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Targeting Fear of Cancer Recurrence with Internet-Based Emotional Freedom Techniques (iEFT) and Mindfulness Meditation Intervention (iMMI) (BGOG-gyn1b/REMOTE).

Laura Tack, Lore Mertens, Marte Vandeweyer, Fien Florin, Emma Pauwels, Thaïs Baert, Tom Boterberg, Christel Fontaine, Kurt Geldhof, Caroline Lamot, Christine Langenaeken, Jeroen Mebis, Laure-anne Teuwen, Katherine Vandenborre, Heidi Van den Bulck, Florence Van Ryckeghem, Mohammad Najlah, Patricia Schofield, Philip R Debruyne

Brain sciences August 22, 2025 DOI: 10.3390/brainsci15090900

Summary

One-third of cancer survivors seek help for fear of cancer recurrence. To address this, a trial is evaluating internet-based interventions. It compares emotional freedom techniques and mindfulness meditation delivered online to a control group. The aim is to reduce fear of cancer recurrence, emotional distress, and improve quality of life. Successful results would mean these internet-based interventions offer accessible, effective support for survivors.

Abstract

Approximately one-third of cancer survivors report a need for professional help to cope with Fear of Cancer Recurrence (FCR). In the REMOTE trial, we aim to investigate the efficacy of two internet-based mind-body techniques to address this currently unmet medical need. Cancer survivors, screened using the Cancer Worry Scale (CWS), are randomly assigned to one of the three study groups: (1) internet-based emotional freedom techniques (iEFT) (n = 113), (2) an active control condition internet-based mindfulness meditation intervention (iMMI) (n = 113), or (3) a wait-list control group (WLC) (n = 113). The interventions iEFT and iMMI are conducted remotely using Microsoft Teams (Microsoft, Redmond, WA), and participants have access to an online platform via the MyNexuzHealth application (nexuzhealth NV, Hasselt, Belgium). The primary endpoint is the level of FCR. Secondary outcomes are emotional distress and quality of life (QoL). If iEFT and/or iMMI appear to be effective in reducing FCR, they could be readily implemented in clinical practice.

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