Document Type

Presentation

Publication Date

2026

Faculty Mentor

Scott Hutchison

Abstract

Cancer – related cognitive impairment (CRCI) is a common side effect of cancer treatment that interferes with cancer survivors’ occupational performance, independence, and quality of life. Despite its high prevalence, CRCI remains under recognized and inconsistently addressed within oncology care. About 70% of individuals diagnosed with cancer report cognitive changes during or after treatment, yet many do not receive treatment. Occupational therapists are clinically trained to evaluate and treat functional cognition, activities of daily activities, instrumental activities of daily living, and client centered goals, positioning them as key providers in addressing CRCI. However, limited occupational therapy specific resources have hindered OT practice in oncology settings.

This quality improvement project aimed to enhance occupational therapy practitioners; and students’ knowledge, confidence, and preparedness to evaluate and treat CRCI through the development and dissemination of evidenced-informed OT CRCI Toolkit. Supported by the Model of Human Occupation (MOHO), the toolkit includes a brief CRCI screening tool, chemotherapy medication background materials, structured evaluation resources, and evidenced-based intervention examples targeting functional cognition and participation in meaningful occupations.

The toolkit was developed collaboratively with oncology rehabilitation clinicians and implemented through an education in-service delivered to occupational therapy students using a mixed method pre-post design. Quantitative data were collected using pre- and post- survey/test assessing self-reported knowledge, confidence, and preparedness in treating CRCI. While qualitative feedback explored perceived usability, clarity, and clinical relevance of toolkit in OT practice in cancer care. Results showed improved confidence and perceived preparedness treating CRCI following implementation, with participants reporting the toolkit being well organized, practical, and clinically meaningful.

This project supports increased integration of occupational therapy in oncology care, promotes evidenced-informed clinical decision making, and provides a model for future occupational therapy resources addressing additional cancer-related side effects within the scope of OT practice.

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