Chapman Bethany, Derakshan Nazanin, Grunfeld Elizabeth A
School of Psychology & Clinical Language Sciences, University of Reading, Reading, UK.
Department of Psychological Sciences, Birkbeck, University of London, London, UK.
Br J Health Psychol. 2023 Feb;28(1):252-270. doi: 10.1111/bjhp.12623. Epub 2022 Sep 10.
Cancer-related cognitive impairment (CRCI) is associated with adverse work-related outcomes in women living with a history of primary breast cancer. We explored the perceived impact of receiving adaptive cognitive training (dual n-back training) or active control training (dual 1-back training) on CRCI. Furthermore, we explored the perceived transfer effects of cognitive training on work-related self-management methods for cognitive impairment and work-related outcomes such as career development.
Longitudinal qualitative study.
A 'framework' analysis approach was used to analyse semi-structured telephone interviews completed by women with a history of primary breast cancer before training (N = 40), one month (N = 30) and six months (N = 29) post-training.
Four main themes were identified: (1) impact of cognitive impairment at work, (2) perceived impact of cognitive training on impaired cognitive function, (3) perceived effects of training on work-related self-management methods for cognitive impairment and (4) perceived impact on women's career development and progression. Compared to baseline, women who received adaptive dual n-back training reported sustained improvement in multiple cognitive domains including memory and attention up to six months post-training when the follow-up interviews were conducted. Perceived improvements in cognitive function were associated with greater self-confidence and better emotional well-being in work. These improvements were found to lower dependency on self-management methods for cognitive impairment and enhance effectiveness as well as prompt career development or progression for many women. Although some findings of a similar nature were reported in the active control dual 1-back training group the perceived effects were more pronounced and consistent in the dual n-back group.
Adaptive cognitive training (dual n-back training) improves perceived CRCI experienced by women in the workplace, enhancing their self-confidence and general emotional well-being. These perceived improvements, in turn, can decrease reliance on self-management methods for cognitive impairment and improve work efficiency and contribute to career development and progression.
癌症相关认知障碍（CRCI）与有原发性乳腺癌病史的女性不良的工作相关结局有关。我们探讨了接受适应性认知训练（双重n-back训练）或主动对照训练（双重1-back训练）对CRCI的感知影响。此外，我们还探讨了认知训练对认知障碍的工作相关自我管理方法及职业发展等工作相关结局的感知转移效应。
纵向定性研究。
采用“框架”分析方法，分析有原发性乳腺癌病史的女性在训练前（N = 40）、训练后1个月（N = 30）和6个月（N = 29）完成的半结构化电话访谈。
确定了四个主要主题：（1）工作中认知障碍的影响；（2）认知训练对受损认知功能的感知影响；（3）训练对认知障碍的工作相关自我管理方法的感知效果；（4）对女性职业发展和进步的感知影响。与基线相比，接受适应性双重n-back训练的女性在进行随访访谈时，报告在包括记忆和注意力在内的多个认知领域持续改善，直至训练后6个月。认知功能的感知改善与工作中更强的自信心和更好的情绪状态相关。发现这些改善降低了对认知障碍自我管理方法的依赖，提高了效率，并促进了许多女性的职业发展或进步。虽然主动对照双重1-back训练组也报告了一些类似性质的发现，但双重n-back组的感知效果更明显且更一致。
适应性认知训练（双重n-back训练）改善了职场女性所经历的CRCI，增强了她们的自信心和总体情绪状态。这些感知到的改善反过来可以减少对认知障碍自我管理方法的依赖，提高工作效率，并有助于职业发展和进步。
