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Brain CancerImPACTNCT05858359

Contextualized Neuropsychological Rehabilitation for CNS Cancer Survivors: The ImPACT Program

A study testing ImPACT program in people with Brain Cancer and Cognitive Impairment, run by Aarhus University Hospital at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the present randomized-controlled study is to evaluate the feasibility, acceptability, and preliminary efficacy of a novel, context-sensitive neuropsychological rehabilitation intervention for brain cancer survivors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Brain Cancer, Cognitive Impairment
What is being tested?
ImPACT program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
27 participants
Where
1 siteDenmark
Study dates
1 Jun 2023to 24 Jun 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of brain cancer
  • Completed primary treatment at least 6 months ago
  • Medically stable
  • Speaks and understand Danish
  • Living with a carer aged 18 or over, who also speaks and understands Danish and consents to participate in the study alongside the patient

Who cannot join

  • Confounding diagnosed or suspected psychiatric or medical condition unrelated to the cancer or its treatment

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Aarhus University Hospital

    Aarhus, 8270

Other trials in Denmark

About this study

Official title: Contextualized Neuropsychological Rehabilitation for CNS Cancer Survivors: The "I'm Aware: Patients and Carers Together" (ImPACT) Program"

The aim of the present randomized-controlled study is to evaluate the feasibility, acceptability, and preliminary efficacy of a novel, context-sensitive neuropsychological rehabilitation intervention for brain cancer survivors.

Read the detailed description

Cognitive impairment is the most common late effect in brain cancer survivors, with profound negative effects on quality of life, work ability, and socioeconomic outcomes. Still, there is no gold standard approach to treating cognitive impairment in brain cancer survivors. Furthermore, there is a dearth of research on interventions to treat cognitive impairment in brain cancer survivors, and the relatively few studied interventions have proven limited effects. Arguably, four key elements are missing from a majority of studied interventions:1) transfer of learning to real-world functional outcomes, 2) awareness training to enhance compensatory strategy use, 3) inclusion of carers that could enhance transfer of learning to the home, and 4) recognition of the inter-related nature of cognitive, neurobehavioral, and psychological functions.

The "I'M aware: Patients and Carers Together (ImPACT)" program is a novel, context-sensitive neuropsychological rehabilitation intervention that targets the above mentioned missing elements in previous rehabilitation efforts. The present feasibility randomized-controlled study aims to evaluate the feasibility, acceptability, and preliminary efficacy of this program in brain cancer survivors with cognitive impairment in preparation for a subsequent large-scale randomized controlled trial.

Being tested
ImPACT program
Keywords
Brain Cancer, Brain Tumor, Cognitive Impairment, Neurobehavioral Impairment, Neuropsychological Rehabilitation
Medical subject headings
Brain Neoplasms, Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ImPACT programBehavioural

    During the ImPACT program, the brain cancer survivor and a carer collaborate on:

    1. Becoming aware of the patient's core strengths and difficulties
    2. Helping the patient to be optimally responsive to the guidance of the carer, and
    3. Creating compensatory strategies to respond to real-world manifestations of the patient's difficulties and helping the patient implement these strategies at home.
Study groups in NCT05858359
Study groupRoleWhat they receive
ImPACT programExperimentalThe ImPACT program consists of 8 weekly 1-hour sessions with homework between sessions.
Receives: Behavioral: ImPACT program
WaitlistNo interventionWaitlist control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Self-reported cognitive functioning

    The Patients Assessment of Own Functioning Inventory (PAOFI). 33 items: answer format range 1-6; total score range: 0-33. Higher score indicates more impairment.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  2. Carer-reported cognitive functioning

    The Patients Assessment of Own Functioning Inventory (PAOFI) modified to informant version. 33 items: answer format range 1-6; total score range: 0-33. Higher score indicates more impairment.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  3. Self-reported neurobehavioral functioning

    The self-report version of the Frontal Systems Behavior Scale (FrSBe). 46 items: answer format range 1-5; total score range: 46-230. Higher score indicates more impairment.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  4. Carer-reported neurobehavioral functioning

    The carer-report version of the Frontal Systems Behavior Scale (FrSBe). 46 items: answer format range 1-5; total score range: 46-230. Higher score indicates more impairment.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

Secondary outcomes (35)
  1. Self-reported cognitive functioning

    The Patients Assessment of Own Functioning Inventory (PAOFI). 33 items: answer format range 1-6; total score range: 0-33. Higher score indicates more impairment.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  2. Carer-reported cognitive functioning

    The Patients Assessment of Own Functioning Inventory (PAOFI) modified to informant version. 33 items: answer format range 1-6; total score range: 0-33. Higher score indicates more impairment.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  3. Self-reported neurobehavioral functioning

    The self-report version of the Frontal Systems Behavior Scale (FrSBe). 46 items: answer format range 1-5; total score range: 46-230. Higher score indicates more impairment.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  4. Carer-reported neurobehavioral functioning

    The carer-report version of the Frontal Systems Behavior Scale (FrSBe). 46 items: answer format range 1-5; total score range: 46-230. Higher score indicates more impairment.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  5. Objective cognitive functioning (Neuropsychological tests; Patient only)

    Global composite z-score based on the HVLT-R; Trail-making tests A and B; WAIS-IV Coding, Digit Span, Verbal Fluency; Conner's Continuous Performance Test III.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  6. Objective cognitive functioning (Neuropsychological tests; Patient only)

    Global composite z-score based on the HVLT-R; Trail-making tests A and B; WAIS-IV Coding, Digit Span, Verbal Fluency; Conner's Continuous Performance Test III.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  7. Premorbid intellectual functioning (Patient only)

    WAIS-IV Information subtest. 26 items; answer format range 0-1; total score range: 0-26. Higher score indicates higher premorbid intellectual functioning.

    Measured: Baseline (T1)

  8. Self-reported fatigue

    The Functional Assessment of Chronic Illness Therapy-Fatigue scale (FACIT-Fatigue). 13 items: answer format range 0-4; total score range: 0-52. Lower score indicates more fatigue.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  9. Carer-reported fatigue

    The Functional Assessment of Chronic Illness Therapy-Fatigue scale (FACIT-Fatigue) modified to informant version. 13 items: answer format range 0-4; total score range: 0-52. Lower score indicates more fatigue.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  10. Self-reported fatigue

    The Functional Assessment of Chronic Illness Therapy-Fatigue scale (FACIT-Fatigue). 13 items: answer format range 0-4; total score range: 0-52. Lower score indicates more fatigue.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  11. Carer-reported fatigue

    The Functional Assessment of Chronic Illness Therapy-Fatigue scale (FACIT-Fatigue) modified to informant version. 13 items: answer format range 0-4; total score range: 0-52. Lower score indicates more fatigue.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  12. Self-reported mental fatigue

    The Mental Fatigue Scale (MFS). 15 items: answer format range 0-3; total score range: 0-45. Higher score indicates more mental fatigue.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  13. Carer-reported mental fatigue

    The Mental Fatigue Scale (MFS) modified to informant version. 15 items: answer format range 0-3; total score range: 0-45. Higher score indicates more mental fatigue.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  14. Self-reported mental fatigue

    The Mental Fatigue Scale (MFS). 15 items: answer format range 0-3; total score range: 0-45. Higher score indicates more mental fatigue.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  15. Carer-reported mental fatigue

    The Mental Fatigue Scale (MFS) modified to informant version. 15 items: answer format range 0-3; total score range: 0-45. Higher score indicates more mental fatigue.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  16. Depression (patient only)

    The Center for Epidemiologic Studies Depression Scale (CESD). 20 items: answer format range 0-3; total score range: 0-60. Higher score indicates more depression.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  17. Depression (patient only)

    The Center for Epidemiologic Studies Depression Scale (CESD). 20 items: answer format range 0-3; total score range: 0-60. Higher score indicates more depression.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  18. Self-reported health-related quality of life

    The Functional Assessment of Cancer Therapy-Brain (FACT-Br). 50 items; answer format range 0-4; total score range: 0-200. Higher score indicates better health-related quality of life.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  19. Carer-reported health-related quality of life

    The Functional Assessment of Cancer Therapy-Brain (FACT-Br) modified to informant version. 50 items; answer format range 0-4; total score range: 0-200. Higher score indicates better health-related quality of life.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  20. Self-reported health-related quality of life

    The Functional Assessment of Cancer Therapy-Brain (FACT-Br). 50 items; answer format range 0-4; total score range: 0-200. Higher score indicates better health-related quality of life.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  21. Carer-reported health-related quality of life

    The Functional Assessment of Cancer Therapy-Brain (FACT-Br) modified to informant version. 50 items; answer format range 0-4; total score range: 0-200. Higher score indicates better health-related quality of life.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  22. Self-reported community integration

    The self-report version of the Community Integration Questionnaire Revised (CIQ-R). 18 items: answer format range 0-2; total score range: 0-35. Higher score indicates more community integration.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  23. Carer-reported community integration

    The carer-report version of the Community Integration Questionnaire Revised (CIQ-R). 18 items: answer format range 0-2; total score range: 0-35. Higher score indicates more community integration.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  24. Self-reported community integration

    The self-report version of the Community Integration Questionnaire Revised (CIQ-R). 18 items: answer format range 0-2; total score range: 0-35. Higher score indicates more community integration.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  25. Carer-reported community integration

    The self-report version of the Community Integration Questionnaire Revised (CIQ-R). 18 items: answer format range 0-2; total score range: 0-35. Higher score indicates more community integration.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  26. Insomnia

    The Insomnia Severity Index (ISI). 7 items; answer format range: 0-4; total score range: 0-28. Higher score indicates more insomnia.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  27. Insomnia

    The Insomnia Severity Index (ISI). 7 items; answer format range: 0-4; total score range: 0-28. Higher score indicates more insomnia.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  28. Self-reported participant satisfaction

    The Client Satisfaction Questionnaire (CSQ-8). 8 items: answer format range 1-4; total score range: 8-32. Higher score indicates better satisfaction.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  29. Carer-reported participant satisfaction

    The Client Satisfaction Questionnaire (CSQ-8). 8 items: answer format range 1-4; total score range: 8-32. Higher score indicates better satisfaction.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  30. Self-reported participant satisfaction

    The Client Satisfaction Questionnaire (CSQ-8). 8 items: answer format range 1-4; total score range: 8-32. Higher score indicates better satisfaction.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  31. Carer-reported participant satisfaction

    The Client Satisfaction Questionnaire (CSQ-8). 8 items: answer format range 1-4; total score range: 8-32. Higher score indicates better satisfaction.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  32. Self-reported participant motivation

    The 7-item interest/enjoyment subscale of the Intrinsic Motivation Inventory (IMI). 7 items: answer format range 1-7; total score range: 1-7. Higher score indicates more motivation.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  33. Carer-reported participant motivation

    The 7-item interest/enjoyment subscale of the Intrinsic Motivation Inventory (IMI). 7 items: answer format range 1-7; total score range: 1-7. Higher score indicates more motivation.

    Measured: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)

  34. Self-reported participant motivation

    The 7-item interest/enjoyment subscale of the Intrinsic Motivation Inventory (IMI). 7 items: answer format range 1-7; total score range: 1-7. Higher score indicates more motivation.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

  35. Carer-reported participant motivation

    The 7-item interest/enjoyment subscale of the Intrinsic Motivation Inventory (IMI). 7 items: answer format range 1-7; total score range: 1-7. Higher score indicates more motivation.

    Measured: Baseline (T1) to 8 week after post-intervention (approximately 16 weeks later: Follow-up, T4)]

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 May 2023
  2. Study start1 Jun 2023
  3. Primary completion24 Jun 2025
  4. Study completion24 Jun 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized waitlist controlled trial
Masking
None (open label)
Enrolment
27 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05858359
Sponsor's protocol ID
ImPACT Adult
Acronym
ImPACT
Status last verified
Sep 2025
First submitted
1 May 2023
Last updated
3 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing ImPACT program in people with Brain Cancer and Cognitive Impairment, run by Aarhus University Hospital at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Self-reported cognitive functioning (time frame: Baseline (T1) to after last session (approximately 8 weeks later: Post-intervention, T3)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Oct 2025.

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