{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T21:07:53Z","timestamp":1781557673845,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T00:00:00Z","timestamp":1773446400000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA047904"],"award-info":[{"award-number":["P30CA047904"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01CA244673"],"award-info":[{"award-number":["R01CA244673"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["CA021765"],"award-info":[{"award-number":["CA021765"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer\u2010related cognitive impairment (CRCI) affects a large proportion of cancer survivors and adversely affects quality of life (QoL). While there is no established CRCI treatment, a cognitive\u2010behavioral therapy (CBT), Memory and Attention Adaptation Training (MAAT), has evidence of efficacy in improving self\u2010reported and objective neurocognitive outcomes. However, not all people with CRCI require a full course of MAAT (8 visits).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We condensed MAAT into an educational class (4 1\u2010h meetings) as a \u201cstepped care\u201d approach to address CRCI in a busy clinical oncology care setting. Our goal with this quality improvement project was to offer brief, accessible CRCI care and evaluate self\u2010reported cognitive function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\u201cMAAT\u2010Class\u201d utilizes discussion, problem\u2010solving and a PowerPoint presentation emphasizing CRCI education, self\u2010awareness, self\u2010regulation\/emotional coping, and compensatory strategies. All participants use a MAAT workbook. Self\u2010report measures assessing cognitive symptoms, emotional function, coping and sleep were administered before and after MAAT\u2010Class.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010two adult participants with diverse cancer diagnoses (breast, leukemia\/lymphoma, CNS tumor) provided complete data. Significant improvements were observed in Perceived Cognitive Impairments (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05;\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.79), Impact on QoL (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05;\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.39), Perceived Cognitive Abilities (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05;\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.88), relaxation skills (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001;\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.77) and coping confidence (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001;\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.77).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A condensed classroom\u2010based version of MAAT demonstrated improvements in perceived cognitive impairments, QoL and coping. This first\u2010step clinical educational approach could potentially and efficiently help inform patients with CRCI and improve QoL outcomes. Administering MAAT\u2010Class via telehealth could potentially help survivorship care access. However, evaluation with a randomized study is necessary to definitively answer questions of efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70409","type":"journal-article","created":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T16:45:29Z","timestamp":1773506729000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Real World Outcomes of a Condensed Classroom\u2010Based Cognitive Behavioral Therapy for Cancer\u2010Related Cognitive Impairment"],"prefix":"10.1002","volume":"35","author":[{"given":"Shelly","family":"Kucherer","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailey B.","family":"King","sequence":"additional","affiliation":[{"name":"Biobehavioral Cancer Control Program UPMC Hillman Cancer Center  Pittsburgh Pennsylvania USA"},{"name":"Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9711-022X","authenticated-orcid":false,"given":"Robert J.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Biobehavioral Cancer Control Program UPMC Hillman Cancer Center  Pittsburgh Pennsylvania USA"},{"name":"Department of Medicine, Division of Hematology\/Oncology University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"},{"name":"Department of Psychology and Biobehavioral Sciences Cancer Control and Survivorship Program St Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010020\u201005860\u20109"},{"key":"e_1_2_10_3_1","article-title":"Prevalence of Cancer Survivors in the United States","author":"Tonorezos E.","year":"2024","journal-title":"JNCI: Journal of the National Cancer Institute"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.103514"},{"key":"e_1_2_10_5_1","article-title":"The National Cancer Institute Clinical Trials Planning Meeting to Address Gaps in Observational and Intervention Trials for Cancer\u2010Related Cognitive Impairment","author":"Janelsins M. 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