{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:10:58Z","timestamp":1791623458795,"version":"4.3.4"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T00:00:00Z","timestamp":1667520000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T00:00:00Z","timestamp":1667520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004622","name":"KWF Kankerbestrijding","doi-asserted-by":"publisher","award":["11656"],"award-info":[{"award-number":["11656"]}],"id":[{"id":"10.13039\/501100004622","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Surviv"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Fear of cancer recurrence (FCR) interventions are effective, but few are implemented. This study aimed to identify barriers and facilitators for implementing the evidence-based blended SWORD intervention in routine psycho-oncological care.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Semi-structured interviews with 19 cancer survivors and 18 professionals from three healthcare settings assessed barriers and facilitators in six domains as described by the determinant frameworks of Grol and Flottorp: (1) innovation, (2) professionals, (3) patients, (4) social context, (5) organization, and (6) economic and political context.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In the <jats:italic>innovation domain<\/jats:italic>, there were few barriers. Facilitators included high reliability, accessibility, and relevance of SWORD<jats:italic>.<\/jats:italic> In the <jats:italic>professional domain<\/jats:italic>, physicians and nurses barriers were lack of self-efficacy, knowledge, and skills to address FCR whereas psychologists had sufficient knowledge and skills, but some were critical towards protocolized treatments, cognitive behavioral therapy, or eHealth. <jats:italic>Patient domain<\/jats:italic> barriers included lack of FCR awareness, negative expectations of psychotherapy, and unwillingness\/inability to actively engage in treatment. A <jats:italic>social context domain<\/jats:italic> barrier was poor communication between different healthcare professionals. <jats:italic>Organization domain<\/jats:italic> barriers included inadequate referral structures to psychological services, limited capacity, and complex legal procedures. <jats:italic>Economic and political context domain<\/jats:italic> barriers included lack of a national implementation structure for evidence-based psycho-oncological interventions and eHealth platform costs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Implementation strategies should be targeted at patient, professional, organizational and economic and political domains. Identified barriers and facilitators are relevant to other researchers in psycho-oncology that aim to bridge the research-practice gap.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Implications for cancer survivors<\/jats:title>\n                <jats:p>This study contributes to the implementation of evidence-based psychological interventions for cancer survivors, who can benefit from these services.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11764-022-01285-x","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T06:02:31Z","timestamp":1667541751000},"page":"1057-1071","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Barriers and facilitators for implementation of the SWORD evidence-based psychological intervention for fear of cancer recurrence in three different healthcare settings"],"prefix":"10.1007","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1973-7366","authenticated-orcid":false,"given":"Esther","family":"Deuning-Smit","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evie E. M.","family":"Kolsteren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Kwakkenbos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 A. E.","family":"Custers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosella P. M. G.","family":"Hermens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith B.","family":"Prins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,4]]},"reference":[{"issue":"31","key":"1285_CR1","doi-asserted-by":"publisher","first-page":"2899","DOI":"10.1200\/JCO.19.00572","volume":"37","author":"NM Tauber","year":"2019","unstructured":"Tauber NM, et al. Effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis. J Clin Oncol. 2019;37(31):2899\u2013915. https:\/\/doi.org\/10.1200\/JCO.19.00572.","journal-title":"J Clin Oncol"},{"issue":"3","key":"1285_CR2","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1097\/OR9.0000000000000014","volume":"1","author":"NM Rankin","year":"2019","unstructured":"Rankin NM, et al. An implementation science primer for psycho-oncology: translating robust evidence into practice. J Psychosoc Oncol Res Pract. 2019;1(3):e14. https:\/\/doi.org\/10.1097\/OR9.0000000000000014.","journal-title":"J Psychosoc Oncol Res Pract"},{"issue":"4","key":"1285_CR3","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1002\/pon.4428","volume":"26","author":"PB Jacobsen","year":"2017","unstructured":"Jacobsen PB. New challenges in psycho-oncology research ii: a health care delivery, dissemination, and implementation research model to promote psychosocial care in routine cancer care. Psychooncology. 2017;26(4):419\u201323. https:\/\/doi.org\/10.1002\/pon.4428.","journal-title":"Psychooncology"},{"issue":"10","key":"1285_CR4","doi-asserted-by":"publisher","first-page":"2310","DOI":"10.1002\/pon.4837","volume":"27","author":"G Rodin","year":"2018","unstructured":"Rodin G. From evidence to implementation: the global challenge for psychosocial oncology. Psychooncology. 2018;27(10):2310\u20136. https:\/\/doi.org\/10.1002\/pon.4837.","journal-title":"Psychooncology"},{"issue":"2","key":"1285_CR5","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1093\/tbm\/ibz022","volume":"9","author":"PB Jacobsen","year":"2019","unstructured":"Jacobsen PB, Norton WE. The role of implementation science in improving distress assessment and management in oncology: a commentary on \u201cscreening for psychosocial distress among patients with cancer: Implications for clinical practice, healthcare policy, and dissemination to enhance cancer survivorship.\u201d Transl Behav Med. 2019;9(2):292\u20135. https:\/\/doi.org\/10.1093\/tbm\/ibz022.","journal-title":"Transl Behav Med"},{"issue":"3","key":"1285_CR6","doi-asserted-by":"publisher","first-page":"e13060","DOI":"10.1111\/ecc.13060","volume":"28","author":"S Mirosevic","year":"2019","unstructured":"Mirosevic S, et al. Prevalence and factors associated with unmet needs in post-treatment cancer survivors: a systematic review. Eur J Cancer Care. 2019;28(3):e13060. https:\/\/doi.org\/10.1111\/ecc.13060.","journal-title":"Eur J Cancer Care"},{"issue":"4","key":"1285_CR7","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1097\/CCO.0000000000000837","volume":"34","author":"JB Prins","year":"2022","unstructured":"Prins JB, et al. Interventions addressing fear of cancer recurrence \u2013 challenges and future perspectives. Curr Opin Oncol. 2022;34(4):279\u201384. https:\/\/doi.org\/10.1097\/CCO.0000000000000837.","journal-title":"Curr Opin Oncol"},{"issue":"8","key":"1285_CR8","doi-asserted-by":"publisher","first-page":"3265","DOI":"10.1007\/s00520-016-3272-5","volume":"24","author":"S Lebel","year":"2016","unstructured":"Lebel S, Ozakinci G, Humphris G, Mutsaers B, Thewes B, Prins J, et al. From normal response to clinical problem: definition and clinical features of fear of cancer recurrence. Support Care Cancer. 2016;24(8):3265\u20138.","journal-title":"Support Care Cancer"},{"issue":"2","key":"1285_CR9","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1002\/pon.5283","volume":"29","author":"B Mutsaers","year":"2020","unstructured":"Mutsaers B, Butow P, Dinkel A, Humphris G, Maheu C, Ozakinci G, et al. Identifying the key characteristics of clinical fear of cancer recurrence: an international Delphi study. Psychooncology. 2020;29(2):430\u20136.","journal-title":"Psychooncology"},{"issue":"3","key":"1285_CR10","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1007\/s11764-013-0272-z","volume":"7","author":"S Simard","year":"2013","unstructured":"Simard S, Thewes B, Humphris G, Dixon M, Hayden C, Mireskandari S, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Survivorship\u202f: Res Pract. 2013;7(3):300\u201322.","journal-title":"J Cancer Survivorship : Res Pract"},{"key":"1285_CR11","doi-asserted-by":"crossref","unstructured":"Williams JTW, Pearce A, Smith A. A systematic review of fear of cancer recurrence related healthcare use and intervention cost-effectiveness. Psychooncology. 2021.","DOI":"10.1002\/pon.5673"},{"key":"1285_CR12","doi-asserted-by":"publisher","unstructured":"Shaw J, et al. Setting an international research agenda for fear of cancer recurrence: an online delphi consensus study. Front Psychol. 2021;12:596\u2013682. https:\/\/doi.org\/10.3389\/fpsyg.2021.596682.","DOI":"10.3389\/fpsyg.2021.596682"},{"issue":"1","key":"1285_CR13","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s40359-015-0068-1","volume":"3","author":"MA van de Wal","year":"2015","unstructured":"van de Wal MA, et al. Study protocol of the sword-study: a randomised controlled trial comparing combined online and face-to-face cognitive behaviour therapy versus treatment as usual in managing fear of cancer recurrence. BMC Psychol. 2015;3(1):12. https:\/\/doi.org\/10.1186\/s40359-015-0068-1.","journal-title":"BMC Psychol"},{"issue":"19","key":"1285_CR14","doi-asserted-by":"publisher","first-page":"2173","DOI":"10.1200\/JCO.2016.70.5301","volume":"35","author":"M van de Wal","year":"2017","unstructured":"van de Wal M, et al. Efficacy of blended cognitive behavior therapy for high fear of recurrence in breast, prostate, and colorectal cancer survivors: the sword study, a randomized controlled trial. J Clin Oncol. 2017;35(19):2173\u201383. https:\/\/doi.org\/10.1200\/JCO.2016.70.5301.","journal-title":"J Clin Oncol"},{"key":"1285_CR15","doi-asserted-by":"publisher","unstructured":"Burm R, et al. Long-term efficacy and cost-effectiveness of blended cognitive behavior therapy for high fear of recurrence in breast, prostate and colorectal cancer survivors: follow-up of the sword randomized controlled trial. BMC Cancer. 2019;19(462) https:\/\/doi.org\/10.1186\/s12885-019-5615-3.","DOI":"10.1186\/s12885-019-5615-3"},{"issue":"6 Suppl","key":"1285_CR16","doi-asserted-by":"publisher","first-page":"S57","DOI":"10.5694\/j.1326-5377.2004.tb05948.x","volume":"180","author":"R Grol","year":"2004","unstructured":"Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust. 2004;180(6 Suppl):S57-60. https:\/\/doi.org\/10.5694\/j.1326-5377.2004.tb05948.x.","journal-title":"Med J Aust"},{"key":"1285_CR17","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1007\/s00520-019-04762-9","volume":"28","author":"S Cruickshank","year":"2020","unstructured":"Cruickshank S, et al. Specialist breast cancer nurses\u2019 views on implementing a fear of cancer recurrence intervention in practice: a mixed methods study. Support Care Cancer. 2020;28:201\u201310. https:\/\/doi.org\/10.1007\/s00520-019-04762-9.","journal-title":"Support. Care Cancer"},{"issue":"3","key":"1285_CR18","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1002\/pon.4971","volume":"28","author":"P Butow","year":"2019","unstructured":"Butow P, et al. A psychological intervention (conquerfear) for treating fear of cancer recurrence: views of study therapists regarding sustainability. Psychooncology. 2019;28(3):533\u20139. https:\/\/doi.org\/10.1002\/pon.4971.","journal-title":"Psychooncology"},{"key":"1285_CR19","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/1748-5908-8-35","volume":"8","author":"SA Flottorp","year":"2013","unstructured":"Flottorp SA, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci. 2013;8:35. https:\/\/doi.org\/10.1186\/1748-5908-8-35.","journal-title":"Implement Sci"},{"issue":"6","key":"1285_CR20","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, et al. Consolidated criteria for reporting qualitative research (coreq): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349\u201357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042.","journal-title":"Int J Qual Health Care"},{"issue":"11","key":"1285_CR21","doi-asserted-by":"publisher","first-page":"2609","DOI":"10.1002\/pon.4782","volume":"27","author":"JAE Custers","year":"2018","unstructured":"Custers JAE, Kwakkenbos L, van de Wal M, Prins JB, Thewes B. Re-validation and screening capacity of the 6-item version of the Cancer Worry Scale. Psychooncology. 2018;27(11):2609\u201315.","journal-title":"Psychooncology"},{"issue":"3","key":"1285_CR22","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1007\/s10549-016-4076-5","volume":"161","author":"NK Janz","year":"2017","unstructured":"Janz NK, et al. The impact of doctor\u2013patient communication on patients\u2019 perceptions of their risk of breast cancer recurrence. Breast Cancer Res Treat. 2017;161(3):525\u201335. https:\/\/doi.org\/10.1007\/s10549-016-4076-5.","journal-title":"Breast Cancer Res Treat"},{"issue":"10","key":"1285_CR23","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1002\/pon.1017","volume":"15","author":"P Schofield","year":"2006","unstructured":"Schofield P, et al. Barriers to the provision of evidence-based psychosocial care in oncology. Psychooncology. 2006;15(10):863\u201372. https:\/\/doi.org\/10.1002\/pon.1017.","journal-title":"Psychooncology"},{"issue":"1","key":"1285_CR24","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1002\/pon.5558","volume":"30","author":"AB Smith","year":"2021","unstructured":"Smith AB. Integrating fear of cancer recurrence screening into routine care: opportunities and challenges. Psychooncology. 2021;30(1):134\u20137. https:\/\/doi.org\/10.1002\/pon.5558.","journal-title":"Psychooncology"},{"key":"1285_CR25","doi-asserted-by":"publisher","first-page":"8953","DOI":"10.2147\/CMAR.S294114","volume":"13","author":"P Pradhan","year":"2021","unstructured":"Pradhan P, et al. Towards a stepped care model for managing fear of cancer recurrence or progression in cancer survivors. Cancer Manag Res. 2021;13:8953\u201365. https:\/\/doi.org\/10.2147\/CMAR.S294114.","journal-title":"Cancer Manag Res."},{"issue":"9","key":"1285_CR26","first-page":"672","volume":"66","author":"B Mutsaers","year":"2020","unstructured":"Mutsaers B, et al. Assessing and managing patient fear of cancer recurrence. Can Fam Physician. 2020;66(9):672\u20133.","journal-title":"Can Fam Physician"},{"issue":"12","key":"1285_CR27","doi-asserted-by":"publisher","first-page":"e032616","DOI":"10.1136\/bmjopen-2019-032616","volume":"9","author":"YL Luigjes-Huizer","year":"2019","unstructured":"Luigjes-Huizer YL, van der Lee ML, de Wit NJ, Helsper CW. Study protocol of the BLANKET trial: a cluster randomised controlled trial on the (cost-) effectiveness of a primary care intervention for fear of cancer recurrence in cancer survivors. BMJ Open. 2019;9(12):e032616.","journal-title":"BMJ Open"},{"key":"1285_CR28","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1186\/s13012-015-0308-z","volume":"10","author":"S WiltseyStirman","year":"2015","unstructured":"WiltseyStirman S, et al. Relationships between clinician-level attributes and fidelity-consistent and fidelity-inconsistent modifications to an evidence-based psychotherapy. Implement Sci. 2015;10:115. https:\/\/doi.org\/10.1186\/s13012-015-0308-z.","journal-title":"Implement Sci"},{"issue":"1","key":"1285_CR29","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1186\/s12888-018-1768-x","volume":"18","author":"SJE Bruijniks","year":"2018","unstructured":"Bruijniks SJE, et al. The implementation and adherence to evidence-based protocols for psychotherapy for depression: the perspective of therapists in dutch specialized mental healthcare. BMC Psychiatry. 2018;18(1):190. https:\/\/doi.org\/10.1186\/s12888-018-1768-x.","journal-title":"BMC Psychiatry"},{"issue":"1","key":"1285_CR30","doi-asserted-by":"publisher","DOI":"10.2196\/mental.4534","volume":"3","author":"J Wentzel","year":"2016","unstructured":"Wentzel J, et al. Mixing online and face-to-face therapy: how to benefit from blended care in mental health care. JMIR Ment Health. 2016;3(1): e9. https:\/\/doi.org\/10.2196\/mental.4534.","journal-title":"JMIR Ment Health"},{"issue":"1","key":"1285_CR31","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1186\/s12888-014-0355-z","volume":"14","author":"R van der Vaart","year":"2014","unstructured":"van der Vaart R, et al. Blending online therapy into regular face-to-face therapy for depression: content, ratio and preconditions according to patients and therapists using a delphi study. BMC Psychiatry. 2014;14(1):355. https:\/\/doi.org\/10.1186\/s12888-014-0355-z.","journal-title":"BMC Psychiatry"},{"issue":"3","key":"1285_CR32","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1007\/s00520-018-4568-4","volume":"27","author":"R Sanson-Fisher","year":"2019","unstructured":"Sanson-Fisher R, et al. The new challenge for improving psychosocial cancer care: shifting to a system-based approach. Support Care Cancer. 2019;27(3):763\u20139. https:\/\/doi.org\/10.1007\/s00520-018-4568-4.","journal-title":"Support Care Cancer"},{"issue":"8","key":"1285_CR33","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.1007\/s00520-011-1159-z","volume":"19","author":"TF Hack","year":"2011","unstructured":"Hack TF, et al. Facilitating the implementation of empirically valid interventions in psychosocial oncology and supportive care. Support Care Cancer. 2011;19(8):1097\u2013105. https:\/\/doi.org\/10.1007\/s00520-011-1159-z.","journal-title":"Support Care Cancer"},{"issue":"1","key":"1285_CR34","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/1748-5908-7-50","volume":"7","author":"JM Grimshaw","year":"2012","unstructured":"Grimshaw JM, et al. Knowledge translation of research findings. Implement Sci. 2012;7(1):50. https:\/\/doi.org\/10.1186\/1748-5908-7-50.","journal-title":"Implement Sci"}],"container-title":["Journal of Cancer Survivorship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-022-01285-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-022-01285-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-022-01285-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T10:11:48Z","timestamp":1710929508000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11764-022-01285-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,4]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["1285"],"URL":"https:\/\/doi.org\/10.1007\/s11764-022-01285-x","relation":{},"ISSN":["1932-2259","1932-2267"],"issn-type":[{"value":"1932-2259","type":"print"},{"value":"1932-2267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,4]]},"assertion":[{"value":"1 June 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 October 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was obtained by the ethical committee (CMO Arnhem-Nijmegen 2019\u20135307).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}