Evidence map›Paper›PMID 41689794›Full record

ArticlePsycho-oncology2026

Cancer and Ageing Reflections for Elders (CARE): Australian Adaptation of a Psychotherapy for Older Adults With Cancer.

Kirsty Galpin, Sharon He, Joanne Shaw, Haryana Dhillon, Christian Nelson, Lisa Beatty, Michelle Kelly, Mariko Carey, Agatha Conrad, Amelia Bartczak and 1 more

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In one paragraph

Article in Psycho-oncology, 2026. 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. Article
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

11 authors.

Kirsty GalpinSchool of Psychology, Psycho-Oncology Co-operative Group (PoCoG), Faculty of Science, The University of Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0002-9910-3581
Sharon HeSchool of Psychology, Psycho-Oncology Co-operative Group (PoCoG), Faculty of Science, The University of Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0001-9512-9621
Joanne ShawSchool of Psychology, Psycho-Oncology Co-operative Group (PoCoG), Faculty of Science, The University of Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0002-9543-7066
Haryana DhillonSchool of Psychology, Psycho-Oncology Co-operative Group (PoCoG), Faculty of Science, The University of Sydney, Sydney, NSW, Australia.
Christian NelsonDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Lisa BeattyFlinders University Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work, Flinders University, Adelaide, SA, Australia.ORCID https://orcid.org/0000-0001-8847-8452
Michelle KellySchool of Psychological Science, Newcastle University, Newcastle, NSW, Australia.
Mariko CareySchool of Medicine and Public Health, Newcastle University, Newcastle, NSW, Australia.
Agatha ConradHunter New England Mental Health Service, School of Medicine and Public Health College of Health, Medicine and Wellbeing, Newcastle University, Newcastle, NSW, Australia.
Amelia BartczakSchool of Medicine and Public Health, Newcastle University, Newcastle, NSW, Australia.
Brian KellySchool of Medicine and Public Health, Newcastle University, Newcastle, NSW, Australia.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundDepression is common among older adults with cancer. The USA-developed CARE (Cancer and Ageing: Reflection for Elders) psychotherapy intervention, specifically addresses the unique needs of older people (≥ 70 years) navigating the challenges of ageing, depression, and cancer.

aimsTo review and tailor the CARE resources to ensure they are culturally appropriate and acceptable for older Australians.

methodsSemi-structured cognitive 'think aloud' interviews were conducted with older Australians (≥ 70 years) diagnosed with cancer. Participants reviewed the intervention resources for each session providing feedback on content relevance and understandability. Content analysis was used to analyse the interviews.

resultsWe completed 20 cognitive interviews. Participants had a mean age of 74 years (range 70-79) and most with a diagnosis of blood (55% n = 11) or breast cancer (45%, n = 9) within 10 years. Resource content resonated with participants and a telephone-delivered intervention was acceptable. Participants emphasised the need to simplify wording and modify language to reflect Australian culture. In Australia 'elders' is a cultural term used by First Nations peoples to identify a custodian of knowledge; most participants suggested changing this. For some participants, the analogy of ageism to racism used felt unfamiliar.

conclusionsThis study highlights that cultural adaptation of psycho-oncology interventions is required, even between English-speaking countries, to ensure cultural appropriateness and enhance feasibility, acceptability and to maximise uptake for older adults facing cancer and depression.

Indexed as

AgingDepressionNeoplasmsPsychotherapyAgedAustraliaCulturally Competent CareFemaleHumansMaleQualitative Researchagedcancercross‐cultural comparisondepressiononcologypsycho‐oncologytelemedicine

Identifiers

PMID41689794
PMCPMC12906336

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Registered trials

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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.