{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:07:40Z","timestamp":1788847660387,"version":"build-2803163510"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Fear of cancer recurrence (FCR) is a common and distressing concern for caregivers of survivors of cancer. At clinical levels, FCR is persistent, impairs quality of life, increases psychological distress, and increases health-system costs. Emerging evidence suggests that about half of parents of survivors of childhood cancer report clinically significant FCR, with associated negative impacts. No interventions currently target parent FCR. The Fear of Recurrence Therapy (FORT) group intervention efficaciously reduces FCR and improves quality of life for survivors of adult cancer. Our aim was to adapt FORT for virtual delivery for parents of survivors of childhood cancer and evaluate its usability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the ADAPT and FRAME frameworks, we collaborated with 10 parents with lived experience to modify FORT for this population. Following adaptation, two trained therapists facilitated a usability trial of the adapted program (Parent-FORT) with one group of parents. Therapists and participants completed feedback questionnaires after each session to assess usefulness, usability, and readiness for future users, as well as a final exit interview. Descriptive statistics were used to summarize questionnaire data. Content analysis was used to summarize qualitative data from exit interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five mothers whose children were diagnosed with childhood cancer were enrolled and four (Alberta,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f2; Ontario,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f2) completed the usability trial. Significant changes were made to the intervention language and content, resulting in an additional session. Key changes included the addition of exercises on navigating parent\u2013child conversations about new physical symptoms and on exploring identity after cancer. Inclusion criteria were also broadened from one-year post-treatment to one-month post-treatment. Feedback indicated preliminary evidence of usability and acceptability. Qualitative analyses of exit interview data identified four themes: connectedness of the group, general format, satisfaction with the content and exercises, and overall impact.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Parent-FORT reflects the first FCR intervention designed specifically for parents of survivors of childhood cancer. Meaningful co-design with parents was essential to the success of the adaptation. These preliminary findings support Parent-FORT\u2019s readiness for testing in a future feasibility pilot study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1815418","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:34:26Z","timestamp":1788845666000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adaptation and usability study of the fear of cancer recurrence therapy for parents of survivors of childhood cancer (Parent-FORT)"],"prefix":"10.3389","volume":"17","author":[{"given":"Celeste","family":"Holy","sequence":"first","affiliation":[{"name":"School of Psychology, University of Ottawa","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffery","family":"Brinson","sequence":"additional","affiliation":[{"name":"Parent Partner","place":["Hamilton, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle","family":"Gibson-Haerle","sequence":"additional","affiliation":[{"name":"Parent Partner","place":["Hamilton, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Brooke","family":"Russell","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Ottawa","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesleigh S.","family":"Abbott","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauriane","family":"Gigu\u00e8re","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Ottawa","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Givogue","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory M. T.","family":"Guilcher","sequence":"additional","affiliation":[{"name":"Section of Pediatric Oncology\/Cellular Therapy, Alberta Children\u2019s Hospital, Cumming School of Medicine, University of Calgary","place":["Calgary, AB, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren C.","family":"Heathcote","sequence":"additional","affiliation":[{"name":"Health Psychology Section, Institute of Psychiatry, Psychology, & Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Johnson","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"McMillan","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health Sciences, University of Ottawa","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Maheu","sequence":"additional","affiliation":[{"name":"Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University & Research Institute","place":["Montreal, QC, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Pelletier","sequence":"additional","affiliation":[{"name":"Department of Oncology, Division of Psychosocial Oncology, Cumming School of Medicine, University of Calgary","place":["Calgary, AB, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Schulte","sequence":"additional","affiliation":[{"name":"Section of Pediatric Oncology\/Cellular Therapy, Alberta Children\u2019s Hospital, Cumming School of Medicine, University of Calgary","place":["Calgary, AB, Canada"]},{"name":"Department of Oncology, Division of Psychosocial Oncology, Cumming School of Medicine, University of Calgary","place":["Calgary, AB, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9lo\u00efse","family":"Sirois-Leclerc","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perri R.","family":"Tutelman","sequence":"additional","affiliation":[{"name":"Department of Oncology, Division of Psychosocial Oncology, Cumming School of Medicine, University of Calgary","place":["Calgary, AB, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Lebel","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Ottawa","place":["Ottawa, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"802","DOI":"10.1007\/s11764-016-0526-7","article-title":"Fear of cancer recurrence in survivor and caregiver dyads: differences by sexual orientation and how dyad members influence each other","volume":"10","author":"Boehmer","year":"2016","journal-title":"J. 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