{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:26:35Z","timestamp":1780338395239,"version":"3.54.1"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"publisher","award":["K24CA197382"],"award-info":[{"award-number":["K24CA197382"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007299","name":"Harvard Catalyst","doi-asserted-by":"publisher","award":["UL1TR002541"],"award-info":[{"award-number":["UL1TR002541"]}],"id":[{"id":"10.13039\/100007299","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008460","name":"National Center for Complementary and Integrative Health","doi-asserted-by":"publisher","award":["T32AT000051, K23AT010157, K24AT009465"],"award-info":[{"award-number":["T32AT000051, K23AT010157, K24AT009465"]}],"id":[{"id":"10.13039\/100008460","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Advances in Integrative Medicine and Health"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Fear of cancer recurrence (FCR) is highly common and, if poorly managed, can be distressing and impairing. We developed a virtual, mind-body resiliency intervention for fear of cancer recurrence in survivorship (IN FOCUS), which was shown to be feasible and improved FCR post-intervention. This report aimed to describe coping processes associated with FCR and effects of IN FOCUS on coping over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A single-blinded, 2-arm, randomized controlled trial was conducted from July 2021 to March 2022 comparing IN FOCUS (8 weekly, 90-minute, synchronous virtual group classes teaching cognitive behavioral techniques, relaxation training, meditation, adaptive health behaviors, and positive psychology skills) to usual care (synchronous virtual community group support referral) among cancer survivors with non-metastatic disease and clinically elevated FCR (FCR Inventory severity \u226516). Measures included coping styles (Brief COPE) and perceived coping skills (Measure of Current Status-Part A). Intent-to-treat analyses with separate general linear mixed models were used to identify group-by-time effects (Cohen\u2019s\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      ; 0.5 a medium effect, 0.8 a large effect) from baseline through 2\u00a0months and 5\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty-four survivors enrolled (age M = 52\u00a0years, time since completing primary cancer treatment M = 5\u00a0years). By 5\u00a0months, survivors randomized to IN FOCUS (vs usual care) demonstrated multiple effects on coping in the medium to large range. Compared to usual care, IN FOCUS increased problem-focused coping, such as using instrumental support (\n                      <jats:italic toggle=\"yes\">d =<\/jats:italic>\n                      0.60), planning (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.60), positive reframing (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.48), and active coping (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.45). Similarly, IN FOCUS improved emotion-focused coping, specifically venting (\n                      <jats:italic toggle=\"yes\">d =<\/jats:italic>\n                      0.70), acceptance (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.58), humor (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.50), and religion (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.48). IN FOCUS also enhanced survivors\u2019 coping confidence (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.79), relaxation skills (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.57), and assertiveness (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.46). Avoidance-focused coping and awareness of physical tension exhibited less robust changes by 5\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cancer survivors can enhance multiple aspects of coping with FCR through interventions such as IN FOCUS that teach mind-body resiliency techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27536130251407685","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T07:37:34Z","timestamp":1766389054000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Teaching Cancer Survivors Coping Skills for Managing Fear of Recurrence: Insights From a Pilot Randomized Controlled Trial"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2558-966X","authenticated-orcid":false,"given":"Aimee J.","family":"Christie","sequence":"first","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb","family":"Bolden","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6319-264X","authenticated-orcid":false,"given":"Elyse R.","family":"Park","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria Y.","family":"Yeh","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Beth Israel Deaconess Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conall","family":"O\u2019Cleirigh","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang","family":"Lee","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Peppercorn","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne I.","family":"Wagner","sequence":"additional","affiliation":[{"name":"University of North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth C.","family":"Henley","sequence":"additional","affiliation":[{"name":"University of Miami"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Traeger","sequence":"additional","affiliation":[{"name":"University of Miami"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ade","family":"Adamson","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony D","family":"Sung","sequence":"additional","affiliation":[{"name":"The University of Kansas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"Hall","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,21]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5921"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5283"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5568"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5673"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1200\/jop.18.00787"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-013-0272-z"},{"key":"e_1_3_8_8_2","unstructured":"National Cancer Institute. 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