Managing fear of cancer recurrence in survivors through a stepped-care intervention
Official title: The Effect of a Stepped-care Metacognition-based Intervention on Managing Fear of Cancer Recurrence: Sequential, Multiple Assignment, Randomized Controlled Trial (SMARTs)
Run by The University of Hong Kong · NCT06181331 · Data updated 2026-11-12
This study is testing a new way to help cancer survivors manage their fear of cancer coming back by trying different support methods based on how they respond.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | The University of Hong Kong Academic / other |
| Locations | 1 site (Hong Kong) |
| Status | Recruiting |
| Started | February 11, 2026 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | August 31, 2026 |
| Trial ID | NCT06181331 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Cantonese- or Mandarin-speaking Chinese patients diagnosed with curable breast, colorectal, or gynecological cancer who completed treatment within the last five years and exhibit subclinical levels of fear of cancer recurrence.
✕Probably not a fit
Patients with metastatic cancer, current depression or psychosis, or those already receiving psychological treatment may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial evaluates the effectiveness of a stepped-care metacognition-based intervention designed to help cancer survivors manage their fear of cancer recurrence (FCR). Using a sequential multiple-assignment randomized controlled trial (SMART) design, participants will receive different interventions based on their responses, starting with eConquerFear or eHealthMaintenance. The study aims to determine the best initial intervention and the most effective subsequent strategies for those who do not respond initially. The focus is on reducing FCR through adaptive interventions that address maladaptive metacognition and cognitive attentional syndrome.
Why it matters
Potential benefit: If successful, this intervention could significantly reduce fear of cancer recurrence in survivors, improving their quality of life.
How similar studies have gone: While there is ongoing research in psychooncology, this specific stepped-care approach is relatively novel and has not been extensively tested in similar contexts.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Cantonese- or Mandarin-speaking Chinese patients diagnosed with curable breast, colorectal, or gynecological cancer, who had completed treatment (except endocrine therapy) within five years, and with a Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF) score of 13 to 21 indicating subclinical FCR will be included. Exclusion Criteria: * Patients with metastatic cancer, with a current diagnosis of depression or psychosis, or who are already receiving psychological treatment will be excluded.
Where it's running
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QMh department of surgery
Hong Kong, Hong Kong Recruiting
Study contacts
- Principal investigator: Wendy Lam, PhD — School of Public Health, The University of Hong Kong
- Study coordinator: Danielle Ng, PhD
- Email: dwlng@hku.hk
- Phone: +852 39179897
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.