Web-based cognitive interventions on subjective cognitive impairment in cancer survivors: A systemic review.
Ye Wang, Yi Zhang, Rongyu Li and 2 others
PMID 39830921WHAT IT FOUND
Computer training, online rehabilitation, internet CBT and mindfulness improved cancer survivors' self-reported thinking problems, while telehealth exercise did not show clear benefit.
Effects on fatigue, quality of life, anxiety and depression were mixed.
Key findings
01Web-based cognitive interventions, including computer cognitive training, online rehabilitation, internet CBT and mindfulness, showed positive effects on subjective cognitive impairment, but telehealth physical exercise did not show significant benefits.
02Effects on fatigue and quality of life were mixed across the reviewed interventions.
03Emotional health outcomes varied across studies, with some interventions reducing anxiety or depression and others showing no significant effect.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Most included studies were in breast cancer survivors, so results may not apply to other cancers. Studies used different self-reported cognitive scales, and subjective cognitive impairment was not always the primary outcome. Several included studies were protocols, pilots or single-group reports. Blinding was often absent, which can inflate intervention effects. Only English and Chinese articles were searched, so relevant studies may be missing. The review did not combine results into one overall estimate.
Declared interests
The National Natural Science Foundation of China funded the review, and the authors state the funder had no role in design, data collection, analysis, writing or publication decisions. The authors declare no competing interests.
The easy way to misread this
Do not conclude that web-based cognitive interventions are proven treatment for cancer-related cognitive impairment. The review included heterogeneous studies, mostly breast cancer, self-reported outcomes, and several protocol papers, and it did not combine results into one overall estimate.