Reducing Fear of Cancer Recurrence in Danish Colorectal Cancer Survivors

Cognitive therapy has been shown to reduce fear of cancer recurrence (FCR), mainly in breast cancer survivors. The accessibility of cognitive behavioural interventions could be further improved by Internet delivery, but self-guided interventions have shown limited efficacy. The aim of this study is to test the efficacy of a therapist guided internet-delivered intervention (TG-iConquerFear) vs. augmented treatment as usual (aTAU) in Danish colorectal cancer survivors.

Inclusion Criteria: * Completed curative intent colorectal cancer treatment with surgery and/or radiation and/or adjuvant chemotherapy between 1 March 2014 and 31 December 2018 * No history of recurrence after primary operation * Fear of Cancer Recurrence Inventory score of 22 or above (14) * Age 18 or above * Reads and understands Danish * Access and ability to use Internet Exclusion Criteria: * Cancer recurrence at any follow-up * Inability to comply with the protocol due to severe psychiatric, cognitive disorder or substance abuse identified during telephone interview * As the intervention is web-based, participants without knowledge of or access to the Internet will be excluded from the RCT (including dyslexia).