Parents’ Perspectives on Using Computerized Cognitive Training to Manage Cognitive Late Effects in Children With Cancer: Qualitative Descriptive Study - Report - MDSpire
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Parents’ Views on Computerized Cognitive Training for Addressing Cognitive Late Effects in Children With Cancer: A Qualitative Descriptive Study

  • By

  • Tao Liu

  • Lin Mo

  • Feisal Hasen

  • Shishuang Zhou

  • Cho Lee Wong

  • XueMei Tang

  • Ting Han

  • October 13, 2026

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Clinical Report: Parents’ Views on Computerized Cognitive Training in Childhood Cancer

Overview

Cognitive late effects after childhood cancer and its treatment can persist into adulthood and affect daily functioning, education, employment, and quality of life. The supplied article context describes computerized cognitive training (CCT) as a potential, adaptable intervention, but does not provide the qualitative study’s methods or findings on parents’ views.

Background

Cognitive late effects are reported in 35%-60% of childhood cancer survivors and may involve memory, attention, language expression, executive function, and processing speed. These difficulties can affect activities of daily living and educational and occupational outcomes, and some survivors require long-term rehabilitation. Existing approaches include pharmacological treatment, exercise, and psychotherapy, but participation and effectiveness may be influenced by developmental characteristics, individual needs, treatment considerations, and potential medication adverse effects. CCT has attracted interest because it can provide structured tasks and may incorporate adaptive, gamified designs.

Data Highlights

Measure or topicInformation in supplied material
Reported incidence of cognitive difficulties35%-60%
Commonly described cognitive domainsMemory, attention, language expression, executive function, and processing speed
Qualitative study findingsNot included in the supplied article context

Key Findings

  • Cognitive late effects may continue throughout survivorship or first become apparent, or remain present, in adulthood.
  • Reported incidence rates reach 35%-60%, and difficulties may affect activities of daily living.
  • Long-term cognitive problems described in survivors include difficulties with memory, attention, language expression, executive function, and processing speed.
  • Cognitive impairments can influence educational attainment, occupational achievement, and employment opportunities.
  • Interventions described in the source include pharmacological treatment, exercise training, and psychotherapy; effectiveness and continued participation may be affected by age, development, individual needs, treatment considerations, and possible medication adverse effects.
  • The supplied context identifies CCT as a potential intervention with structured tasks and possible adaptive or gamified features, but does not report the study’s specific findings about parents’ views.

Clinical Implications

The supplied material describes cognitive late effects as a concern that may require long-term rehabilitation and notes that intervention accessibility, engagement, and adaptability to children’s individual needs are relevant considerations. It does not provide the qualitative results needed to characterize parents’ views or to draw conclusions about the acceptability or clinical effectiveness of CCT.

Conclusion

Cognitive late effects can have lasting functional consequences for children treated for cancer. The provided context establishes CCT as an area of interest but does not include the parent-perspective findings of the titled qualitative study.

Related Resources & Content

  1. Jacola LM et al., Journal of Clinical Oncology, 2021 — Assessment and monitoring of neurocognitive function in pediatric cancer
  2. Phillips NS et al., JAMA Network Open, 2023 — Late-onset cognitive impairment and modifiable risk factors in adult childhood cancer survivors
  3. Conklin HM et al., Journal of Clinical Oncology, 2015 — Computerized Cognitive Training for Amelioration of Cognitive Late Effects Among Childhood Cancer Survivors: A Randomized Controlled Trial
  4. Hocking MC et al., Journal of Clinical Oncology, 2021 — Addressing Neurocognitive Late Effects in Pediatric Cancer Survivors: Current Approaches and Future Opportunities
  5. ASCO Publications — Computerized intervention for amelioration of cognitive late effects among childhood cancer survivors.
  6. ASCO Publications — Computerized Cognitive Training for Amelioration of Cognitive Late Effects Among Childhood Cancer Survivors: A Randomized Controlled Trial
  7. ASCO Publications — Evaluation of a Web-Based Cognitive Rehabilitation Program in Cancer Survivors Reporting Cognitive Symptoms After Chemotherapy
  8. Children’s Oncology Group Long-Term Follow-Up Guidelines, Version 6.0
  9. International Guideline Harmonization Group: Topics
  10. Computer-based cognitive training for pediatric cancer survivors: a systematic review
  11. Long-Term Follow-Up
  12. Computerized Cognitive Training for Amelioration of Cognitive Late Effects Among Childhood Cancer Survivors: A Randomized Controlled Trial | Journal of Clinical Oncology
  13. Computer-based cognitive training for pediatric cancer survivors: a systematic review | BMC Pediatrics | Springer Nature Link

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