Feasibility and Acceptability of Fear-Less: A Stepped-Care Program to Manage Fear of Cancer Recurrence in People with Metastatic Melanoma

被引:26
|
作者
Lynch, Fiona A. [1 ]
Katona, Lynda [2 ]
Jefford, Michael [3 ,4 ,5 ]
Ben Smith, Allan [6 ]
Shaw, Joanne [7 ]
Dhillon, Haryana M. [7 ,8 ]
Ellen, Steve [1 ,9 ]
Phipps-Nelson, Jo [5 ,10 ]
Lai-Kwon, Julia [3 ]
Milne, Donna [10 ,11 ]
Russell, Lahiru [12 ,13 ]
Dax, Victoria [1 ]
Diggens, Justine [1 ]
Kent, Holly [2 ]
Button-Sloan, Alison [14 ,15 ,16 ]
Elliott, Jane [1 ]
Shackleton, Mark [17 ,18 ]
Burridge, Hayley [17 ]
Ftanou, Maria [1 ,19 ]
机构
[1] Peter MacCallum Canc Ctr, Psychosocial Oncol Program, Melbourne, Vic 3000, Australia
[2] Alfred Hlth, Dept Psychol & Consultat Liaison Psychiat, Melbourne, Vic 3004, Australia
[3] Peter MacCallum Canc Ctr, Dept Med Oncol, Melbourne, Vic 3000, Australia
[4] Australian Canc Survivorship Ctr, Melbourne, Vic 3000, Australia
[5] Univ Melbourne, Fac Med Dent & Hlth Sci, Sir Peter MacCallum Dept Oncol, Melbourne, Vic 3010, Australia
[6] Univ New South Wales, Ctr Oncol Educ & Res Translat, South Western Sydney Clin Sch, Ingham Inst Appl Med Res, Kensington, NSW 2052, Australia
[7] Univ Sydney, Sch Psychol, Psychooncol Cooperat Res Grp PoCoG, Sydney, NSW 2006, Australia
[8] Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making, Sch Psychol, Sydney, NSW 2006, Australia
[9] Univ Melbourne, Dept Psychiat, Melbourne, Vic 3010, Australia
[10] Peter MacCallum Canc Ctr, Hlth Serv & Implementat Sci, Melbourne, Vic 3000, Australia
[11] Peter MacCallum Canc Ctr, Dept Skin & Melanoma Serv, Melbourne, Vic 3000, Australia
[12] Deakin Univ, Sch Nursing & Midwifery, Inst Hlth Transformat, Geelong, Vic 3217, Australia
[13] Ctr Qual & Patient Safety Eastern Hlth Partnershi, Box Hill, Vic 3128, Australia
[14] Melanoma Patients Australia, Melbourne, Vic 3000, Australia
[15] Melanoma Res Victoria Consumer Reference Grp, Melbourne, Vic 3000, Australia
[16] Australian Melanoma Consumer Alliance, Melbourne, Vic 3000, Australia
[17] Alfred Hlth, Dept Med Oncol, Melbourne, Vic 3004, Australia
[18] Monash Univ, Dept Med, Melbourne, Vic 3010, Australia
[19] Univ Melbourne, Ctr Mental Hlth, Melbourne Sch Populat & Global Hlth, Melbourne, Vic 3010, Australia
关键词
fear of cancer recurrence; stepped care; metastatic melanoma; REDUCE FEAR; SHORT-FORM; BREAST; PROGRESSION; VALIDATION; THERAPIES; INTERVENTION; PROSTATE; TRIAL;
D O I
10.3390/jcm9092969
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
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页码:1 / 17
页数:16
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