Purpose <p>Cancer-related cognitive impairment (CRCI) is a prevalent comorbidity among breast cancer survivors, yet evidence supporting the efficacy of adaptive cognitive training remains limited. This pilot study seeks to examine participants’ adherence and preliminary effect of tablet-based cognitive training as an intervention for CRCI and apply eye tracking technology as an innovative approach to evaluate cognitive training outcomes.</p> Methods <p>Fifty-two eligible participants were randomly assigned to either the biofeedback therapy group (BF) or the combined biofeedback therapy and cognitive training group (BF + COG). Participants completed a 30-session intervention lasting 6&#xa0;weeks and eye tracking assessments at two timepoints: baseline and immediately after the intervention completion.</p> Results <p>Retention rates were 68% in the BF group and 70.4% in the BF + COG group. At the 6-week follow-up, the BF + COG group demonstrated significantly improved fixation stability. Under non-interfering conditions, they maintained fixation 307.76&#xa0;ms longer (<i>p</i> = 0.022,&#xa0;Cohen’s <i>d</i> = 0.307) and had a 32.4% reduction in saccadic distance (<i>p</i> = 0.019, Cohen’s <i>d</i> = -0.677) compared to BF. This advantage persisted under interference conditions with a 28.2% shorter saccadic distance (<i>p</i> = 0.034, Cohen’s <i>d</i> = -0.579). While within-group changes were not significant, the BF+COG group consistently showed reduced saccade distances across conditions, whereas the BF group exhibited increases.</p> Conclusion <p>Adaptive cognitive training may enhance attentional engagement and inhibitory control in breast cancer survivors. Large-scale study is needed to confirm these effects and refine eye-tracking applications for CRCI assessment.</p> Implications for Cancer Survivors <p>Tablet-based cognitive training targeting cognitive control&#xa0;with adaptive difficulty levels may ameliorate CRCI among breast cancer survivors.</p>