should be used if such effects of therapy are identified (25,26).…”

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confidence: 99%

Cognitive Functioning and Psychological Well-being in Breast Cancer Patients on Endocrine Therapy

Biró

Kahán

Kálmán

et al. 2019

In Vivo

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Background/Aim: Anti-cancer therapies may deteriorate cognitive functioning, affective functioning and psychological well-being. Materials and Methods: In this prospective longitudinal pilot study, premenopausal and postmenopausal patients received adjuvant endocrine therapy (ET) (tamoxifen with or without LHRH analog or aromatase inhibitor) or were observed only (control group). At baseline testing and 6, 12 and 24 months thereafter, cognitive, depression and anxiety tests and quality of life (QOL) measurements were performed. Results: Overall, 46 cases were evaluated. None of the studied cognitive parameters differed between the subgroups or changed by time. No differences were found regarding anxiety, depression or QOL measures either. Baseline cognitive test and QOL results were in association with later anxiety and depression. Conclusion: No cognitive impairment was found during the two years of ET. Baseline cognitive scores and QOL dimensions proved good predictors of later anxiety and depression.

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confidence: 99%

Cognitive Functioning and Psychological Well-being in Breast Cancer Patients on Endocrine Therapy

Biró

Kahán

Kálmán

et al. 2019

In Vivo

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“…The development and delivery of home-based or web-based interventions may have advantages over traditional clinic–based interventions. However, there is a scarcity of innovative interventions for cognitive training [ 41 •]. A recent review showed that, to date, none of these were specifically developed for BC patients [ 41 •].…”

Section: Cognitive Impairmentmentioning

confidence: 99%

Psychological Aspects to Consider in Breast Cancer Diagnosis and Treatment

et al. 2021

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Purpose of Review Breast cancer (BC) is the most common cancer diagnosed in women in the West World. Coping with cancer is cause of extreme stress for patients and their family. The purpose of this review is to evaluate possible approaches to follow to control those situations that can impact on quality of life (QoL) and compliance to treatments. Recent Findings Anxiety, distress, depression, and posttraumatic stress disorder are the most frequent psychological disorders in BC patients. Cognitive disorders and sexual dysfunction can also be important in affecting QoL both in younger and older patients. Younger and older patients show different characteristics of these disorders and different strategies of managing them. Summary Several psychotherapeutic and supportive approaches have proven effective in managing psychological disorders in BC patients. Every BC patient should be supported with these techniques during her entire oncological history, in order to increase QoL and compliance to treatments.

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“…In recent years, the shift toward a “patient-centered care approach” already led to a greater importance of patients’ contribution in the medical decision-making process. The increase of patient agency within their own care process originates from elements that can be considered as enablers of patient empowerment15,16 toward a shared decision-making approach that may be considered the best expression of the patient-centered approach in the clinical context 17. In the shared decision-making process, patient and physician, as well as health care providers, develop a partnership 18,19…”

Section: The Patient Rolementioning

confidence: 99%

<p>Patient Preferences as Guidance for Information Framing in a Medical Shared Decision-Making Approach: The Bridge Between Nudging and Patient Preferences</p>

Bailo¹,

Vergani²,

Pravettoni³

2019

PPA

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Guidelines and policies support the decision process to make sure that patients can benefit from the best treatment for their condition. The implementation of guidelines and policies is evolving, allowing decision makers to be able to choose between alternatives while considering the effect of biases and fallacies that may hinder their choice. Patient preferences play a precious role in those decisions in which is not possible to recognize an objective “best” alternative and it’s not possible to nudge them toward one alternative based on scientific evidence and clinical experience. Having patient input as part of the decision process itself would allow the recognition of the attributes related to what is relevant for patients, which can be considered as important as clinical data. The authors advocate that the integration of preference-sensitive attributes with decision policies could provide a benefit against fallacies in the decision process when there is not a “best” alternative, and a shared decision-making paradigm allows both patient and clinician to recognize and pursue the option that best fits the individual case.

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Training Cognitive Functions Using Mobile Apps in Breast Cancer Patients: Systematic Review

Cited by 23 publications

References 70 publications

Cognitive Functioning and Psychological Well-being in Breast Cancer Patients on Endocrine Therapy

Cognitive Functioning and Psychological Well-being in Breast Cancer Patients on Endocrine Therapy

Psychological Aspects to Consider in Breast Cancer Diagnosis and Treatment

<p>Patient Preferences as Guidance for Information Framing in a Medical Shared Decision-Making Approach: The Bridge Between Nudging and Patient Preferences</p>

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