Sustained long-term benefits of a psycho-educational intervention targeting fear of cancer recurrence in people at high risk of developing another melanoma: A randomised controlled trial.

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. 10082-10082 ◽  
Author(s):  
Mbathio Dieng ◽  
Rachael L Morton ◽  
Daniel SJ Costa ◽  
Phyllis Butow ◽  
Scott Menzies ◽  
...  
Keyword(s):  
High Risk ◽  
Randomised Controlled Trial ◽  
Educational Intervention ◽  
Controlled Trial ◽  
Cancer Recurrence ◽  
Fear Of Cancer Recurrence ◽  
Fear Of Cancer ◽  
Randomised Controlled

Long-term results of a phase II randomized controlled trial (RCT) of a psychological intervention (Conquer Fear) to reduce clinical levels of fear of cancer recurrence in breast, colorectal, and melanoma cancer survivors.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. LBA10000-LBA10000 ◽  
Author(s):  
Jane McNeil Beith ◽  
Belinda Thewes ◽  
Jane Turner ◽  
Jemma Gilchrist ◽  
Louise Sharpe ◽  
...  
Keyword(s):  
Psychological Intervention ◽  
Controlled Trial ◽  
Cancer Recurrence ◽  
Fear Of Cancer Recurrence ◽  
Long Term Results ◽  
Daily News ◽  
Melanoma Cancer ◽  
Fear Of Cancer ◽  
Final Text

LBA10000 The full, final text of this abstract will be available at abstracts.asco.org at 2:00 PM (EDT) on Friday, June 2, 2017, and in the Annual Meeting Proceedings online supplement to the June 20, 2017, issue of the Journal of Clinical Oncology. Onsite at the Meeting, this abstract will be printed in the Saturday edition of ASCO Daily News.

scholarly journals Identifying the ‘Active Ingredients' of an Effective Psychological Intervention to Reduce Fear of Cancer Recurrence: A Process Evaluation

2021 ◽  
Vol 12 ◽  
Author(s):  
Janice M. Kan ◽  
Mbathio Dieng ◽  
Phyllis N. Butow ◽  
Shab Mireskandari ◽  
Stephanie Tesson ◽  
...  
Keyword(s):  
High Risk ◽  
Process Evaluation ◽  
Psychological Intervention ◽  
Controlled Trial ◽  
Cancer Recurrence ◽  
Fear Of Cancer Recurrence ◽  
Educational Resource ◽  
Doctor Patient Communication ◽  
Fear Of Cancer ◽  
Clinical Records

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.

Psychoeducational Intervention to Reduce Fear of Cancer Recurrence in People at High Risk of Developing Another Primary Melanoma: Results of a Randomized Controlled Trial

2016 ◽  
Vol 34 (36) ◽  
pp. 4405-4414 ◽  
Author(s):  
Mbathio Dieng ◽  
Phyllis N. Butow ◽  
Daniel S.J. Costa ◽  
Rachael L. Morton ◽  
Scott W. Menzies ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
High Risk ◽  
Controlled Trial ◽  
Intervention Group ◽  
Cancer Recurrence ◽  
Psychoeducational Intervention ◽  
Fear Of Cancer Recurrence ◽  
Control Group ◽  
Randomized Controlled ◽  
Fear Of Cancer

Purpose People with a history of melanoma commonly report a fear of cancer recurrence (FCR), yet psychologic support is not routinely offered as part of ongoing melanoma care. This randomized controlled trial examined the efficacy of a psychoeducational intervention to reduce FCR and improve psychologic adjustment in this patient group compared with usual care. Methods The intervention comprised a newly developed psychoeducational resource and three telephone-based psychotherapeutic sessions over a 1-month period timed in accordance with dermatologic appointments. Participants were randomly assigned to intervention (n = 80) or usual care (n = 84). Assessments were completed at baseline, 1 month, and 6 months after dermatologic appointments. Linear mixed models were used to examine differences between treatment and control groups for patient-reported outcomes, including FCR, anxiety, stress, depression, melanoma-related knowledge, health behaviors, satisfaction with melanoma care, unmet needs, and health-related quality of life. Results At 6 months, the intervention group reported lower FCR severity, trigger, and distress scores than the control group in the baseline-adjusted models; the between-group mean difference was −1.9 for FCR severity (95% CI, −3.1 to −0.7; P = .002), −2.0 for FCR triggers (95% CI, −3.3 to −0.7; P = .003), and −0.7 for FCR distress (95% CI, −1.3 to −0.1; P = .03). The decrease in FCR severity (but not triggers or distress) remained statistically significant after adjustment for other covariates ( P = .04). At 6 months, the intervention group also reported lower stress (−1.6; 95% CI, −3.1 to −0.2; P = .03) and improved melanoma-related knowledge (1.7; 95% CI, 0.8 to 2.6; P < .001) compared with the control group. No differences were found between groups for other secondary outcomes. Conclusion This newly developed evidence-based psychoeducational intervention was effective in reducing FCR and stress and increasing melanoma-related knowledge in people at high risk for another melanoma.

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