Cognitive Rehabilitation Group Intervention for Breast Cancer Survivors
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Purpose
There are over 2 million breast cancer survivors in the US today. Along with extended survival, many women experience short and long-term after effects of treatment, which may decrease their quality of life and contribute to other health problems. Cognitive complaints---difficulties with memory, concentration, and planning—are commonly reported after adjuvant treatments for breast cancer. This study is designed to test the efficacy of a 5 week group-based cognitive rehabilitation intervention on improving cognitive complaints and test performance, in comparison to women who will receive the same intervention at a later time (wait-list control). Women will also have an EEG test performed before and after the intervention program to see if improvements in cognitive complaints and performance can be documented by examining the EEG.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Behavioral: Improving Cognition with group intervention |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Cognitive Rehabilitation Group Intervention for Breast Cancer Survivors |
- Cognitive function measured by neuropsychological assessment 2 months after group intervention [ Time Frame: 2 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 60 |
| Study Start Date: | March 2012 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Group Intervention program |
Behavioral: Improving Cognition with group intervention
Participants attend 5 weekly group sessions that are 2 hours each, delivered by a trained therapist. Sessions focus on specific aspects of attention, memory, multi-tasking and encoding. Homework assignments are practiced between classes. Goals are set for improved functioning.
|
|
No Intervention: Wait-list control group
The wait-list-control group will also be able to participate in the group intervention, but not until after all the study visits have been completed.
|
Detailed Description:
Previous pilot work (non-randomized, pre-post design) has shown that this intervention was effective in improving post-intervention cognitive complaints and neuropsychological (NP) test performance. Because practice effects may influence NP performance, it is important to compare the intervention participants to women who are not exposed to the intervention. Thus, this randomized controlled trial will compare the active intervention to a control group of patients who will receive the intervention at a delayed time point. The primary outcomes are improvements in cognitive complaints and NP test performance 2 months after completion of the intervention program. Quantitative EEG (QEEG) measurements will be used as a secondary exploratory endpoint to see if this may be an effective biomarker of cognitive performance.
Eligibility| Ages Eligible for Study: | 21 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age 21-65 years
- stage I, II, III breast cancer diagnosis within the past 18 months to 5 years
- currently disease free, but may be on endocrine therapy
- with evidence of need of cognitive therapeutic intervention, as demonstrated by mild or greater cognitive deficiencies on an objective screening measure
- reads and writes English
- able to give informed consent
- willing and able to attend 5 weekly group sessions and participate in pre and post-evaluation that will take place on the UCLA campus
Exclusion Criteria:
- evidence of uncontrolled depression
Contacts and Locations| Contact: Barbara Kahn-Mills | 310 825 2520 |
| United States, California | |
| UCLA | Recruiting |
| Los Angeles, California, United States, 90095 | |
| Contact: Barbara Kahn-Mills 310-825-2520 | |
| Principal Investigator: Patricia Ganz, M.D. | |
| Principal Investigator: | Patricia Ganz, M.D. | Jonsson Comprehensive Cancer Center |
More Information
No publications provided
| Responsible Party: | Jonsson Comprehensive Cancer Center |
| ClinicalTrials.gov Identifier: | NCT01540955 History of Changes |
| Other Study ID Numbers: | 11-003446, JCCCID256 |
| Study First Received: | February 16, 2012 |
| Last Updated: | January 7, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Jonsson Comprehensive Cancer Center:
|
Reduce Cognitive Complaints improve cognitive function post-treatment breast cancer patients |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
ClinicalTrials.gov processed this record on May 16, 2013