{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:06:05Z","timestamp":1789571165378,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012737","name":"Department of Health, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Poor sleep is a common issue among adolescents and young adults (AYA) with cancer. The present study describes the feasibility and impact of the Can\u2010Sleep stepped\u2010care intervention for AYA with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 51 AYA with cancer were screened. AYA who reported sleep disturbance (defined as insomnia severity index score [ISI] &gt;\u00a07) received self\u2010managed cognitive behavioural therapy for insomnia (SMCBT\u2010I) in the first instance (Step 1) followed by individual cognitive behavioural therapy for insomnia (ICBT\u2010I) if symptoms continued (Step 2). AYA screened as high risk for intrinsic sleep abnormalities (e.g.,\u00a0obstructive sleep apnoea) were referred to a specialised service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 51 AYA, 38 participants reported sleep disturbance. In total, 37 AYA commenced SMCBT\u2010I, four attending the specialised sleep service prior. Thirty\u2010one (84%) completed Step 1. Of these, 45% improved and required no further treatment, and 55% (17) were eligible for ICBT\u2010I (ISI\u00a0&gt;\u00a07). Following intervention, the SMCBT\u2010I group showed a significant decline in insomnia symptoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001,\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.84). Among the 17 AYA continuing to report sleep disturbance, 11 (65%) were referred to ICBT\u2010I, with 8 (73%) accepting and completing Step 2. Those who received the ICBT\u2010I showed a significant reduction in insomnia symptoms (\n                      <jats:italic>p\u00a0=<\/jats:italic>\n                      \u00a00.007,\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a01.33).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides preliminary efficacy and acceptability of a stepped\u2010care intervention for sleep disturbances in AYA with cancer. A stepped\u2010care intervention may offer an effective and resource\u2010efficient method for managing sleep disturbance in AYA with cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70549","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T11:11:08Z","timestamp":1786014668000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of a Stepped\u2010Care Approach to Cognitive\u2010Behavioural Therapy for Insomnia (Can\u2010Sleep) in Adolescents and Young Adults With Cancer"],"prefix":"10.1002","volume":"35","author":[{"given":"Jordan","family":"Maccora","sequence":"first","affiliation":[{"name":"Behavioural Medicine Unit Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5884-7851","authenticated-orcid":false,"given":"Maria","family":"Ftanou","sequence":"additional","affiliation":[{"name":"Psychosocial Oncology Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"School of Population and Globel Health University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Psychosocial Oncology Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-9311","authenticated-orcid":false,"given":"Andrew","family":"Murnane","sequence":"additional","affiliation":[{"name":"Victorian Adolescent and Young Adult Cancer Service Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4305-117X","authenticated-orcid":false,"given":"Jeremy","family":"Lewin","sequence":"additional","affiliation":[{"name":"Victorian Adolescent and Young Adult Cancer Service Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Sir Peter MacCallum Department of Oncology University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilana","family":"Berger","sequence":"additional","affiliation":[{"name":"Victorian Adolescent and Young Adult Cancer Service Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0271-6702","authenticated-orcid":false,"given":"Joshua F.","family":"Wiley","sequence":"additional","affiliation":[{"name":"Behavioural Medicine Unit Monash University  Melbourne Victoria Australia"},{"name":"Psychosocial Oncology Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8792-7807","authenticated-orcid":false,"given":"Michael","family":"Jefford","sequence":"additional","affiliation":[{"name":"Sir Peter MacCallum Department of Oncology University of Melbourne  Melbourne Victoria Australia"},{"name":"Australian Cancer Survivorship Centre Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Centre for Health Services Research in Cancer Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Hickey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Melbourne and the Women's Gynaecology Research Centre Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Goldin","sequence":"additional","affiliation":[{"name":"Respiratory Medicine and Sleep Disorders Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Thompson","sequence":"additional","affiliation":[{"name":"Victorian Adolescent and Young Adult Cancer Service Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Department of Social Work University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Cancer in Adolescents and Young Adults in Australia 2023","author":"Australian Institute of Health and Welfare","year":"2023"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.6296"},{"key":"e_1_2_9_4_1","article-title":"Late Effects of Treatment for Childhood Cancer","author":"National Cancer Institute","year":"2021","journal-title":"Late Effects of Treatment for Childhood Cancer"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3549"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2018.06.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23039"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.22.5011"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000707"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5040"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/31.2.271"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14143316"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2018.0004"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16201"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14040926"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.07.017"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.24261"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jebm.12485"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1590\/1414\u2010431X20187070"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsab202"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009\u20102725"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010014\u20102316\u2010y"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010020\u201007197\u20102"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010018\u20104390\u20101"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2015.1126597"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.28506"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2008.04.006"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3918"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.186.1.11"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010023\u201001457\u20103"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32509"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsab166"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5242"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814\u2010022\u201001128\u20107"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389\u20109457(00)00065\u20104"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2021.01.045"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsab246"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15\u20100903"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1969"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70549","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.70549","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70549","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:37:19Z","timestamp":1789569439000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70549"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":39,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/pon.70549"],"URL":"https:\/\/doi.org\/10.1002\/pon.70549","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-03-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70549"}}