Development and usability evaluation of an online self-management intervention for fear of cancer recurrence (iConquerFear)

Allan Ben Smith^{1

2}, Adeola Bamgboje-Ayodele¹, Phyllis Butow², Britt Klein³, Jane Turner⁴, Louise Sharpe^{2

5}, Joanna Fardell⁶, Lisa Beatty⁷, Alison Pearce^{8

9}, Belinda Thewes², Jane Beith¹⁰; iConquerFear Community Advisory Group^{1

2

11

12

13}; Afaf Girgis¹

Affiliations

¹ Centre for Oncology Education & Research Translation (CONCERT), Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, Australia.
² Psycho-Oncology Co-operative Research Group (PoCoG), University of Sydney, Sydney, NSW, Australia.
³ Biopsychosocial and eHealth Research & Innovation (BeRI) and the DVC-R&I Portfolio, Federation University Australia, Ballarat, Australia.
⁴ Department of Psychiatry, University of Queensland, Brisbane, Australia.
⁵ School of Psychology, University of Sydney, Sydney, NSW, Australia.
⁶ School of Women's and Children's Health, UNSW Medicine, University of New South Wales, NSW, Australia.
⁷ School of Psychology, Flinders University, Adelaide, SA, Australia.
⁸ Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia.
⁹ School of Public Health, University of Sydney, Sydney, NSW, Australia.
¹⁰ Chris O'Brien Lifehouse, Camperdown, NSW, Australia.
¹¹ Cancer Council NSW, NSW, Australia.
¹² Ovarian Cancer Australia, Melbourne, Australia.
¹³ Melanoma Patients Australia, Brisbane, Australia.

PMID: 31483911
DOI: 10.1002/pon.5218

Development and usability evaluation of an online self-management intervention for fear of cancer recurrence (iConquerFear)

Allan Ben Smith et al. Psychooncology. 2020 Jan.

. 2020 Jan;29(1):98-106.

doi: 10.1002/pon.5218. Epub 2019 Sep 10.

Authors

Affiliations

¹ Centre for Oncology Education & Research Translation (CONCERT), Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, Australia.
² Psycho-Oncology Co-operative Research Group (PoCoG), University of Sydney, Sydney, NSW, Australia.
³ Biopsychosocial and eHealth Research & Innovation (BeRI) and the DVC-R&I Portfolio, Federation University Australia, Ballarat, Australia.
⁴ Department of Psychiatry, University of Queensland, Brisbane, Australia.
⁵ School of Psychology, University of Sydney, Sydney, NSW, Australia.
⁶ School of Women's and Children's Health, UNSW Medicine, University of New South Wales, NSW, Australia.
⁷ School of Psychology, Flinders University, Adelaide, SA, Australia.
⁸ Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia.
⁹ School of Public Health, University of Sydney, Sydney, NSW, Australia.
¹⁰ Chris O'Brien Lifehouse, Camperdown, NSW, Australia.
¹¹ Cancer Council NSW, NSW, Australia.
¹² Ovarian Cancer Australia, Melbourne, Australia.
¹³ Melanoma Patients Australia, Brisbane, Australia.

PMID: 31483911
DOI: 10.1002/pon.5218

Abstract

Objective: To develop and evaluate the usability of iConquerFear, an online self-management adaptation of an efficacious face-to-face therapist-delivered treatment for fear of cancer recurrence (FCR).

Methods: iConquerFear development was theory based and person based. Development was guided by Ritterband et al's behaviour change model for internet interventions. iConquerFear end users (cancer survivors) provided iterative feedback in accordance with Yardley et al's person-based approach to maximise engagement and usability. Online focus groups and cognitive interviews were conducted to evaluate the usability of iConquerFear. Discussions were recorded, transcribed verbatim, and thematically analysed.

Results: Five online FCR modules were developed. Twenty-three cancer survivors (47% of those eligible) participated; 11/23 (58%) were breast cancer survivors, and average age was 53 years (SD = 10.8). Thematic saturation was reached after six focus groups (n = 16) and seven individual think-aloud interviews. Thematic analysis produced five overarching themes: easy navigation essential; satisfaction and engagement with content; flexible access is key; normalising and empowering; and a useful first step.

Conclusions: Online self-management interventions like iConquerFear have the potential to address the unmet supportive care needs reported by burgeoning numbers of cancer survivors. However, that potential may not be realised unless interventions are rigorously developed and user tested, as benefits are constrained by limited engagement. Themes from the usability testing of iConquerFear highlight the importance of developing flexible, tailored, interactive, and contextual online self-management interventions for people with cancer.

Keywords: cancer; eHealth; fear of cancer recurrence; oncology; online; psycho-oncology; self-management; survivorship; web-based.

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References

REFERENCES

1. Harrison SE, Watson EK, Ward AM, et al. Primary health and supportive care needs of long-term cancer survivors: A questionnaire survey. J. Clin. Oncol. 2011;29(15):2091-2098.
1. Simard S, Thewes B, Humphris G, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. Journal of Cancer Survivorship. 2013;7(3):300-322.
1. Lebel S, Ozakinci G, Humphris G, et al. From normal response to clinical problem: definition and clinical features of fear of cancer recurrence. Support. Care Cancer. 2016;24(8):3265-3268. https://doi.org/10.1007/s00520-016-3272-5
1. Tauber NM, OToole MS, Zachariae R, et al. The effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis. In: 20th International Psycho-Oncology Society World Congress of Psycho-Oncology; 2018.
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Development and usability evaluation of an online self-management intervention for fear of cancer recurrence (iConquerFear)

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Development and usability evaluation of an online self-management intervention for fear of cancer recurrence (iConquerFear)

Authors

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Abstract

References

REFERENCES

Publication types

MeSH terms

Supplementary concepts

LinkOut - more resources

Full Text Sources

Medical

Miscellaneous