Cognitive Dysfunction and Breast Cancer Coping Strategies Impact on QOL
NCT ID: NCT03476226
Last Updated: 2024-10-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
49 participants
INTERVENTIONAL
2017-11-18
2019-09-01
Brief Summary
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Detailed Description
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Areas most commonly impacted by changes in cognitive function as a result of chemotherapy include executive functioning (including judgment, hindsight and foresight), processing speed or reaction time, working memory, and organizational skills.
Due to the limited amount of research involving quality of life as related to cognitive dysfunction, there is a clear need for additional investigation. Treatment typically focuses on the physical and psychosocial aspects of patients/survivors, however emphasis should also be placed on the impact of quality of life during treatment and survivorship due to the potential for far-reaching effects as previously discussed.
Oncology nurses may be instrumental in identifying patients with Cognitive Dysfunction. In doing so, the nurse may then communicate with the patient/survivor as to the impact of Cognitive Dysfunction on quality of life. The nurse can provide appropriate education and or additional support options.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Group 1
The research team will provide the intervention to subjects. Intervention: The nursing-driven Cognitive Dysfunction Coping Strategy Teaching Sheet and provide education as to its use.
QOL survey administered
Cognitive Dysfunction Coping Strategy Teaching Sheet
Demographic sheet, Fact-Cog3, and teaching tool at baseline then week 4 and 8 Fact Cog3 and reinforcement of tool, at week 16 evaluation and Fact-Cog3
Group 2
Provide current standard of education for cognitive dysfunction. QOL survey administered
No interventions assigned to this group
Interventions
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Cognitive Dysfunction Coping Strategy Teaching Sheet
Demographic sheet, Fact-Cog3, and teaching tool at baseline then week 4 and 8 Fact Cog3 and reinforcement of tool, at week 16 evaluation and Fact-Cog3
Eligibility Criteria
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Inclusion Criteria
* Stage 0-IV breast cancer (excluding stage IV with metastasis to the brain)
* Life expectancy \> 3 months
* Able to speak and read English fluently
* Self-reported cognitive difficulties that interfere with everyday activities
* Reported Memory/Cognitive changes on Distress Thermometer
* Able to provide written and informed consent
* Willing to complete FACT-Cog questionnaire
Exclusion Criteria
* Recent diagnosis of Major depression or other current psychiatric disorders and are not considered stable per a current care provider
* History of Dementia or Alzheimer's Disease
* History of Central Nervous System (CNS) radiation, intrathecal chemotherapy, or CNS involved surgery
* History of metastatic disease extending to the brain
* History of traumatic brain injury
* History of seizure disorder
* History of thyroid disorder (Subjects that are well managed without changes in thyroid medications or doses for at least 6 months may participate in study)
* Current use of illicit substances and or alcohol (including medical marijuana)
* Current sleep disturbance/disorder (Subjects that are well managed without changes in sleep medications or doses for at least 6 months may participate in study).
* Concurrent use of antidepressants for example, use of antidepressants for pain management or smoking cessation. (Subjects that are well managed without changes on antidepressant medications or doses for at least 6 months may participate in study).
18 Years
ALL
Yes
Sponsors
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Wake Forest University Health Sciences
OTHER
Responsible Party
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Principal Investigators
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Katharine L Szubski, BSN RN OCN
Role: PRINCIPAL_INVESTIGATOR
Wake Forest University Health Sciences
Locations
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Advocate Good Shepherd Hospital
Barrington, Illinois, United States
Advocate Illinois Masonic Medical Center
Chicago, Illinois, United States
Advocate Sherman Hospital
Elgin, Illinois, United States
Advocate South Suburban Hospital
Hazel Crest, Illinois, United States
Advocate Condell Medical Center
Libertyville, Illinois, United States
Advocate Lutheran General Hospital
Park Ridge, Illinois, United States
Countries
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Other Identifiers
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6727
Identifier Type: -
Identifier Source: org_study_id
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