Barriers and facilitators to implementing an online psychological intervention for adolescent and young adult cancer survivors in a community setting
Irestorm, Elin LU
; Wakefield, Claire E
; Houweling, Rachel
; Hetherington, Kate
; McGill, Brittany C
; McDonald, Fiona E J
; Cohn, Richard J
and Sansom-Daly, Ursula M
(2026)
In Supportive Care in Cancer
34(7).
p.1-11
- Abstract
PURPOSE: To respond to the psychological needs of adolescent and young adult (AYA) cancer survivors, we developed and evaluated a theoretically grounded online intervention to teach adaptive coping skills to promote resilience in early survivorship: 'Recapture Life'. This qualitative study aimed to evaluate the process of implementing Recapture Life into community organisations, after having been initially developed in an academic setting.
METHODS: The study duration was 2017-2022. Eighteen community staff members were interviewed before the implementation (T0) and nine of them after the implementation (T1). A qualitative data process evaluation using the Proctor model for implementation was completed. Interviews were thematically... (More)
PURPOSE: To respond to the psychological needs of adolescent and young adult (AYA) cancer survivors, we developed and evaluated a theoretically grounded online intervention to teach adaptive coping skills to promote resilience in early survivorship: 'Recapture Life'. This qualitative study aimed to evaluate the process of implementing Recapture Life into community organisations, after having been initially developed in an academic setting.
METHODS: The study duration was 2017-2022. Eighteen community staff members were interviewed before the implementation (T0) and nine of them after the implementation (T1). A qualitative data process evaluation using the Proctor model for implementation was completed. Interviews were thematically analysed and mapped to four key domains: acceptability, adoption, appropriateness, and sustainability.
RESULTS: Major facilitators included the training provided to staff before implementation, support from the community organisation, and the culture within the organisation, as well as the communication between the university/hospital and the community organisation/s. Major barriers included staff turnover and recruitment of participants. Most, but not all, of the potential barriers and facilitators mentioned at T0 were confirmed at T1. The COVID-19 pandemic was considered both a barrier and a facilitator. Additionally, this category did not fit into the Proctor framework, as it cut across all outcomes.
CONCLUSION: We identified several processes critical to supporting the success of an AYA cancer intervention delivery. This study highlights the potential for psychological programs to be delivered online by skilled and well-trained psychosocial staff in community and not-for-profit settings. Trial registration The study was registered in the Australian New Zealand Clinical Trials Registry (ACTRN126240013995830) November 26th, 2024 (retrospectively registered).
(Less)
- author
- Irestorm, Elin
LU
; Wakefield, Claire E
; Houweling, Rachel
; Hetherington, Kate
; McGill, Brittany C
; McDonald, Fiona E J
; Cohn, Richard J
and Sansom-Daly, Ursula M
- organization
- publishing date
- 2026-06-08
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Supportive Care in Cancer
- volume
- 34
- issue
- 7
- article number
- 627
- pages
- 1 - 11
- publisher
- Springer Science and Business Media B.V.
- external identifiers
-
- scopus:105040999746
- pmid:42257914
- ISSN
- 0941-4355
- DOI
- 10.1007/s00520-026-10867-9
- project
- Recapture Life
- language
- English
- LU publication?
- yes
- additional info
- © 2026. The Author(s).
- id
- db7f5ff0-8d69-4a86-b37a-040b97f6fd13
- date added to LUP
- 2026-06-13 08:51:00
- date last changed
- 2026-09-07 16:24:19
@article{db7f5ff0-8d69-4a86-b37a-040b97f6fd13,
abstract = {{<p>PURPOSE: To respond to the psychological needs of adolescent and young adult (AYA) cancer survivors, we developed and evaluated a theoretically grounded online intervention to teach adaptive coping skills to promote resilience in early survivorship: 'Recapture Life'. This qualitative study aimed to evaluate the process of implementing Recapture Life into community organisations, after having been initially developed in an academic setting.</p><p>METHODS: The study duration was 2017-2022. Eighteen community staff members were interviewed before the implementation (T0) and nine of them after the implementation (T1). A qualitative data process evaluation using the Proctor model for implementation was completed. Interviews were thematically analysed and mapped to four key domains: acceptability, adoption, appropriateness, and sustainability.</p><p>RESULTS: Major facilitators included the training provided to staff before implementation, support from the community organisation, and the culture within the organisation, as well as the communication between the university/hospital and the community organisation/s. Major barriers included staff turnover and recruitment of participants. Most, but not all, of the potential barriers and facilitators mentioned at T0 were confirmed at T1. The COVID-19 pandemic was considered both a barrier and a facilitator. Additionally, this category did not fit into the Proctor framework, as it cut across all outcomes.</p><p>CONCLUSION: We identified several processes critical to supporting the success of an AYA cancer intervention delivery. This study highlights the potential for psychological programs to be delivered online by skilled and well-trained psychosocial staff in community and not-for-profit settings. Trial registration The study was registered in the Australian New Zealand Clinical Trials Registry (ACTRN126240013995830) November 26th, 2024 (retrospectively registered).</p>}},
author = {{Irestorm, Elin and Wakefield, Claire E and Houweling, Rachel and Hetherington, Kate and McGill, Brittany C and McDonald, Fiona E J and Cohn, Richard J and Sansom-Daly, Ursula M}},
issn = {{0941-4355}},
language = {{eng}},
month = {{06}},
number = {{7}},
pages = {{1--11}},
publisher = {{Springer Science and Business Media B.V.}},
series = {{Supportive Care in Cancer}},
title = {{Barriers and facilitators to implementing an online psychological intervention for adolescent and young adult cancer survivors in a community setting}},
url = {{http://dx.doi.org/10.1007/s00520-026-10867-9}},
doi = {{10.1007/s00520-026-10867-9}},
volume = {{34}},
year = {{2026}},
}