Evidence map›Paper›PMID 40042999›Full record

ArticleJMIR cancer2025

Adapting a Self-Guided eHealth Intervention Into a Tailored Therapist-Guided eHealth Intervention for Survivors of Colorectal Cancer.

Johanne Dam Lyhne, Allan 'Ben' Smith, Tina Birgitte Wisbech Carstensen, Lisa Beatty, Adeola Bamgboje-Ayodele, Britt Klein, Lars Henrik Jensen, Lisbeth Frostholm

Abstract read
In one paragraph

Article in JMIR cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Johanne Dam LyhneDepartment of Clinical Oncology, University Hospital of Southern Denmark, Beriderbakken 4, Vejle, 7100, Denmark, 45 24453561.ORCID 0000-0002-2566-663X
Allan 'Ben' SmithDaffodil Centre, A joint venture between Cancer Council NSW and University of Sydney, Sydney, Australia.ORCID 0000-0002-2496-7369
Tina Birgitte Wisbech CarstensenClinic for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-5086-4331
Lisa BeattyFlinders University Institute of Mental Health & Wellbeing, College of Education, Psychology & Social Work, Flinders University, Adelaide, Australia.ORCID 0000-0001-8847-8452
Adeola Bamgboje-AyodeleIngham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, New South Wales, Australia.ORCID 0000-0002-5629-1236
Britt KleinHealth Innovation & Transformation Centre, Federation University Australia, Ballarat, Australia.ORCID 0000-0003-2912-8043
Lars Henrik JensenDepartment of Clinical Oncology, University Hospital of Southern Denmark, Beriderbakken 4, Vejle, 7100, Denmark, 45 24453561.ORCID 0000-0002-0020-1537
Lisbeth FrostholmClinic for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-9683-7416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unlabelled: Therapist-guided eHealth interventions have been shown to engage users more effectively and achieve better outcomes than self-guided interventions when addressing psychological symptoms. Building on this evidence, this viewpoint aimed to describe the adaptation of iConquerFear, a self-guided eHealth intervention targeting fear of cancer recurrence, into a therapist-guided version (TG-iConquerFear) tailored specifically for survivors of colorectal cancer (CRC). The goal was to optimize patient outcomes while minimizing the need for extensive resources. The adaptation process followed the Information System research framework, which facilitated a systematic integration of knowledge and iterative testing. Drawing on insights from the original iConquerFear development, as well as feedback from end users, oncologists, and therapists, we began by identifying areas for improvement. These insights formed the foundation for the first design cycle. Initial internal testing revealed the need for several adjustments to enhance the intervention. While the core concept of iConquerFear remained unchanged, we made significant modifications to improve access by optimizing the platform for mobile devices, to support adherence by expanding the exercises, and to equip therapists with tools such as reflective questions and a monitoring control panel. External field testing with 5 survivors of CRC provided further validation. Participants reported a high level of acceptability, and their feedback guided additional minor points to consider incorporating in future versions. This study illustrates how a self-guided eHealth intervention can be successfully adapted into a therapist-guided format for fear of cancer recurrence, tailored to meet the needs of survivors of CRC. The described approach serves as a valuable framework for integrating therapist guidance into similar interventions, ensuring their relevance and effectiveness for targeted populations.

Indexed as

Cancer SurvivorsColorectal NeoplasmsFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalTelemedicineacceptabilityadaptationcolorectal cancerdigital healtheHealthfear of cancer recurrencemobile phoneoncologistsonline interventionpsychosocial interventionself-guidedsurvivorssurvivorshiptherapist-guidedtherapists

Identifiers

PMID40042999
PMCPMC11900901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.