ArticleBMC psychology2026
Cultural adaptation of the fear of cancer recurrence therapy (FORT) for Turkish breast cancer survivors.
Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveFear of cancer recurrence (FCR) is a common concern among breast cancer survivors in Turkiye. Despite its clinical relevance, culturally adapted interventions are scarce. This study aimed to adapt the Fear of Recurrence Therapy (FORT), a structured group-based intervention, for Turkish breast cancer survivors using the Ecological Validity Model (EVM).
methodsThis study used a multi-phase mixed methods design conducted between February and September 2024. The cultural adaptation process included contextual literature review, translation and back-translation, ecological validity assessment by an expert panel (n = 6), cognitive interviews through focus groups with professionals and survivors (n = 6), and an adaptation workshop. A total of 12 participants contributed to the study, with no overlap between stages. Quantitative evaluations were analyzed using Gwet's AC1 to assess inter-rater agreement across EVM domains. Qualitative feedback was analyzed through content analysis and used to guide manual revisions.
resultsGwet's AC1 scores indicated moderate to very good agreement across sessions and components, especially in content, context, and metaphors. Revisions addressed technical language, culturally inappropriate metaphors (e.g., funeral imagery), and unclear therapeutic exercises. Visual and structural improvements included consistent formatting, color-coded infographics, and a glossary of key terms. Focus groups helped ensure linguistic clarity, emotional appropriateness, and cultural fit. The final six-session manual was rated highly acceptable by both experts and survivors.
conclusionThis study presents one of the first culturally adapted interventions targeting FCR in Turkiye. The participatory process emphasized ecological validity and cultural sensitivity, resulting in a clinically coherent and contextually appropriate manual. The adapted FORT program is now ready for pilot testing and provides a model for adapting evidence-based psycho-oncological interventions in other cultural settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.