{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T23:47:25Z","timestamp":1788565645622,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"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":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depression is common among older adults with cancer. The USA\u2010developed CARE (Cancer and Ageing: Reflection for Elders) psychotherapy intervention, specifically addresses the unique needs of older people (\u2265\u00a070\u00a0years) navigating the challenges of ageing, depression, and cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To review and tailor the CARE resources to ensure they are culturally appropriate and acceptable for older Australians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured cognitive \u2018think aloud\u2019 interviews were conducted with older Australians (\u2265\u00a070\u00a0years) diagnosed with cancer. Participants reviewed the intervention resources for each session providing feedback on content relevance and understandability. Content analysis was used to analyse the interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We completed 20 cognitive interviews. Participants had a mean age of 74\u00a0years (range 70\u201379) and most with a diagnosis of blood (55%\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a011) or breast cancer (45%,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a09) within 10\u00a0years. Resource content resonated with participants and a telephone\u2010delivered intervention was acceptable. Participants emphasised the need to simplify wording and modify language to reflect Australian culture. In Australia \u2018elders\u2019 is a cultural term used by First Nations peoples to identify a custodian of knowledge; most participants suggested changing this. For some participants, the analogy of ageism to racism used felt unfamiliar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights that cultural adaptation of psycho\u2010oncology interventions is required, even between English\u2010speaking countries, to ensure cultural appropriateness and enhance feasibility, acceptability and to maximise uptake for older adults facing cancer and depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70402","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T17:25:34Z","timestamp":1771089934000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cancer and Ageing Reflections for Elders (CARE): Australian Adaptation of a Psychotherapy for Older Adults With Cancer"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9910-3581","authenticated-orcid":false,"given":"Kirsty","family":"Galpin","sequence":"first","affiliation":[{"name":"School of Psychology Psycho\u2010Oncology Co\u2010operative Group (PoCoG) Faculty of Science The University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9512-9621","authenticated-orcid":false,"given":"Sharon","family":"He","sequence":"additional","affiliation":[{"name":"School of Psychology Psycho\u2010Oncology Co\u2010operative Group (PoCoG) Faculty of Science The University of Sydney  Sydney NSW 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 Psycho\u2010Oncology Co\u2010operative Group (PoCoG) Faculty of Science The University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haryana","family":"Dhillon","sequence":"additional","affiliation":[{"name":"School of Psychology Psycho\u2010Oncology Co\u2010operative Group (PoCoG) Faculty of Science The University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Memorial Sloan Kettering Cancer Centre  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8847-8452","authenticated-orcid":false,"given":"Lisa","family":"Beatty","sequence":"additional","affiliation":[{"name":"Flinders University Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work Flinders University  Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Kelly","sequence":"additional","affiliation":[{"name":"School of Psychological Science Newcastle University  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariko","family":"Carey","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health Newcastle University  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agatha","family":"Conrad","sequence":"additional","affiliation":[{"name":"Hunter New England Mental Health Service School of Medicine and Public Health College of Health Medicine and Wellbeing Newcastle University  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia","family":"Bartczak","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health Newcastle University  Newcastle NSW 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