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Article

CanCOG®: Cultural Adaptation of the Evidence-Based UCLA Cognitive Rehabilitation Intervention Program for Cancer Survivors in Portugal

by
Ana F. Oliveira
1,*,
Milaydis Sosa-Napolskij
2,
Ana Torres
1,3,
Diâner Felipe Queiroz
4,
Ana Bártolo
5,
Helena Sousa
1,
Sara Monteiro
1,6,
Kathleen Van Dyk
7,8,
Linda M. Ercoli
7 and
Isabel M. Santos
9,*
1
Center for Health Technology and Services Research of the Health Research Network (CINTESIS@RISE), Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal
2
Center for Health Technology and Services Research of the Health Research Network (CINTESIS@RISE), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
3
Department of Psychology and Education, Faculty of Human and Social Sciences, University of Beira Interior, 6200-209 Covilhã, Portugal
4
Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal
5
Center for Health Technology and Services Research of the Health Research Network (CINTESIS@RISE), Piaget Institute—ISEIT/Viseu, 3515-776 Viseu, Portugal
6
Department of Social Sciences and Management, Open University, 1269-001 Lisboa, Portugal
7
Department of Psychiatry & Biobehavioral Sciences, Jane & Terry Semel Institute for Neuroscience & Human Behavior, University of California Los Angeles, Los Angeles, CA 90024, USA
8
Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA 90024, USA
9
William James Center for Research (WJCR), Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal
*
Authors to whom correspondence should be addressed.
Healthcare 2023, 11(1), 141; https://doi.org/10.3390/healthcare11010141
Submission received: 31 October 2022 / Revised: 16 December 2022 / Accepted: 29 December 2022 / Published: 2 January 2023
(This article belongs to the Special Issue Psychological, Cognitive and Physical Dimensions of Adjustment to Cancer: Perspectives of Cancer Survivors and Caregivers)
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Abstract

Cognitive difficulties are highly prevalent and negatively impact cancer survivors’ quality of life. The UCLA Cognitive Rehabilitation Intervention Program (in short, UCLA program) is an evidence-based intervention developed and tested in the US to address the cognitive complaints of cancer survivors. Since there are no cognitive rehabilitation programs available for Portuguese cancer-related settings, this study aimed to culturally adapt the UCLA program to Portugal. Nine steps were implemented for this cultural adaptation: needs assessment, initial contacts, translation, cultural adaptation, independent review by a panel of experts (n = 6), focus group discussions with cancer survivors (n = 11), systematization of inputs and improvement of the final materials, fidelity check, and preliminary acceptability assessment. The findings suggested that changes to the original materials were needed. A Portuguese name, “CanCOG®—Reabilitação Cognitiva no Cancro” (in English “CanCOG®—Cognitive Rehabilitation in Cancer”), and a logo were created to make it more memorable and appealing for the Portuguese population. The language was adjusted to ensure content accessibility and semantic and conceptual equivalence. Finally, references to several cultural aspects, such as habits, customs, and traditions, were adapted to fit the new cultural context. The UCLA program may be a promising tool to help alleviate the cognitive difficulties reported by cancer survivors in different cultural contexts. Future research is needed to confirm the feasibility, acceptability, and preliminary efficacy of its Portuguese version, “CanCOG®—Reabilitação Cognitiva no Cancro”.
Keywords: cancer; cancer survivors; cancer-related cognitive impairment; cognitive rehabilitation; cultural adaptation cancer; cancer survivors; cancer-related cognitive impairment; cognitive rehabilitation; cultural adaptation

Share and Cite

MDPI and ACS Style

Oliveira, A.F.; Sosa-Napolskij, M.; Torres, A.; Queiroz, D.F.; Bártolo, A.; Sousa, H.; Monteiro, S.; Van Dyk, K.; Ercoli, L.M.; Santos, I.M. CanCOG®: Cultural Adaptation of the Evidence-Based UCLA Cognitive Rehabilitation Intervention Program for Cancer Survivors in Portugal. Healthcare 2023, 11, 141. https://doi.org/10.3390/healthcare11010141

AMA Style

Oliveira AF, Sosa-Napolskij M, Torres A, Queiroz DF, Bártolo A, Sousa H, Monteiro S, Van Dyk K, Ercoli LM, Santos IM. CanCOG®: Cultural Adaptation of the Evidence-Based UCLA Cognitive Rehabilitation Intervention Program for Cancer Survivors in Portugal. Healthcare. 2023; 11(1):141. https://doi.org/10.3390/healthcare11010141

Chicago/Turabian Style

Oliveira, Ana F., Milaydis Sosa-Napolskij, Ana Torres, Diâner Felipe Queiroz, Ana Bártolo, Helena Sousa, Sara Monteiro, Kathleen Van Dyk, Linda M. Ercoli, and Isabel M. Santos. 2023. "CanCOG®: Cultural Adaptation of the Evidence-Based UCLA Cognitive Rehabilitation Intervention Program for Cancer Survivors in Portugal" Healthcare 11, no. 1: 141. https://doi.org/10.3390/healthcare11010141

APA Style

Oliveira, A. F., Sosa-Napolskij, M., Torres, A., Queiroz, D. F., Bártolo, A., Sousa, H., Monteiro, S., Van Dyk, K., Ercoli, L. M., & Santos, I. M. (2023). CanCOG®: Cultural Adaptation of the Evidence-Based UCLA Cognitive Rehabilitation Intervention Program for Cancer Survivors in Portugal. Healthcare, 11(1), 141. https://doi.org/10.3390/healthcare11010141

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