Protocol for the Development and Initial Validation of the COG-IMPACT Tool: A Purpose-Built Unmet Needs Assessment for Cancer-Related Cognitive Impairment

IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Methods and Protocols Pub Date : 2024-07-10 DOI:10.3390/mps7040054

Darren Haywood, Moira O’Connor, Frank D. Baughman, Alexandre Chan, Raymond J. Chan, Evan Dauer, Haryana M. Dhillon, Ashley M. Henneghan, Blake J. Lawrence, Maryam Lustberg, Janette L Vardy, S. L. Rossell, Nicolas H. Hart

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Abstract

(1) Background: A significant proportion of cancer survivors report experiencing a cognitive ‘fog’ that affects their ability to think coherently and quickly, and reason with clarity. This has been referred to as cancer-related cognitive impairment (CRCI). CRCI has extensive impacts on the daily lives of people living with or beyond cancer, including occupational, social, and psychological functioning. Oncology health professionals report feeling under-resourced to effectively assess the needs of an individual with CRCI and then provide optimal care and referral. (2) Methods: The objective of this project is to develop and provide an initial validation of the first purpose-built unmet needs assessment for CRCI: the Unmet Needs Assessment of Cancer-Related Cognitive Impairment Impact (COG-IMPACT). We will use a multiple-stage, co-design, mixed-methods approach to develop and provide an initial validation of the COG-IMPACT. (3) Results: The primary anticipated result of this research is the production of the COG-IMPACT, the first purpose-built unmet needs assessment for CRCI. The assessment could be used by health professionals to understand the unmet needs and facilitate optimal care and referral for cancer survivors, by survivors to elucidate their supportive needs and advocate for their care, and by researchers to examine the correlates of unmet needs relating to CRCI, as well as how best to support people with CRCI.

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COG-IMPACT 工具的开发和初步验证协议：针对癌症相关认知障碍的未满足需求评估工具

(1) 背景：有相当一部分癌症幸存者表示，他们经历过认知 "迷雾"，这影响了他们连贯、快速思考和清晰推理的能力。这种情况被称为癌症相关认知障碍（CRCI）。CRCI 对癌症患者或癌症后患者的日常生活造成了广泛影响，包括职业、社交和心理功能。肿瘤科医护人员表示，在有效评估 CRCI 患者的需求并提供最佳护理和转诊方面，他们感到资源不足。(2) 方法：本项目的目标是开发首个专门针对 CRCI 的未满足需求评估工具：癌症相关认知功能障碍未满足需求评估工具 (COG-IMPACT)，并对其进行初步验证。我们将采用多阶段、共同设计、混合方法来开发 COG-IMPACT 并对其进行初步验证。(3) 成果：本研究的主要预期成果是编制 COG-IMPACT，这是首个专门针对 CRCI 的未满足需求评估。健康专业人员可利用该评估来了解未满足的需求，并促进为癌症幸存者提供最佳护理和转诊服务；幸存者可利用该评估来阐明其支持性需求，并倡导为其提供护理；研究人员可利用该评估来研究与 CRCI 相关的未满足需求的相关性，以及如何为 CRCI 患者提供最佳支持。

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