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    <IdentifierDoi>10.3205/26isfam074</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-26isfam0747</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
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      <Title language="en">Group singing intervention among adult survivors living with cancer-related cognitive impairment: a type 2 hybrid effectiveness-implementation study in Quebec (Canada)</Title>
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          <Lastname>Tremblay</Lastname>
          <LastnameHeading>Tremblay</LastnameHeading>
          <Firstname>Dominique</Firstname>
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          <Affiliation>Faculty of Medicine and Health Sciences, Universit&#233; de Sherbrooke, Longueuil, QC, Canada</Affiliation>
          <Affiliation>Centre de recherche Charles-Le Moyne, Longueuil, QC, Canada</Affiliation>
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          <Firstname>Pierre</Firstname>
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          <Affiliation>Op&#233;ra de Montr&#233;al, Montreal, QC, Canada</Affiliation>
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          <Affiliation>Faculty of Medicine and Health Sciences, Universit&#233; de Sherbrooke, Longueuil, QC, Canada</Affiliation>
          <Affiliation>Centre de recherche Charles-Le Moyne, Longueuil, QC, Canada</Affiliation>
          <Affiliation>Centre Int&#233;gr&#233; de Sant&#233; et de Services Sociaux de la Mont&#233;r&#233;gie-Centre, Greenfield Park, QC, Canada</Affiliation>
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          <Affiliation>Centre Int&#233;gr&#233; de Sant&#233; et de Services Sociaux de la Mont&#233;r&#233;gie-Centre, Greenfield Park, QC, Canada</Affiliation>
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          <Affiliation>University of Ottawa, Ottawa, ON, Canada</Affiliation>
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          <Lastname>Comeau</Lastname>
          <LastnameHeading>Comeau</LastnameHeading>
          <Firstname>Gilles</Firstname>
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          <Affiliation>University of Ottawa, Ottawa, ON, Canada</Affiliation>
          <Affiliation>The Royal&#39;s lnstitute of Mental Health Research, Ottawa, ON, Canada</Affiliation>
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          <Lastname>Lessard</Lastname>
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          <Firstname>Sylvie </Firstname>
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          <Affiliation>Centre de recherche Charles-Le Moyne, Longueuil, QC, Canada</Affiliation>
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          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
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        <Address>D&#252;sseldorf</Address>
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      <SubjectheadingDDB>610</SubjectheadingDDB>
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    <DatePublishedList>
      <DatePublished>20260612</DatePublished>
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    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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        <MeetingId>M0652</MeetingId>
        <MeetingSequence>074</MeetingSequence>
        <MeetingCorporation>International Society for Arts and Medicine</MeetingCorporation>
        <MeetingName>The Healing Arts &#8211; Forging Alliances of Arts &#38; Medicine</MeetingName>
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        <MeetingSession>Presentation Abstracts</MeetingSession>
        <MeetingCity>Berlin</MeetingCity>
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          <DateFrom>20260618</DateFrom>
          <DateTo>20260620</DateTo>
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      <MainHeadline>Text</MainHeadline><Pgraph>Cancer-related cognitive impairment (CRCI), colloquially called &#8220;chemobrain&#8221;, raises controversies. This side effect of anticancer therapies can affect up to 35&#37; of cancer survivors and may persist many years after treatments. CRCI impedes transitioning to a new normal after cancer, but there is a lack of clinical guidelines, and no proven pharmacological treatment. Given the evidence of the benefits of group singing for various populations, it may have positive outcomes on selected symptoms, well-being and health-related quality of life.</Pgraph><Pgraph>This mixed-methods study explores the acceptability, feasibility and effects of group singing on perceived physical, emotional and cognitive symptoms in adults with CRCI.</Pgraph><Pgraph>Op&#233;ra de Montr&#233;al&#8217;s Impact Program inspired our group intervention <Mark2>Singing to take care of us</Mark2>. Using adapted opera vocal techniques, a choir conductor directed 15 participants during 24 group singing sessions over spring and autumn 2025. A type 2 effectiveness-implementation hybrid design mobilized individual, focus group interviews and pre-post questionnaires data. The implementation analysis explored acceptability from professionals in oncology and choir participants, while effectiveness focused on changes in perceived symptoms.</Pgraph><Pgraph>Results suggest acceptability of group singing and significant improvements among participants with CRCI in tiredness, drowsiness, sadness, anxiety and overall well-being. Reasons to take part in group singing include enjoyment, protecting time for oneself and sharing lived experience with others.</Pgraph><Pgraph>By combining the art of opera with health, our intervention contributes to efforts to demonstrate the power of group singing as a tool for promoting sustainable health and well-being.</Pgraph></TextBlock>
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