{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:27:33Z","timestamp":1790803653383,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T00:00:00Z","timestamp":1547510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001166","name":"beyondblue","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001111","name":"Cancer Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001111","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001026","name":"National Breast Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p><jats:italic>ConquerFear<\/jats:italic> is a metacognitive intervention for fear of cancer recurrence (FCR) with proven efficacy immmediately and 6\u00a0months post\u2010treatment. This qualitative study documented barriers and facilitators to the sustainability of <jats:italic>ConquerFear<\/jats:italic> from the perspective of study therapists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fourteen therapists who had delivered <jats:italic>ConquerFear<\/jats:italic> in a randomised controlled trial completed a semi\u2010structured phone interview, reaching theoretical saturation. Themes from thematic analysis were mapped to the Promoting Action on Research Implementation in Health Services (PARiHS) implementation framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants were 13 males and one female with, on average, 14\u00a0years psycho\u2010oncology experience. Nine over\u2010arching themes were identified, falling into three domains, which when present, were facilitators, and if absent, were barriers: evidence (intervention credibility, experienced efficacy, perceived need for intervention); context (positive attitude to and capacity for survivorship\/FCR care, favourable therapist orientation and flexibility, strong referral pathways); and facilitation of implementation (intervention\/service fit, intervention\/patient fit, and training, support, and provided resources).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:italic>ConquerFear<\/jats:italic> is a sustainable intervention in routine clinical practise. Facilitators included a sound evidence base; a receptive context; good fit between the intervention, therapist orientation, and patient need; and flexibility of delivery. Where absent, these factors served as barriers. These results have implications for enhancing uptake of psycho\u2010oncology interventions in routine care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4971","type":"journal-article","created":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T22:26:33Z","timestamp":1546295193000},"page":"533-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["A psychological intervention (<i>ConquerFear<\/i>) for treating fear of cancer recurrence: Views of study therapists regarding sustainability"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3562-6954","authenticated-orcid":false,"given":"Phyllis","family":"Butow","sequence":"first","affiliation":[{"name":"Psycho\u2010Oncology Co\u2010operative Research Group The University of Sydney  Sydney Australia"},{"name":"School of Psychology The University of Sydney  Sydney 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