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Related Concept Videos

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Related Experiment Video

Updated: May 20, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Assessing the impact of a self-guided digital intervention for fear of cancer recurrence (iConquerFear) in ovarian

Verena S Wu1,2, Allan 'Ben' Smith3,4, Hayley Russell5

  • 1The Daffodil Centre, The University of Sydney, A Joint Venture with Cancer Council NSW, Sydney, NSW, Australia.

BMC Cancer
|March 24, 2025
PubMed
Summary

The online iConquerFear intervention showed limited engagement and acceptability among ovarian cancer survivors, indicating it may not be suitable in its current form. Further research is needed to improve online support for fear of cancer recurrence.

Keywords:
Fear of cancer recurrenceFear of progressionOnlineOvarian cancerSelf managementWeb-basedeHealth

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Area of Science:

  • Oncology
  • Psychological Oncology
  • Digital Health

Background:

  • Fear of cancer recurrence/progression (FCR/P) significantly impacts ovarian cancer (OC) survivors, with approximately 50% reporting it as a major challenge.
  • Online interventions offer a potential avenue for support, but their feasibility, acceptability, and safety require rigorous evaluation.

Purpose of the Study:

  • To assess the feasibility, acceptability, and safety of the self-guided online iConquerFear intervention for OC survivors.
  • To explore engagement barriers and enablers, perceived impact, and gather suggestions for improvement.

Main Methods:

  • A pilot randomized waitlist-controlled trial involving Stage I-III OC survivors.
  • Participants were randomized to immediate access or an 8-week waitlist control for the iConquerFear intervention.
  • Feasibility, acceptability, and safety were primary outcomes, with qualitative interviews exploring user experiences.

Main Results:

  • 55% of participants reported severe FCR at baseline; 51% accessed the intervention, with 57% completing at least 3 modules.
  • Mean acceptability was moderate (3/4), but 11% withdrew due to distress; qualitative data revealed key engagement themes.
  • No significant group differences in FCR/P were observed post-intervention.

Conclusions:

  • The iConquerFear intervention, in its current format, is not well-suited for OC survivors due to engagement, acceptability, and safety concerns.
  • Augmenting online interventions with complementary support, such as in-person options, may be necessary to ensure effectiveness for sensitive issues like FCR/P.