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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

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    Author
    Lynch, FA; Katona, L; Jefford, M; Ben Smith, A; Shaw, J; Dhillon, HM; Ellen, S; Phipps-Nelson, J; Lai-Kwon, J; Milne, D; ...
    Date
    2020-09-01
    Source Title
    Journal of Clinical Medicine
    Publisher
    MDPI
    University of Melbourne Author/s
    Ellen, Steven; Lynch, Fiona
    Affiliation
    Psychiatry
    Microbiology and Immunology
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Lynch, F. A., Katona, L., Jefford, M., Ben Smith, A., Shaw, J., Dhillon, H. M., Ellen, S., Phipps-Nelson, J., Lai-Kwon, J., Milne, D., Russell, L., Dax, V., Diggens, J., Kent, H., Button-Sloan, A., Elliott, J., Shackleton, M., Burridge, H. & Ftanou, M. (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, 9 (9), https://doi.org/10.3390/jcm9092969.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/251593
    DOI
    10.3390/jcm9092969
    Abstract
    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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