Purpose: Breast cancer survivors(BCS) have memory, attention, processing speed, and/or executive function impairment affecting their quality of life(QOL) and function. Study aims were: (1) compare computer-assisted cognitive training with visual exercises to one with audio+ visual exercises, and (2) gain insight into the relationship between engagement in meaningful activities, cognitive deficits and QOL.
Methods: This pilot study used an experimental design with 24 women. Pre and post measures assessed working memory, perceived cognition, QOL and engagement in meaningful activities.
Results: Treatment effects were not significant for working memory or engagement in meaningful activities. Visual group participants scored significantly better on perceived cognitive function posttest test(M = 91.62, SD = 21.75) than pretest(M = 74.48, SD = 29.00), p = .010 and significantly higher on QOL posttest(M = 6.42, SD = 1.27) than pretest(M = 5.60, SD = 1.76), p = .004. Pretest perceived cognitive function was significantly associated with pretest(ρ = .617, p < .001) and posttest(ρ = .436, p < .05) QOL.
Conclusion: Computer-assisted cognitive training with visual exercises appears to improve perceived cognitive function and QOL for BCS. A positive relationship exists between perceived cognitive function and QOL.

Abstract
Ⅰ. Introduction
Ⅱ. Methods
    1. Research Design
    2. Participants
    3. Measures
    4. Research Protocol
    5. Data Analysis
Ⅲ. Results
    1. Participants
    2. Primary Analysis
Ⅳ. Discussion
Ⅴ. Conclusion
References

• Theresa M. Smith(School of Occupational Therapy, Texas Woman’s University) Corresponding author
• Karen Ratcliff(Department of Occupational Therapy, University of Texas Medical Branch)