QOS-34: CHOC CHILDREN'S FIT BRAIN: A CASE STUDY OF AN INNOVATIVE COGNITIVE REMEDIATION PROGRAM FOR PEDIATRIC CANCER SURVIVORS

PURPOSE: The number of childhood cancer survivors is growing as researchers develop increasingly aggressive treatments, many of which directly target the central nervous system (CNS). In response to this growing need, we developed a cognitive remediation program (FIT Brain) for pediatric cancer survivors with the goals of: (1) reducing cognitive deficits, (2) teaching compensatory strategies, and (3) providing psychosocial support through a safe, peer-assisted atmosphere. We present a case example of the benefits of this innovative program for pediatric cancer survivors. METHODS: FIT Brain utilizes cognitive-behavioral techniques in combination with daily training using Lumosity, a computer-based cognitive training system. The program occurs over a 12-week period, comprised of 8 group and 4 individual sessions. Lumosity scores were gathered at various intervals and pre- and post- quality of life measures were completed by the parents. RESULTS: The participant in this case study was a 14-year-old male, with a history of medulloblastoma. He participated in FIT Brain, which consisted of four, 13-year-old male CNS cancer survivors. Findings indicated significant improvement in Lumosity scores, including flexibility and problem solving abilities, and in quality of life, especially in decreasing the frequency of short-term memory difficulties. CONCLUSIONS: Based on preliminary results and feedback, the FIT Brain program is effective in improving cognitive deficits, increasing coping techniques, and providing support through group cohesiveness and parental involvement. IMPLICATIONS: Findings suggest that utilization of innovative cognitive remediation programs with pediatric cancer survivors may be instrumental in the reduction of cognitive deficits and in improving quality of life.