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Stress Management Program for Scanxiety in People With Advanced Lung Cancer: Intervention Adaptation and Stakeholder

Heather Derry-Vick1,2, Amanda Khoudary1, Osairys Billini1

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A new stress management program effectively addresses scanxiety in advanced lung cancer patients. This highly-rated intervention shows potential for alleviating distress during cancer monitoring.

Keywords:
anxietybehavioralcancerlung canceroncologypsychosocialscanxietysurvivorship

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Area of Science:

  • Psychosocial Oncology
  • Digital Health Interventions
  • Cancer Patient Support

Background:

  • Scanxiety, or imaging-related anxiety, is a significant psychosocial challenge for advanced lung cancer patients.
  • Existing interventions for scanxiety are limited, highlighting a critical unmet need in patient care.

Purpose of the Study:

  • To develop and evaluate a novel stress management program tailored to mitigate scanxiety in individuals with advanced lung cancer.
  • The program aims to enhance coping mechanisms and reduce emotional distress associated with cancer surveillance.

Main Methods:

  • A structured intervention adaptation process using the ADAPT-ITT framework was employed.
  • The program was iteratively refined based on feedback from patients, family members, and clinicians.
  • Participant feedback on acceptability, feasibility, appropriateness, helpfulness, and usability was collected via validated measures and interviews.

Main Results:

  • The intervention was rated highly for acceptability (89%), feasibility (89%), and appropriateness (95%).
  • Six of seven modules were deemed helpful and appropriate, with revisions made to the introductory module based on qualitative feedback.
  • Post-use usability was high, despite initial website navigation challenges for some users.

Conclusions:

  • The developed stress management program is highly rated and demonstrates significant potential to alleviate scanxiety in advanced lung cancer patients.
  • This digital, largely self-guided intervention offers a promising approach to support the psychosocial well-being of cancer patients during monitoring.