Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation
Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Janice M. Kan [verfasserIn] Mbathio Dieng [verfasserIn] Phyllis N. Butow [verfasserIn] Shab Mireskandari [verfasserIn] Stephanie Tesson [verfasserIn] Scott W. Menzies [verfasserIn] Daniel S. J. Costa [verfasserIn] Rachael L. Morton [verfasserIn] Graham J. Mann [verfasserIn] Anne E. Cust [verfasserIn] Nadine A. Kasparian [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Frontiers in Psychology - Frontiers Media S.A., 2010, 12(2021) |
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| Übergeordnetes Werk: |
volume:12 ; year:2021 |
| Links: |
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| DOI / URN: |
10.3389/fpsyg.2021.661190 |
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| Katalog-ID: |
DOAJ075711877 |
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| 520 | |a Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. | ||
| 650 | 4 | |a fear cancer recurrence | |
| 650 | 4 | |a intervention | |
| 650 | 4 | |a melanoma | |
| 650 | 4 | |a survivorship | |
| 650 | 4 | |a psychological stress | |
| 650 | 4 | |a process evaluation | |
| 653 | 0 | |a Psychology | |
| 700 | 0 | |a Mbathio Dieng |e verfasserin |4 aut | |
| 700 | 0 | |a Phyllis N. Butow |e verfasserin |4 aut | |
| 700 | 0 | |a Phyllis N. Butow |e verfasserin |4 aut | |
| 700 | 0 | |a Shab Mireskandari |e verfasserin |4 aut | |
| 700 | 0 | |a Stephanie Tesson |e verfasserin |4 aut | |
| 700 | 0 | |a Scott W. Menzies |e verfasserin |4 aut | |
| 700 | 0 | |a Scott W. Menzies |e verfasserin |4 aut | |
| 700 | 0 | |a Daniel S. J. Costa |e verfasserin |4 aut | |
| 700 | 0 | |a Daniel S. J. Costa |e verfasserin |4 aut | |
| 700 | 0 | |a Rachael L. Morton |e verfasserin |4 aut | |
| 700 | 0 | |a Rachael L. Morton |e verfasserin |4 aut | |
| 700 | 0 | |a Graham J. Mann |e verfasserin |4 aut | |
| 700 | 0 | |a Graham J. Mann |e verfasserin |4 aut | |
| 700 | 0 | |a Anne E. Cust |e verfasserin |4 aut | |
| 700 | 0 | |a Anne E. Cust |e verfasserin |4 aut | |
| 700 | 0 | |a Nadine A. Kasparian |e verfasserin |4 aut | |
| 700 | 0 | |a Nadine A. Kasparian |e verfasserin |4 aut | |
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10.3389/fpsyg.2021.661190 doi (DE-627)DOAJ075711877 (DE-599)DOAJ484c64458a0a42db88ec09681980a043 DE-627 ger DE-627 rakwb eng BF1-990 Janice M. Kan verfasserin aut Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. fear cancer recurrence intervention melanoma survivorship psychological stress process evaluation Psychology Mbathio Dieng verfasserin aut Phyllis N. Butow verfasserin aut Phyllis N. Butow verfasserin aut Shab Mireskandari verfasserin aut Stephanie Tesson verfasserin aut Scott W. Menzies verfasserin aut Scott W. Menzies verfasserin aut Daniel S. J. Costa verfasserin aut Daniel S. J. Costa verfasserin aut Rachael L. Morton verfasserin aut Rachael L. Morton verfasserin aut Graham J. Mann verfasserin aut Graham J. Mann verfasserin aut Anne E. Cust verfasserin aut Anne E. Cust verfasserin aut Nadine A. Kasparian verfasserin aut Nadine A. Kasparian verfasserin aut In Frontiers in Psychology Frontiers Media S.A., 2010 12(2021) (DE-627)631495711 (DE-600)2563826-9 16641078 nnns volume:12 year:2021 https://doi.org/10.3389/fpsyg.2021.661190 kostenfrei https://doaj.org/article/484c64458a0a42db88ec09681980a043 kostenfrei https://www.frontiersin.org/articles/10.3389/fpsyg.2021.661190/full kostenfrei https://doaj.org/toc/1664-1078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2021 |
| spelling |
10.3389/fpsyg.2021.661190 doi (DE-627)DOAJ075711877 (DE-599)DOAJ484c64458a0a42db88ec09681980a043 DE-627 ger DE-627 rakwb eng BF1-990 Janice M. Kan verfasserin aut Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. fear cancer recurrence intervention melanoma survivorship psychological stress process evaluation Psychology Mbathio Dieng verfasserin aut Phyllis N. Butow verfasserin aut Phyllis N. Butow verfasserin aut Shab Mireskandari verfasserin aut Stephanie Tesson verfasserin aut Scott W. Menzies verfasserin aut Scott W. Menzies verfasserin aut Daniel S. J. Costa verfasserin aut Daniel S. J. Costa verfasserin aut Rachael L. Morton verfasserin aut Rachael L. Morton verfasserin aut Graham J. Mann verfasserin aut Graham J. Mann verfasserin aut Anne E. Cust verfasserin aut Anne E. Cust verfasserin aut Nadine A. Kasparian verfasserin aut Nadine A. Kasparian verfasserin aut In Frontiers in Psychology Frontiers Media S.A., 2010 12(2021) (DE-627)631495711 (DE-600)2563826-9 16641078 nnns volume:12 year:2021 https://doi.org/10.3389/fpsyg.2021.661190 kostenfrei https://doaj.org/article/484c64458a0a42db88ec09681980a043 kostenfrei https://www.frontiersin.org/articles/10.3389/fpsyg.2021.661190/full kostenfrei https://doaj.org/toc/1664-1078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2021 |
| allfields_unstemmed |
10.3389/fpsyg.2021.661190 doi (DE-627)DOAJ075711877 (DE-599)DOAJ484c64458a0a42db88ec09681980a043 DE-627 ger DE-627 rakwb eng BF1-990 Janice M. Kan verfasserin aut Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. fear cancer recurrence intervention melanoma survivorship psychological stress process evaluation Psychology Mbathio Dieng verfasserin aut Phyllis N. Butow verfasserin aut Phyllis N. Butow verfasserin aut Shab Mireskandari verfasserin aut Stephanie Tesson verfasserin aut Scott W. Menzies verfasserin aut Scott W. Menzies verfasserin aut Daniel S. J. Costa verfasserin aut Daniel S. J. Costa verfasserin aut Rachael L. Morton verfasserin aut Rachael L. Morton verfasserin aut Graham J. Mann verfasserin aut Graham J. Mann verfasserin aut Anne E. Cust verfasserin aut Anne E. Cust verfasserin aut Nadine A. Kasparian verfasserin aut Nadine A. Kasparian verfasserin aut In Frontiers in Psychology Frontiers Media S.A., 2010 12(2021) (DE-627)631495711 (DE-600)2563826-9 16641078 nnns volume:12 year:2021 https://doi.org/10.3389/fpsyg.2021.661190 kostenfrei https://doaj.org/article/484c64458a0a42db88ec09681980a043 kostenfrei https://www.frontiersin.org/articles/10.3389/fpsyg.2021.661190/full kostenfrei https://doaj.org/toc/1664-1078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2021 |
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10.3389/fpsyg.2021.661190 doi (DE-627)DOAJ075711877 (DE-599)DOAJ484c64458a0a42db88ec09681980a043 DE-627 ger DE-627 rakwb eng BF1-990 Janice M. Kan verfasserin aut Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. fear cancer recurrence intervention melanoma survivorship psychological stress process evaluation Psychology Mbathio Dieng verfasserin aut Phyllis N. Butow verfasserin aut Phyllis N. Butow verfasserin aut Shab Mireskandari verfasserin aut Stephanie Tesson verfasserin aut Scott W. Menzies verfasserin aut Scott W. Menzies verfasserin aut Daniel S. J. Costa verfasserin aut Daniel S. J. Costa verfasserin aut Rachael L. Morton verfasserin aut Rachael L. Morton verfasserin aut Graham J. Mann verfasserin aut Graham J. Mann verfasserin aut Anne E. Cust verfasserin aut Anne E. Cust verfasserin aut Nadine A. Kasparian verfasserin aut Nadine A. Kasparian verfasserin aut In Frontiers in Psychology Frontiers Media S.A., 2010 12(2021) (DE-627)631495711 (DE-600)2563826-9 16641078 nnns volume:12 year:2021 https://doi.org/10.3389/fpsyg.2021.661190 kostenfrei https://doaj.org/article/484c64458a0a42db88ec09681980a043 kostenfrei https://www.frontiersin.org/articles/10.3389/fpsyg.2021.661190/full kostenfrei https://doaj.org/toc/1664-1078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2021 |
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10.3389/fpsyg.2021.661190 doi (DE-627)DOAJ075711877 (DE-599)DOAJ484c64458a0a42db88ec09681980a043 DE-627 ger DE-627 rakwb eng BF1-990 Janice M. Kan verfasserin aut Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. fear cancer recurrence intervention melanoma survivorship psychological stress process evaluation Psychology Mbathio Dieng verfasserin aut Phyllis N. Butow verfasserin aut Phyllis N. Butow verfasserin aut Shab Mireskandari verfasserin aut Stephanie Tesson verfasserin aut Scott W. Menzies verfasserin aut Scott W. Menzies verfasserin aut Daniel S. J. Costa verfasserin aut Daniel S. J. Costa verfasserin aut Rachael L. Morton verfasserin aut Rachael L. Morton verfasserin aut Graham J. Mann verfasserin aut Graham J. Mann verfasserin aut Anne E. Cust verfasserin aut Anne E. Cust verfasserin aut Nadine A. Kasparian verfasserin aut Nadine A. Kasparian verfasserin aut In Frontiers in Psychology Frontiers Media S.A., 2010 12(2021) (DE-627)631495711 (DE-600)2563826-9 16641078 nnns volume:12 year:2021 https://doi.org/10.3389/fpsyg.2021.661190 kostenfrei https://doaj.org/article/484c64458a0a42db88ec09681980a043 kostenfrei https://www.frontiersin.org/articles/10.3389/fpsyg.2021.661190/full kostenfrei https://doaj.org/toc/1664-1078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2021 |
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Janice M. Kan @@aut@@ Mbathio Dieng @@aut@@ Phyllis N. Butow @@aut@@ Shab Mireskandari @@aut@@ Stephanie Tesson @@aut@@ Scott W. Menzies @@aut@@ Daniel S. J. Costa @@aut@@ Rachael L. Morton @@aut@@ Graham J. Mann @@aut@@ Anne E. Cust @@aut@@ Nadine A. Kasparian @@aut@@ |
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B - Philosophy, Psychology, Religion |
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Janice M. Kan |
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Janice M. Kan misc BF1-990 misc fear cancer recurrence misc intervention misc melanoma misc survivorship misc psychological stress misc process evaluation misc Psychology Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation |
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BF1-990 Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation fear cancer recurrence intervention melanoma survivorship psychological stress process evaluation |
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Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation |
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Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation |
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Janice M. Kan Mbathio Dieng Phyllis N. Butow Shab Mireskandari Stephanie Tesson Scott W. Menzies Daniel S. J. Costa Rachael L. Morton Graham J. Mann Anne E. Cust Nadine A. Kasparian |
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identifying the ‘active ingredients' of an effective psychological intervention to reduce fear of cancer recurrence: a process evaluation |
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BF1-990 |
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Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation |
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Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. |
| abstractGer |
Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. |
| abstract_unstemmed |
Purpose: Psychological interventions targeting fear of cancer recurrence (FCR) are effective in reducing fear and distress. Process evaluations are an important, yet scarce adjunct to published intervention trials, despite their utility in guiding the interpretation of study outcomes and optimizing intervention design for broader implementation. Accordingly, this paper reports the findings of a process evaluation conducted alongside a randomized controlled trial of a psychological intervention for melanoma patients.Methods: Men and women with a history of Stage 0–II melanoma at high-risk of developing new primary disease were recruited via High Risk Melanoma Clinics across Sydney, Australia and randomly allocated to receive the psychological intervention (n = 80) or usual care (n = 84). Intervention participants received a tailored psycho-educational resource and three individual psychotherapeutic sessions delivered via telehealth. Qualitative and quantitative data on intervention context, processes, and delivery (reach, dose, and fidelity), and mechanisms of impact (participant responses, moderators of outcome) were collected from a range of sources, including participant surveys, psychotherapeutic session audio-recordings, and clinical records.Results: Almost all participants reported using the psycho-educational resource (97%), received all intended psychotherapy sessions (96%), and reported high satisfaction with both intervention components. Over 80% of participants would recommend the intervention to others, and a small proportion (4%) found discussion of melanoma-related experiences confronting. Perceived benefits included enhanced doctor-patient communication, talking more openly with family members about melanoma, and improved coping. Of potential moderators, only higher FCR severity at baseline (pre-intervention) was associated with greater reductions in FCR severity (primary outcome) at 6-month follow-up (primary endpoint).Conclusions: Findings support the acceptability and feasibility of a psychological intervention to reduce FCR amongst individuals at high risk of developing another melanoma. Implementation into routine melanoma care is an imperative next step, with FCR screening recommended to identify those most likely to derive the greatest psychological benefit. |
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Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation |
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