Cognitive Dysfunction and Breast Cancer Coping Strategies Impact on QOL

NCT ID: NCT03476226

Last Updated: 2024-10-04

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-18

Study Completion Date

2019-09-01

Brief Summary

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The purpose of this study is to determine whether patients experience a better quality of life when they have received education about coping strategies for cognitive dysfunction.

Detailed Description

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Cancer treatment may consist of chemotherapy, radiation, hormone therapy, surgery or a combination of all disciplines. However, breast cancer therapies have at times demonstrated distressing effects in patients/survivors during and/or following treatment. One area that is found to cause distress for the breast cancer patient is changes in cognitive function.

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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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

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

Group Type EXPERIMENTAL

Cognitive Dysfunction Coping Strategy Teaching Sheet

Intervention Type OTHER

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

Group Type NO_INTERVENTION

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

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \>18years old
* 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

* Current Cognitive Training, for example, use of brain training, physical therapy, occupational or speech therapy for the sole purpose of improving cognitive function
* 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).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Advocate Illinois Masonic Medical Center

Chicago, Illinois, United States

Site Status

Advocate Sherman Hospital

Elgin, Illinois, United States

Site Status

Advocate South Suburban Hospital

Hazel Crest, Illinois, United States

Site Status

Advocate Condell Medical Center

Libertyville, Illinois, United States

Site Status

Advocate Lutheran General Hospital

Park Ridge, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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6727

Identifier Type: -

Identifier Source: org_study_id

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