During Visit 1, Clinicians provide survivors with an introduction and overview of the MAAT program and review the eight-session training schedule. The education component covers cancer background, significance, and causes topics as well as helping survivors recognize that not all memory/attention failures are cancer/treatment related (re-attribution). MAAT highlights the important rationale that, while we can't know at the causes of cancer-related memory problems, we do know that factors such as stress, fatigue, and the divided attention of busy, daily life also contribute to memory problems - and we can change environment, stress response, and manage fatigue through the use of compensatory strategies aimed a minimizing the effects of memory failures. Self-awareness is introduced, and self-monitoring forms are explained and assigned for homework in order to identify the environmental, affective, and cognitive antecedents of memory failures in daily life. Survivors are guided through a Progressive Muscle Relaxation procedure and instructed for home practice with a provided recording"--
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Cancer-related cognitive impairment (CRCI) may affect nearly half of all cancer survivors and can persist for years after completing cancer treatment. Memory and Attention Adaptation Training (MAAT) is a cognitive-behavioral therapy offering evidence-based, nonpharmacological treatment of this common survivorship condition. Organized into a session-by-session Clinician Manual and related Survivor Workbook, MAAT is conducted in 8 treatment visits and has been demonstrated effective when delivered through telehealth technology, so survivors can readily fit MAAT into their busy lives. The Survivor Workbook starts with a brief overview of what is understood about CRCI, common problems, and how MAAT helps. The introduction is followed by the 8 visits summarized in concise chapters that allow for easy review after the therapy visit. Thus, survivors with memory problems have a reliable source to turn to so that content of visits is not forgotten. Each visit consists of homework exercises with easy to follow forms.
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