{"title":"Cognitive-communicative Abilities and Social Engagement: Self-reported Changes in Adults With Cancer-related Cognitive Impairment 8251","authors":"Patricia Geels","doi":"10.1016/j.apmr.2025.01.043","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the prevalence of cognitive communication deficits among adult cancer survivors with self-reported CRCI. To determine the impact of CRCI on social engagement and satisfaction with social roles and activities.</div></div><div><h3>Design</h3><div>This study used a cross-sectional design to collect data through an online survey distributed to cancer survivors.</div></div><div><h3>Setting</h3><div>The survey was disseminated online, reaching a diverse population of cancer survivors across various geographic locations.</div></div><div><h3>Participants</h3><div>Eligible participants were adult cancer survivors without primary or metastatic brain tumors or progressive neurological diseases. A total of 135 participants met the inclusion criteria for this study, with a majority of them being women (91.77%).</div></div><div><h3>Interventions</h3><div>Participants completed an online survey consisting of sections covering demographic information, self-perceived cognitive communication abilities, social participation, and satisfaction with social roles.</div></div><div><h3>Main Outcome Measures</h3><div>The main outcome measures included self-reported cognitive communication deficits (measured by the Cognitive Communication Checklist for Acquired Brain Injury), social participation (measured by Neuro-QOLv1.0), and satisfaction with social roles (measured by Neuro-QOLv1.1).</div></div><div><h3>Results</h3><div>Most participants (82.58%) reported experiencing CRCI, with self-perceived impairment across various cognitive communication domains. The most pronounced difficulties were observed in functional daily communication. Participants reported more difficulty in participating in social roles and activities compared with satisfaction with social participation. No significant differences in cognitive communication scores were found based on cancer type or stage at diagnosis. However, age significantly affected cognitive communication scores, with younger survivors experiencing distinct challenges.</div></div><div><h3>Conclusions</h3><div>The study highlights the multidimensional nature of CRCI and its impact on social well-being among cancer survivors. Findings suggest the importance of personalized interventions addressing cognitive communication deficits to enhance quality of life and overall well-being. Speech-language pathologists could play a crucial role in identifying and addressing these deficits. Future research should explore caregiver perspectives on CRCI, employ longitudinal designs, and investigate the effectiveness of specific interventions and supportive care services to improve outcomes for cancer survivors.</div></div><div><h3>Disclosures</h3><div>Patricia Geels is employed as an assistant professor in the Vera Z. Dwyer College of Health Sciences at Indiana University South Bend.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Page e17"},"PeriodicalIF":3.6000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physical medicine and rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003999325000693","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
To investigate the prevalence of cognitive communication deficits among adult cancer survivors with self-reported CRCI. To determine the impact of CRCI on social engagement and satisfaction with social roles and activities.
Design
This study used a cross-sectional design to collect data through an online survey distributed to cancer survivors.
Setting
The survey was disseminated online, reaching a diverse population of cancer survivors across various geographic locations.
Participants
Eligible participants were adult cancer survivors without primary or metastatic brain tumors or progressive neurological diseases. A total of 135 participants met the inclusion criteria for this study, with a majority of them being women (91.77%).
Interventions
Participants completed an online survey consisting of sections covering demographic information, self-perceived cognitive communication abilities, social participation, and satisfaction with social roles.
Main Outcome Measures
The main outcome measures included self-reported cognitive communication deficits (measured by the Cognitive Communication Checklist for Acquired Brain Injury), social participation (measured by Neuro-QOLv1.0), and satisfaction with social roles (measured by Neuro-QOLv1.1).
Results
Most participants (82.58%) reported experiencing CRCI, with self-perceived impairment across various cognitive communication domains. The most pronounced difficulties were observed in functional daily communication. Participants reported more difficulty in participating in social roles and activities compared with satisfaction with social participation. No significant differences in cognitive communication scores were found based on cancer type or stage at diagnosis. However, age significantly affected cognitive communication scores, with younger survivors experiencing distinct challenges.
Conclusions
The study highlights the multidimensional nature of CRCI and its impact on social well-being among cancer survivors. Findings suggest the importance of personalized interventions addressing cognitive communication deficits to enhance quality of life and overall well-being. Speech-language pathologists could play a crucial role in identifying and addressing these deficits. Future research should explore caregiver perspectives on CRCI, employ longitudinal designs, and investigate the effectiveness of specific interventions and supportive care services to improve outcomes for cancer survivors.
Disclosures
Patricia Geels is employed as an assistant professor in the Vera Z. Dwyer College of Health Sciences at Indiana University South Bend.
期刊介绍:
The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities.
Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.