A Telehealth-Based Cognitive-Adaptive Training (e-OTCAT) to Prevent Cancer and Chemotherapy-Related Cognitive Impairment in Women with Breast Cancer: Protocol for a Randomized Controlled Trial

Ángela González-Santos, Maria Lopez-Garzon, Carmen Sánchez-Salado, Paula Postigo-Martin, Mario Lozano-Lozano, Noelia Galiano-Castillo, Carolina Fernández-Lao, Eduardo Castro-Martín, Tania Gallart-Aragón, Marta Legerén-Álvarez, Rocío Gil-Gutiérrez and Lydia Martín-Martín
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Ángela González-Santos: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain
Maria Lopez-Garzon: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain
Carmen Sánchez-Salado: Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain
Paula Postigo-Martin: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain
Mario Lozano-Lozano: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain
Noelia Galiano-Castillo: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain
Carolina Fernández-Lao: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain
Eduardo Castro-Martín: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain
Tania Gallart-Aragón: Hospital Universitario San Cecilio, 18016 Granada, Spain
Marta Legerén-Álvarez: Hospital Universitario San Cecilio, 18016 Granada, Spain
Rocío Gil-Gutiérrez: “CUIDATE” Research Group (BIO-277), University of Granada, 18011 Granada, Spain
Lydia Martín-Martín: Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18011 Granada, Spain

IJERPH, 2022, vol. 19, issue 12, 1-11

Abstract: Background: Many women with breast cancer experience a great number of side effects, such as cognitive impairment, during and after chemotherapy that reduces their quality of life. Currently, research focusing on the use of non-pharmacological, and specifically telehealth interventions to prevent or mitigate them has been insufficient. Methods: This protocol describes a randomized controlled trial aimed at studying the preventive effects of a videoconferenced cognitive-adaptive training (e-OTCAT) program (ClinicalTrials.gov NCT04783402). A number of 98 eligible participants will be randomized to one of the following groups: (a) the experimental group receiving the e-OTCAT program during 12 consecutive weeks since the beginning of chemotherapy; and (b) the control group receiving and educational handbook and usual care. The primary outcome will be the cognitive function. Secondary measures will be psychological distress, fatigue, sleep disturbance, quality of life and occupational performance. The time-points for these measures will be placed at baseline, after 12 weeks and six months of post-randomization. Conclusion: This trial may support the inclusion of multidimensional interventions through a telehealth approach in a worldwide growing population suffering from breast cancer, emphasizing the prevention of cognitive impairment as one of the side effects of cancer and its treatments.

Keywords: breast neoplasms; cognitive impairment; occupational therapy; telerehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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