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Trial registered on ANZCTR
Registration number
ACTRN12625000449437p
Ethics application status
Submitted, not yet approved
Date submitted
11/04/2025
Date registered
13/05/2025
Date last updated
13/05/2025
Date data sharing statement initially provided
13/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Carer Conquer Fear (Carer-CF): Piloting an online carer-specific program for fear of cancer recurrence
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Scientific title
Piloting Carer Conquer Fear (Carer-CF): Investigating the feasibility and acceptability of an online carer-specific program for fear of cancer recurrence
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Secondary ID [1]
314057
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cancer
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Condition category
Condition code
Cancer
333298
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0
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Any cancer
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Mental Health
333299
333299
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Carer Conquer Fear (Carer-CF) is an online contemporary Cognitive Behavioural Therapy intervention delivered via a secure web-based platform. This intervention will be delivered online using a digital story-telling approach to deliver content and includes activities and worksheets. An introductory telephone call will be conducted to assist participants with program access and a mid-way coaching call to facilitate program completion. The online program is divided into 4 lessons, which are completed over a 4-week period ( 1 lesson per week). Each lesson will take around 1 hour to complete. The lesson topics are:
Lesson 1 Learning about fear of cancer recurrence: Information about how to complete the intervention, fear of cancer recurrence and introduction to attention training techniques activity.
Lesson 2 Identifying values: Values clarification activity and goal setting.
Lesson 3 Managing worry: Introduction to different strategies to help manage worry including detached mindfulness and worry postponement and how to practice these.
Lesson 4 Communicating your concerns: Information about communicating with the person you care for and those around you, recognising the worry cycle and a reflection activity to create a new plan for managing worry going forward.
Website analytics will be collected to monitor intervention adherence. This will include number of log-ins, time spent on each lesson, number of lessons completed and worksheet downloads.
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Intervention code [1]
330638
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Treatment: Other
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Intervention code [2]
330875
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Behaviour
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Comparator / control treatment
No control group, pre-post study design.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Intervention feasibility amongst cancer carers
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Assessment method [1]
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Intervention feasibility will be assessed by examining: (i) Intervention access rates: The percentage of consenting participants that then proceed to access the intervention. (ii) Intervention completion rates: The percentage of participants that complete the intervention lessons. (iii) Qualitative interview data: Semi-structured telephone interviews will be completed individually with a member of the research team. These will explore the barriers and facilitators to intervention completion. Interviews will be audio recorded and transcribed verbatim.
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Timepoint [1]
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3 months after the baseline questionnaires were completed
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Primary outcome [2]
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Intervention acceptability amongst cancer carers
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Assessment method [2]
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Intervention acceptability will be assessed using: (i) A measure of intervention usefulness and usability: This 19-item, purpose-designed measure examines the ease of intervention use, perceived intervention usefulness, attitudes towards the intervention and perceived trustworthiness of the intervention. (ii) A measure of satisfaction with the intervention: This 4-item purpose-designed measure specifically examines satisfaction with the intervention content, functionality and likelihood of recommendation.
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Timepoint [2]
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3 months after the baseline questionnaires were completed
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Secondary outcome [1]
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Change in carer fear of cancer recurrence scores
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Assessment method [1]
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Fear of Cancer Recurrence Inventory (Caregiver), 9-item severity sub-scale.
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Timepoint [1]
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Baseline, mid-way through the intervention (between Lessons 2 and 3), upon intervention completion and three months post-baseline questionnaires.
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Eligibility
Key inclusion criteria
(i) A person biologically, legally, or emotionally related to an adult cancer patient/ survivor who has been diagnosed, or experienced a cancer recurrence in the past 5 years (Note: we will not pose any restriction on patient/ survivor cancer type or stage).
(ii) The person they care for was diagnosed with cancer as an adult (i.e., aged 18 years or older at diagnosis)
(iii) Carer is aged 18 years or older
(iv) Provides unpaid support to the person with cancer
(v) Has sufficient English language skills to complete the intervention and/ or questionnaires
(vi) Has access to the internet
(vii) Willing to participate in the study
(viii) Experiencing FCR (scoring 13 or higher on the FCRI-c severity sub-scale)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(i) Under the age of 18
(ii) Providing care for a child with cancer (i.e., patient/ survivor is under the age of 18 years)
(iii) Bereaved carers
(iv) Caring for a person with a life expectancy of less than 6 months
(v) Carers experiencing severe depression (i.e., scoring 20 or higher on the Patient Health Questionnaire 9-item)
(vi) Actively receiving psychological support for any mental health condition
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Quantitative Data:
Data about intervention feasibility will be collated and reported as percentages. Responses to the study questionnaires assessing feasibility and acceptability will be collated and reported as percentages.
Qualitative Data:
Exit interviews will be audio recorded and transcribed verbatim. Data will then be thematically analysed using a framework approach. The Framework Method first seeks to identify similarities and differences in the data before extracting themes to draw explanations.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/06/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Sydney Cancer Partners
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Sydney
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
320962
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Country [1]
320962
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
317163
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The University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
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https://www.sydney.edu.au/research/research-integrity-and-ethics.html
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
317163
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19/03/2025
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Approval date [1]
317163
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Ethics approval number [1]
317163
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Summary
Brief summary
This research aims to determine the feasibility and acceptability of an online program for carer fear of cancer recurrence, called Carer Conquer Fear (Carer-CF). Who is it for? This online program is for cancer carers, aged 18 years and over who are biologically, legally or emotionally related to an adult cancer patient or survivor who has been diagnosed with cancer or experienced a cancer recurrence in the past 5 years. Study details: Participants meeting the full eligibility criteria will be able to participate in the online study. A questionnaire will be completed before accessing the online program. A short introductory telephone call will be conducted one-on-one with a member of the research team to support participants to access and navigate the online program. The online program consists of 4 lessons which are completed weekly over a period of 4 weeks. A questionnaire will be completed online and a short telephone call will be conducted one-on-one with a member of the research team between lessons 2 and 3 to support program completion. Once participants have finished all lessons in the online program they will complete a questionnaire. One final study questionnaire will be completed 3 months after initial study enrolment. Participants will have the option to complete a telephone interview to provide feedback about the online program. Data will be collected about program uptake, engagement and attrition rates, change in carer fear of cancer recurrence levels, and acceptability, including program satisfaction and usability. This research provides the opportunity to test whether the online program is feasible and acceptable for cancer carers experiencing fears and worries about their family member's cancer coming back or progressing. This pilot study will provide important information facilitating future longer-term evaluation with the aim of reducing carer fear of cancer recurrence, improving quality of life and daily functioning.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Kyra Webb
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Address
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Room 310, Level 3, Griffith Taylor Building (A19) Manning Road, The University of Sydney, NSW, 2006
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Country
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Australia
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Phone
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+61 2 9351 9638
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Kyra Webb
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Address
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Room 310, Level 3, Griffith Taylor Building (A19) Manning Road, The University of Sydney, NSW, 2006
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Country
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Australia
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Phone
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+61 2 9351 9638
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kyra Webb
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Address
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Room 310, Level 3, Griffith Taylor Building (A19) Manning Road, The University of Sydney, NSW, 2006
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Country
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Australia
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Phone
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+61 2 9351 9638
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Individual participant data may be re-identifiable, risking participant privacy.
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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