{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:48:15Z","timestamp":1791571695621,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T00:00:00Z","timestamp":1739577600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012737","name":"Department of Health, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012737","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004752","name":"State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004752","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004224","name":"Peter MacCallum Cancer Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004224","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Fear of cancer recurrence (FCR) is a prevalent unmet need for people affected by cancer, in the context of limited healthcare resources. Stratified\u2010care models have potential to meet this need, while reducing resource demands. This study aimed to evaluate the feasibility and acceptability of screening procedures and interventions within the <jats:italic>Fear\u2010Less<\/jats:italic> stratified\u2010care model among those impacted by early\u2010stage cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>People affected by breast, head and neck, or gynaecological cancer, who had completed curative treatment, were screened for FCR. Individuals experiencing moderate FCR (scored 13\u201321 on the Fear of Cancer Recurrence Inventory\u2010Short Form; FCRI\u2010SF) were offered a purpose\u2010developed clinician\u2010guided self\u2010management intervention, while those experiencing severe FCR (FCRI\u2010SF score \u2265\u00a022) were offered individual therapy (ConquerFear). Re\u2010screening and evaluation measures were completed post\u2010intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010six (70%) of 109 eligible people completed screening, with 53\/76 participating in the <jats:italic>Fear\u2010Less<\/jats:italic> model evaluation. Thirty\u2010nine of 53 participants reported FCR and were referred to an intervention; 30\/39 (77%) accepted the referral. Fifteen (83%) of 18 participants completing the self\u2010management intervention reported reading \u2265\u00a075% of the resource at 5\u00a0weeks, with 10\/18 (56%) reporting clinically meaningful (\u2265\u00a010%) reductions on the FCRI\u2010SF post\u2010intervention. Qualitative feedback indicated screening and the stratified\u2010care received were acceptable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Screening procedures and interventions forming the <jats:italic>Fear\u2010Less<\/jats:italic> model appear feasible and acceptable for identifying and treating FCR among people affected by early\u2010stage cancer. Although further research is required to evaluate its efficacy, this model has the potential to meet a major unmet need, where psychosocial services are limited amid increased demand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>This study was retrospectively registered on the Australian New Zealand Clinical Trials Registry (ACTRN12622000818730) on 10\/6\/2022.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.70070","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T14:23:41Z","timestamp":1739629421000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Feasibility and Acceptability of the <i>Fear\u2010Less<\/i> Screening and Stratified\u2010Care Model for Fear of Cancer Recurrence Among People Affected by Early\u2010Stage Cancer"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9163-5831","authenticated-orcid":false,"given":"Mei Jun","family":"Tran","sequence":"first","affiliation":[{"name":"Psychosocial Oncology Program Peter MacCallum Cancer Centre  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Jefford","sequence":"additional","affiliation":[{"name":"Department of Health Services Research Peter MacCallum Cancer Centre  Victoria Australia"},{"name":"Australian Cancer Survivorship Centre Peter MacCallum Cancer Centre  Victoria Australia"},{"name":"Sir Peter MacCallum Department of Oncology The University of Melbourne  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsien","family":"Fua","sequence":"additional","affiliation":[{"name":"Sir Peter MacCallum Department of Oncology The University of Melbourne  Victoria Australia"},{"name":"Department of Radiation Oncology Peter MacCallum Cancer Centre  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Smith","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney A Joint Venture with Cancer Council NSW  Sydney Australia"},{"name":"Ingham Institute for Applied Medical Research South West Sydney Clinical Campuses UNSW Medicine &amp; Health University of New South Wales  Liverpool Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lachlan","family":"McDowell","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Peter MacCallum Cancer Centre  Victoria Australia"},{"name":"Department of Radiation Oncology Princess Alexandra Hospital  Woolloongabba Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4039-5169","authenticated-orcid":false,"given":"Haryana M.","family":"Dhillon","sequence":"additional","affiliation":[{"name":"School of Psychology Faculty of Science Psycho\u2010Oncology Cooperative Research Group The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Lynch","sequence":"additional","affiliation":[{"name":"Psychosocial Oncology Program Peter MacCallum Cancer Centre  Victoria Australia"},{"name":"Psychology Department Andrew Love Cancer Centre Barwon Health  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9543-7066","authenticated-orcid":false,"given":"Joanne","family":"Shaw","sequence":"additional","affiliation":[{"name":"School of Psychology Faculty of Science Psycho\u2010Oncology Cooperative Research Group The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"White","sequence":"additional","affiliation":[{"name":"Consumer Representative Peter MacCallum Cancer Centre  Melbourne Australia"},{"name":"Consumer Representative Prostate Cancer Foundation of Australia  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9163-3492","authenticated-orcid":false,"given":"David","family":"Wiesenfeld","sequence":"additional","affiliation":[{"name":"Victorian Comprehensive Cancer Centre Lead in Head and Neck Research and Education  Victoria Australia"},{"name":"Oral and Maxillofacial Surgeon The Royal Melbourne Hospital and Peter MacCallum Cancer Centre  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orla","family":"McNally","sequence":"additional","affiliation":[{"name":"Director Oncology\/Dysplasia Royal Women's Hospital  Victoria Australia"},{"name":"The University of Melbourne  Victoria Australia"},{"name":"Director Gynaecology Tumour Stream Victorian Comprehensive Cancer Centre and Peter MacCallum Cancer Centre  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Ftanou","sequence":"additional","affiliation":[{"name":"Psychosocial Oncology Program Peter MacCallum Cancer Centre  Victoria Australia"},{"name":"Melbourne School of Population and Global Health The University of Melbourne  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,15]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Australian Institute of Health and Welfare Cancer in Australia 2021. 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