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IRCT20200516047463N1 IRCT 2020-06-14 Islamic Azad University Effectiveness of Rehabilitation on Memory in Children Survived from Cancer Comparing the Effectiveness of Cognitive Rehabilitation Training and Memory and Attention Adaptation Training on Working memory, Attention, Processing Speed and Executive Function in Children Survived from Cancer 2020-06-21 anticipated 60 Complete https://irct.ir/trial/48183 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: To assign subjects, a random matching method is used. Subjects are personally matched and paired by age and gender. Each of the two was assigned with a number and then with simple random method, one of the numbers assigned to experimental group and the other number assigned to control group. N/A Acute lymphoblastic leukemia with a history of chemotherapy. Intervention 1: Intervention group: first group, Cognitive Rehabilitation Training, This training method includes 12 50-minute sessions that are held once a week. The first 20 minutes of the session are devoted to practical cognitive rehabilitation exercises. Exercises such as: time-reducing techniques, content memorization techniques, increasing the field of view using the card, measuring reading speed, visual memory exercises using the card, finding differences and similarities in images with time recording, Memory games such as recalling spoken words or naming objects seen in the picture, auditory memory exercises, etc. Then in the last 30 minutes of the session, the subject will use memory and concentration software to perform visual and auditory memory exercises. In this research, the Persian version of Cogmed software will be used. During each session, the subject should first perform forward visual and auditory exercises and then reverse visual and auditory exercises. Intervention 2: Intervention group: second group, Memory and Attention Adaptation, This training method includes 4 one-hour face-to-face sessions that are held once every 2 weeks, and 3 phone calls at intervals of each face-to-face session, to follow up on homework and troubleshooting. In the fourth session, relapse prevention methods will be taught to the person and after a few months, a face-to-face session can be requested to review the treatment process. Specific techniques used in this method are drawn from the cognitive-behavior therapy(CBT). Memory and Attention Adaptation Training is organized into four components: (1) education (on chemotherapy related cognitive problems and other influences on attention and memory such as stress); (2) self-awareness training (self-monitoring to identify “at risk” situations or conditions associated with cognitive failure); (3) compensatory cognitive skills training; and (4) applied relaxation training for arousal reduction. Intervention 3: Control group: no intervention. Yes - There is a plan to make this available What will be shared: Questionnaires completed in the pre-test, post-test and follow-up stages can be provided When: access period after printing the results To whom: Researchers Conditions: In order to verify the results Where to obtain: nfsh.reyhani@gmail.com How to obtain: The proposal of the research project should be sent along with the request for access to the data Comments:
public Nafiseh Damreihani
No.7, Mahan building, 64/1 lane, Pasdaran boulevard
Shiraz Iran (Islamic Republic of) 7184967773 +98 71 3833 4383 nfsh.reyhani@gmail.com Islamic Azad University scientific Nafiseh Damreihani
No.7, Mahan building, 64/1 lane, Pasdaran boulevard
Shiraz Iran (Islamic Republic of) 7184967773 +98 71 3833 4383 nfsh.reyhani@gmail.com Islamic Azad University Iran (Islamic Republic of) Age between 6 to 16 years old Having a diagnosis of acute lymphoblastic leukemia With the history of chemotherapy Weakness with at least one standard deviation in research variables Satisfaction with participating in research 6 years 16 years Both Suffering from other kinds of cancer Using of combined medical treatment methods (chemotherapy along with radiation therapy) Other chronic physical illnesses C91.0 Acute lymphoblastic leukemia [ALL] Rehabilitation Rehabilitation N/A Intervention group: first group, Cognitive Rehabilitation Training, This training method includes 12 50-minute sessions that are held once a week. The first 20 minutes of the session are devoted to practical cognitive rehabilitation exercises. Exercises such as: time-reducing techniques, content memorization techniques, increasing the field of view using the card, measuring reading speed, visual memory exercises using the card, finding differences and similarities in images with time recording, Memory games such as recalling spoken words or naming objects seen in the picture, auditory memory exercises, etc. Then in the last 30 minutes of the session, the subject will use memory and concentration software to perform visual and auditory memory exercises. In this research, the Persian version of Cogmed software will be used. During each session, the subject should first perform forward visual and auditory exercises and then reverse visual and auditory exercises. Intervention group: second group, Memory and Attention Adaptation, This training method includes 4 one-hour face-to-face sessions that are held once every 2 weeks, and 3 phone calls at intervals of each face-to-face session, to follow up on homework and troubleshooting. In the fourth session, relapse prevention methods will be taught to the person and after a few months, a face-to-face session can be requested to review the treatment process. Specific techniques used in this method are drawn from the cognitive-behavior therapy(CBT). Memory and Attention Adaptation Training is organized into four components: (1) education (on chemotherapy related cognitive problems and other influences on attention and memory such as stress); (2) self-awareness training (self-monitoring to identify “at risk” situations or conditions associated with cognitive failure); (3) compensatory cognitive skills training; and (4) applied relaxation training for arousal reduction. Control group: no intervention Score of working memory in Wechsler Intelligence Scale for Children- Fourth Edition. Timepoint: Before the intervention, after the intervention, 2 months after the end of the intervention. Method of measurement: Wechsler Intelligence Scale for Children- Fourth Edition. Score of processing speed in Wechsler Intelligence Scale for Children- Fourth Edition. Timepoint: Before the intervention, after the intervention, 2 months after the end of the intervention. Method of measurement: Wechsler Intelligence Scale for Children- Fourth Edition. Score of attention in Stroop test. Timepoint: Before the intervention, after the intervention, 2 months after the end of the intervention. Method of measurement: Stroop test. Score of executive functions in Behavior Rating Inventory of Executive Function. Timepoint: Before the intervention, after the intervention, 2 months after the end of the intervention. Method of measurement: Behavior Rating Inventory of Executive Function. Islamic Azad University Approved 2020-05-11 Ethics committe of Islamic Azad University- Shiraz Branch No.7, Karen building, 64/1 lane, Pasdaran boulevard Shiraz Fars Iran (Islamic Republic of)