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Feasibility and acceptability of Fear-Less: a stepped-care program to manage fear of cancer recurrence in people with metastatic melanoma

Lynch, Fiona A, Katona, Lynda, Jefford, Michael, Ben Smith, Allan, Shaw, Joanne, Dhillon, Haryana M, Ellen, Steve, Phipps-Nelson, Jo, Lai-Kwon, Julia, Milne, Donna, Russell, Lahiru, Dax, Victoria, Diggens, Justine, Kent, Holly, Button-Sloan, Alison, Elliott, Jane, Shackleton, Mark, Burridge, Hayley and Ftanou, Maria 2020, Feasibility and acceptability of Fear-Less: a stepped-care program to manage fear of cancer recurrence in people with metastatic melanoma, Journal of clinical medicine, vol. 9, no. 9, pp. 1-16, doi: 10.3390/jcm9092969.

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Title Feasibility and acceptability of Fear-Less: a stepped-care program to manage fear of cancer recurrence in people with metastatic melanoma
Author(s) Lynch, Fiona A
Katona, Lynda
Jefford, Michael
Ben Smith, Allan
Shaw, Joanne
Dhillon, Haryana M
Ellen, Steve
Phipps-Nelson, Jo
Lai-Kwon, Julia
Milne, Donna
Russell, LahiruORCID iD for Russell, Lahiru orcid.org/0000-0002-3806-0020
Dax, Victoria
Diggens, Justine
Kent, Holly
Button-Sloan, Alison
Elliott, Jane
Shackleton, Mark
Burridge, Hayley
Ftanou, Maria
Journal name Journal of clinical medicine
Volume number 9
Issue number 9
Article ID 2969
Start page 1
End page 16
Total pages 16
Publisher MDPI AG
Place of publication Basel, Switzerland
Publication date 2020-09
ISSN 2077-0383
2077-0383
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
fear of cancer recurrence
stepped care
metastatic melanoma
Summary Immunotherapies and targeted therapies have revolutionised treatment of metastatic melanoma and improved survival rates. However, survivors treated with novel therapies are vulnerable to high levels of fear of cancer recurrence or progression (FCR). Existing FCR interventions have rarely been trialled in people with advanced cancer. The current study aimed to evaluate the acceptability and feasibility of Fear-Less: a stepped-care model to treat FCR in people with metastatic melanoma treated with immunotherapy or targeted therapy. Sixty-one outpatients with metastatic melanoma were screened using the Fear of Cancer Recurrence Inventory Short Form (FCRI-SF) and Fear of Progression Questionnaire Short Form (FoP-Q-SF). Survivors with subthreshold FCR were stratified to a self-management intervention while those with clinical levels of FCR were provided with an individual therapy, Conquer Fear. Survivor experience surveys and rescreening were administered post-intervention completion. Results indicated that Fear-Less was an acceptable and feasible FCR intervention. Results provided preliminary support for the potential impact of Fear-Less in reducing FCR. Fear-Less is a promising first step in providing an acceptable and feasible stepped-care model to treat FCR in survivors with metastatic disease.
Language eng
DOI 10.3390/jcm9092969
Indigenous content off
Field of Research 1103 Clinical Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30143231

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.