{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:39:25Z","timestamp":1792600765082,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Treatment uptake for depression and anxiety in psycho\u2010oncology is low. Blended psychological therapy (BT), which combines self\u2010guided digital content with clinician\u2010delivered sessions, may improve treatment access and engagement. In Australia, no BT program exists in routine cancer care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To co\u2010design a BT intervention clinically appropriate for anxiety\/depression treatment in cancer patients and investigate its potential acceptability and feasibility for implementation in psycho\u2010oncology in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Qualitative, co\u2010design focus groups were conducted via videoconference with psycho\u2010oncology psychologists in two stages: co\u2010design of a cancer\u2010specific BT model prototype (stage I) and confirmation of prototype content and structure acceptability (stage II). Participants provided iterative feedback on cancer\u2010specific CBT elements to include in the BT intervention. Data were analyzed using an Interpretive Description approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen clinicians participated across five co\u2010design workshops. In stage I, identified themes were: (i) importance of the intake interview and orientation to the program; (ii) the prominent role of face\u2010to\u2010face contact in the BT model; and (iii) suitability of content for digital delivery. Stage II themes were: (i) feasibility of BT in psycho\u2010oncology; and (ii) perceived importance of face\u2010to\u2010face for improved content delivery. The resulting BT intervention model (\u201ciCanBlend\u201d) had a higher dose of face\u2010to\u2010face over digital sessions to promote treatment engagement and enhance duty\u2010of\u2010care online.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall, iCanBlend was acceptable and clinically appropriate for the cancer context in Australia, although feasibility was not confirmed, given participants' preference for face\u2010to\u2010face support for digital content. Future research is required with clinicians and patients to determine usability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70629","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:11:03Z","timestamp":1792584663000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Co\u2010Designing the iCanBlend Model: A Blended Psychological Therapy Intervention for Treating Anxiety and Depression in the Context of Cancer"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5310-6945","authenticated-orcid":false,"given":"Kelly Ferrao","family":"Nunes\u2010Zlotkowski","sequence":"first","affiliation":[{"name":"Psycho\u2010Oncology Co\u2010Operative Research Group (PoCoG) School of Psychology The University of Sydney  Sydney Australia"},{"name":"Centre for Medical Psychology &amp; Evidence\u2010Based Decision\u2010Making (CeMPED) School of Psychology The University of Sydney  Sydney Australia"},{"name":"Melanoma Institute Australia The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3350-1325","authenticated-orcid":false,"given":"Heather","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Psycho\u2010Oncology Co\u2010Operative Research Group (PoCoG) School of Psychology The University of Sydney  Sydney Australia"},{"name":"Susan Wakil School of Nursing and Midwifery Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8847-8452","authenticated-orcid":false,"given":"Lisa","family":"Beatty","sequence":"additional","affiliation":[{"name":"Psycho\u2010Oncology Co\u2010Operative Research Group (PoCoG) School of Psychology The University of Sydney  Sydney Australia"},{"name":"College of Education, Psychology and Social Work Flinders University Flinders University Institute of Mental Health and Wellbeing  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3562-6954","authenticated-orcid":false,"given":"Phyllis","family":"Butow","sequence":"additional","affiliation":[{"name":"Psycho\u2010Oncology Co\u2010Operative Research Group (PoCoG) School of Psychology The University of Sydney  Sydney Australia"},{"name":"Centre for Medical Psychology &amp; 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