{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:25:13Z","timestamp":1772987113610,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fear of cancer recurrence (FCR) is a prevalent and distressing concern among cancer survivors. Although psychological interventions have demonstrated efficacy in reducing FCR, they often require significant resources and specialized personnel, limiting their accessibility. Remotely delivered exercise programs offer a scalable and cost\u2010effective alternative, yet their impact on FCR remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of a 12\u2010week remote exercise intervention in reducing FCR among patients with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study combines data from pilot studies assessing the feasibility of a remote exercise intervention. Patients were recruited from June 2022 to January 2024 from five Brazilian states, representing diverse geographic regions. Eligible participants were adults undergoing active cancer treatment with moderate\u2010severe FCR (FCR\u20107 score \u2265\u00a017). The intervention included a 12\u2010week remote exercise program with weekly virtual consultations with an exercise physiologist and tailored exercise prescriptions. Primary and secondary outcomes included changes in FCR\u20107 and Functional Assessment of Cancer Therapy\u2014General (FACT\u2010G) scores. Statistical analyses included paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, Wilcoxon signed\u2010rank tests, and mixed\u2010effects modeling.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 149 patients with moderate\u2010severe FCR were included; 86.5% adhered to the program. The mean FCR\u20107 score decreased significantly from 20.2 (SD\u00a0=\u00a04.6) at baseline to 12.8 (SD\u00a0=\u00a04.6) at 12\u00a0weeks (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a01.6). FACT\u2010G scores improved significantly from 84.4 (SD\u00a0=\u00a011.5) to 95.6 (SD\u00a0=\u00a09.2) (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a01.0). Mixed\u2010effects modeling confirmed a significant reduction in FCR\u20107 scores over time (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a0377.176,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), with a significant overall effect across participants (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a02210.733,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests that a 12\u2010week remote exercise program may reduce FCR among patients with cancer. Given its accessibility and scalability, remote exercise programs should be further explored as a feasible strategy for addressing FCR in diverse populations. However, these findings are preliminary and should be confirmed in larger, controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70383","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T06:51:38Z","timestamp":1768027898000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Addressing Fear of Cancer Recurrence Through Remotely\u2010Delivered Exercise"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0037-0303","authenticated-orcid":false,"given":"Cristiane Decat","family":"Bergerot","sequence":"first","affiliation":[{"name":"Oncoclinicas&amp;Co \u2010 Medica Scientia Innovation Research (MEDSIR)  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2400-2935","authenticated-orcid":false,"given":"Kathryn H.","family":"Schmitz","sequence":"additional","affiliation":[{"name":"University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Errol J.","family":"Philip","sequence":"additional","affiliation":[{"name":"University of California Los Angeles  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas Ribeiro Gomes","family":"Silva","sequence":"additional","affiliation":[{"name":"Oncoclinicas&amp;Co \u2010 Medica Scientia Innovation Research (MEDSIR)  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan Ben","family":"Smith","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney A Joint Venture with Cancer Council NSW  Sydney Australia"},{"name":"Faculty of Medicine and Health South West Sydney Clinical Campuses University of New South Wales (UNSW Sydney)  Liverpool Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Gustavo","family":"Bergerot","sequence":"additional","affiliation":[{"name":"Oncoclinicas&amp;Co \u2010 Medica Scientia Innovation Research (MEDSIR)  Sao Paulo Brazil"},{"name":"Hospital Santa Lucia  Brasilia Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010016\u20103272\u20105"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2009.11.017"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5944"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2016.70.5301"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.00572"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32518"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4757"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2024.111970"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0001253"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2017.73.1257"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.647432"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21719"},{"key":"e_1_2_9_14_1","volume-title":"Toronto (ON): Ontario Health (Cancer Care Ontario)","author":"Lebel S.","year":"2024"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010024\u201001685\u20101"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5921"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010024\u201009056\u20103"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2025.102244"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2024.08.1550"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2025.43.5_suppl.130"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010018\u20100850\u2010x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2022.111125"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.1993.11.3.570"},{"issue":"3","key":"e_1_2_9_24_1","first-page":"316","article-title":"Development of a Single Portuguese Language Version of the Functional Assessment of Cancer Therapy General (FACIT\u2010G) Scale","volume":"9","author":"Arnold B. 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