{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:43:16Z","timestamp":1791931396365,"version":"4.3.4"},"reference-count":104,"publisher":"JMIR Publications Inc.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Following the end of a child\u2019s treatment for cancer, parents may report psychological distress. However, there is a lack of evidence-based interventions that are tailored to the population, and psychological support needs are commonly unmet. An internet-administered low-intensity cognitive behavioral therapy (LICBT)\u2013based intervention (EJDeR [internetbaserad sj\u00e4lvhj\u00e4lp f\u00f6r f\u00f6r\u00e4ldrar till barn som avslutat en behandling mot cancer]) may provide a solution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The first objective is to provide an overview of a multimethod approach that was used to inform the development of the EJDeR intervention. The second objective is to provide a detailed description of the EJDeR intervention in accordance with the Template for Intervention Description and Replication (TIDieR) checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>EJDeR was developed through a multimethod approach, which included the use of existing evidence, the conceptualization of distress, participatory action research, a cross-sectional survey, and professional and public involvement. Depending on the main presenting difficulty identified during assessment, LICBT behavioral activation or worry management treatment protocols are adopted for the treatment of depression or generalized anxiety disorder when experienced individually or when comorbid. EJDeR is delivered via the Uppsala University Psychosocial Care Programme (U-CARE) portal, a web-based platform that is designed to deliver internet-administered LICBT interventions and includes secure videoconferencing. To guide parents in the use of EJDeR, weekly written messages via the portal are provided by e-therapists comprising final year psychology program students with training in cognitive behavioral therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An overview of the development process and a description of EJDeR, which was informed by the TIDieR checklist, are presented. Adaptations that were made in response to public involvement are highlighted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EJDeR represents a novel, guided, internet-administered LICBT intervention for supporting parents of children treated for cancer. Adopting the TIDieR checklist offers the potential to enhance fidelity to the intervention protocol and facilitate later implementation. The intervention is currently being tested in a feasibility study (the ENGAGE study).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>International Registered Report Identifier (IRRID)<\/jats:title>\n                    <jats:p>RR2-10.1136\/bmjopen-2018-023708<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/22709","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T12:56:40Z","timestamp":1623934600000},"page":"e22709","source":"Crossref","is-referenced-by-count":24,"title":["Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study"],"prefix":"10.2196","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5062-6798","authenticated-orcid":false,"given":"Joanne","family":"Woodford","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7898-5362","authenticated-orcid":false,"given":"Paul","family":"Farrand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2835-0259","authenticated-orcid":false,"given":"Josefin","family":"Hagstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3500-7160","authenticated-orcid":false,"given":"Li","family":"Hedenmalm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-7231","authenticated-orcid":false,"given":"Louise","family":"von Essen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2021,7,22]]},"reference":[{"key":"ref1","unstructured":"Steliarova-FoucherEColombetMRiesLHesselingPMorenoFShinHStillerCInternational incidence of childhood cancer, volume IIIWorld Health Organization - International Agency for Research on Cancer20172020-08-18http:\/\/iicc.iarc.fr\/results\/"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70548-5"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(17)30186-9"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(19)30530-3"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218860"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0103340"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27677"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsn007"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.22725"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2018.1445286"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3109\/0284186X.2012.760846"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30436"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5088"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3109\/0284186X.2016.1167956"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.33444"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1590\/0104-1169.0196.2613"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-011-9854-2"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27767"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2017.1374554"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12059"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-2083-1"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.25761"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2004.06.001"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17113877"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000068"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31612-X"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050817-084833"},{"key":"ref28","unstructured":"The improving access to psychological therapies manualNational Collaborating Centre for Mental Health20192020-08-18https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/improving-care\/nccmh\/iapt\/the-iapt-manual--final--republished-7-3-18.pdf?sfvrsn=a192d1af_0"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1987-1"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1838-0"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714000701"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.186.1.11"},{"issue":"4","key":"ref33","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1037\/0022-006X.68.4.573","volume":"68","author":"Sobell, MB","year":"2000","journal-title":"J Consult Clin Psychol"},{"key":"ref34","first-page":"1","author":"Farrand, P","year":"2010","journal-title":"Low-Intensity CBT Skills and Interventions: A Practitioner's Manual"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1093\/med:psych\/9780199590117.003.0001","author":"Bennett-Levy, J","year":"2010","journal-title":"Oxford Guide to Low Intensity CBT Interventions"},{"key":"ref36","author":"Beck, A","year":"1979","journal-title":"Cognitive Therapy of Depression"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.11.001"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2014.08.003"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2017.17"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2017.1401115"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.2196\/18100"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsaa013"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0084323"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7662"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3077-6"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1655"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39590.732037.47"},{"key":"ref49","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0157076"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.4570"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9457"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.2196\/10085"},{"key":"ref53","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j3453"},{"key":"ref54","unstructured":"FarrandPWoodfordJSmallFFrom worries to solutionsExeter University20192020-08-18https:\/\/cedar.exeter.ac.uk\/media\/universityofexeter\/schoolofpsychology\/cedar\/documents\/liiapt\/Problems_to_Solutions.pdf"},{"key":"ref55","unstructured":"RichardsDWhyteMReach out. National programme student materials to support the delivery of training for psychological wellbeing practitioners delivering low intensity interventions. 3rd editionNHS - Improving Access to Psychological Therapies20112020-08-18https:\/\/cedar.exeter.ac.uk\/media\/universityofexeter\/schoolofpsychology\/cedar\/documents\/Reach_Out_3rd_edition.pdf"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465807004067"},{"key":"ref57","doi-asserted-by":"publisher","DOI":"10.1080\/09638230802053334"},{"key":"ref58","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7214.866"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.3310\/hta12240"},{"key":"ref60","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465805002481"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465809990452"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.1177\/0020764006066841"},{"key":"ref63","doi-asserted-by":"publisher","DOI":"10.1109\/tpc.2004.828205"},{"key":"ref64","doi-asserted-by":"publisher","DOI":"10.2196\/resprot.3202"},{"key":"ref65","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7310"},{"key":"ref66","unstructured":"Post-traumatic stress disorderNICE guideline [NG116]20182020-08-10https:\/\/www.nice.org.uk\/guidance\/ng116"},{"key":"ref67","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1093\/med:psych\/9780199590117.003.0012","author":"Richards, D","year":"2010","journal-title":"Oxford Guide to Low Intensity CBT Interventions"},{"key":"ref68","unstructured":"FarrandPWoodfordJSmallFMullanEBehavioural activation self-help to improve depression in people living with dementia: the PROMOTE treatment protocolNZ J Psychol20172020-08-18https:\/\/www.psychology.org.nz\/journal-archive\/PROMOTE-treatment-protocol.pdf"},{"key":"ref69","first-page":"1","author":"Farrand, P","year":"2020","journal-title":"Low-Intensity CBT Skills and Interventions"},{"key":"ref70","first-page":"1","author":"Small, F","year":"2020","journal-title":"Low-Intensity CBT Skills and Interventions"},{"key":"ref71","first-page":"1","author":"Miles, G","year":"2020","journal-title":"Low-Intensity CBT Skills and Interventions: A Practitioner's Manual"},{"key":"ref72","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0100100"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-15-196"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.1177\/0145445503255489"},{"key":"ref75","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(90)90027-g"},{"key":"ref76","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(94)00064-s"},{"key":"ref77","doi-asserted-by":"publisher","DOI":"10.1177\/0145445500245002"},{"key":"ref78","author":"Dugas, M","year":"2007","journal-title":"Cognitive-Behavioral Treatment for Generalized Anxiety Disorder: From Science to Practice"},{"key":"ref79","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2018.1499692"},{"key":"ref80","first-page":"1","author":"Chadwick, P","year":"2020","journal-title":"Low-Intensity CBT Skills and Interventions: A Practitioner's Manual"},{"key":"ref81","doi-asserted-by":"publisher","DOI":"10.1207\/s15327965pli1104_01"},{"key":"ref82","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291700029846"},{"key":"ref83","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066x.52.4.366"},{"key":"ref84","doi-asserted-by":"publisher","DOI":"10.1017\/s0144686x00003603"},{"key":"ref85","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.88.6.1005"},{"key":"ref86","doi-asserted-by":"publisher","DOI":"10.1080\/17405629.2016.1207518"},{"key":"ref87","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.06.031"},{"key":"ref88","doi-asserted-by":"publisher","DOI":"10.1192\/apt.8.4.307"},{"key":"ref89","doi-asserted-by":"publisher","DOI":"10.1192\/apt.8.3.172"},{"key":"ref90","unstructured":"RothAPillingSThe competences required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disordersDepartment of Health, London20072017-07-05https:\/\/tinyurl.com\/4b7f9j82"},{"key":"ref91","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2104"},{"key":"ref92","doi-asserted-by":"publisher","DOI":"10.17705\/1CAIS.02428"},{"key":"ref93","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.02.030"},{"key":"ref94","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2018.1457079"},{"key":"ref95","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2019.100255"},{"key":"ref96","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-023708"},{"key":"ref97","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2020.100572"},{"key":"ref98","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4778-6"},{"key":"ref99","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2018.07.006"},{"key":"ref100","doi-asserted-by":"publisher","DOI":"10.1037\/a0016401"},{"key":"ref101","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.10.018"},{"key":"ref102","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1093\/med:psych\/9780199590117.003.0050","author":"Telford, J","year":"2010","journal-title":"Oxford Guide to Low Intensity CBT Interventions"},{"key":"ref103","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.084756"},{"key":"ref104","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711000900"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/formative.jmir.org\/2021\/7\/e22709","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:31:33Z","timestamp":1782840693000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2021\/7\/e22709"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,22]]},"references-count":104,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2196\/22709","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.22709","asserted-by":"object"}]},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,22]]}}}