Cited by 35Cancer survivorship and careDelphi Technique in ResearchChildhood Cancer Survivors' Quality of Life

Setting an International Research Agenda for Fear of Cancer Recurrence: An Online Delphi Consensus Study.

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Shaw, Joanne, Kamphuis, Helen, Sharpe, Louise, Lebel, Sophie, Smith, Allan Ben, Hulbert-Williams, Nicholas, Dhillon, Haryana Mary, Butow, Phyllis·2021·Frontiers in Psychology

Abstract

BACKGROUND: Fear of cancer recurrence (FCR) is common amongst cancer survivors. There is rapidly growing research interest in FCR but a need to prioritize research to address the most pressing clinical issues and reduce duplication and fragmentation of effort. This study aimed to establish international consensus among clinical and academic FCR experts regarding priorities for FCR research. METHODS: Members of the International Psycho-oncology Society (IPOS) Fear of Cancer Recurrence Special Interest Group (FORwards) were invited to participate in an online Delphi study. Research domains identified in Round 1 were presented and discussed at a focus group (Round 2) to consolidate the domains and items prior to presentation in further survey rounds (Round 3) aimed at gaining consensus on research priorities of international significance. RESULTS: Thirty four research items were identified in Round 1 and 33 of the items were consolidated into six overarching themes through a focus group discussion with FCR experts. The 33 research items were presented in subsequent rounds of the delphi technique. Twenty one participants contributed to delphi round 1, 16 in round 2, and 25 and 29 participants for subsequent delphi rounds. Consensus was reached for 27 items in round 3.1. A further four research items were identified by panelists and included in round 3.2. After round 3.2, 35 individual research items were ratified by the panelists. Given the high levels of consensus and stability between rounds, no further rounds were conducted. Overall intervention research was considered the most important focus for FCR research. Panelists identified models of care that facilitate greater access to FCR treatment and evaluation of the effectiveness of FCR interventions in real world settings as the two research items of highest priority. Defining the mechanisms of action and active components across FCR/P interventions was the third highest priority identified. CONCLUSION: The findings of this study outline a research agenda for international FCR research. Intervention research to identify models of care that increase access to treatment are based on a flexible approach based on symptom severity and can be delivered within routine clinical care were identified as research areas to prioritize. Greater understanding of the active components and mechanisms of action of existing FCR interventions will facilitate increased tailoring of interventions to meet patient need.

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  1. Goarin E. Sharpe L. Hayley Russell H. Shaw J. (2020). “ Ovarian Cancer; patient experience and psychosocial research priorities in the Australian context,” in Proceedings of the 3rd Australian Survivorship Conference; 12-13 March 2020, Melbourne.

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Authors
Shaw, J., Kamphuis, H., Sharpe, L., Lebel, S., Smith, A. B., Hulbert-Williams, N., Dhillon, H. M., & Butow, P.
Affiliations
  • The University of Sydney (AU)
  • University of Ottawa (CA)
  • UNSW Sydney (AU)
Corresponding author
Shaw, Joanne
Venue
Frontiers in Psychology
Published
2021-02-22
Volume
12
Pages
596682-596682
ISSN
1664-1078 (ISSN-L)
OpenAlex
W3129258785
Cited by
35
References
48
Citations by year
2026: 7 · 2025: 6 · 2024: 4 · 2023: 5 · 2022: 11 · 2021: 2
FWCI
2.00
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Edge Hill University Research Information Repository (Edge Hill University) (publishedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Sociology and Political Science › Delphi Technique in Research
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords
fear of cancer recurrence, cancer survivors, research priorities, research agenda setting, psycho-oncology, models of care

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