Supporting prostate cancer survivors in primary care: Findings from a pilot trial of a nurse-led psycho-educational intervention (PROSPECTIV).
Watson, Eila K
Burns, Richeal M
Neal, Richard D
Rose, Peter W
European journal of oncology nursing : the official journal of European Oncology Nursing Society
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Watson, E. K., Shinkins, B., Matheson, L., Burns, R. M., Frith, E., Neal, D., Hamdy, F., et al. (2018). Supporting prostate cancer survivors in primary care: Findings from a pilot trial of a nurse-led psycho-educational intervention (PROSPECTIV).. European journal of oncology nursing : the official journal of European Oncology Nursing Society, 32 73-81. https://doi.org/10.1016/j.ejon.2017.12.002
Purpose: This study sought to test the acceptability and feasibility of a nurse-led psycho-educational intervention (NLPI) delivered in primary care to prostate cancer survivors, and to provide preliminary estimates of the effectiveness of the intervention. Methods: Men who reported an ongoing problem with urinary, bowel, sexual or hormone-related functioning/vitality on a self-completion questionnaire were invited to participate. Participants were randomly assigned to the NLPI plus usual care, or to usual care alone. Recruitment and retention rates were assessed. Prostate-related quality of life, self-efficacy, unmet needs, and psychological morbidity were measured at baseline and 9 months. Health-care resource use data was also collected. An integrated qualitative study assessed experiences of the intervention. Results: 61% eligible men (83/136) participated in the trial, with an 87% (72/83) completion rate. Interviews indicated that the intervention filled an important gap in care following treatment completion, helping men to self-manage, and improving their sense of well-being. However, only a small reduction in unmet needs and small improvement in self-efficacy was observed, and no difference in prostate-related quality of life or psychological morbidity. Patients receiving the NLPI recorded more primary care visits, while the usual care group recorded more secondary care visits. Most men (70%; (21/30)) felt the optimal time for the intervention was around the time of diagnosis/before the end of treatment. Conclusions: Findings suggest a nurse-led psycho-educational intervention in primary care is feasible, acceptable and potentially useful to prostate cancer survivors.
Humans, Prostatic Neoplasms, Pilot Projects, Nurse's Role, Nurse-Patient Relations, Quality of Life, Aged, Middle Aged, Primary Health Care, England, Female, Male, Patient Education as Topic, Surveys and Questionnaires, Cancer Survivors
External DOI: https://doi.org/10.1016/j.ejon.2017.12.002
This record's URL: https://www.repository.cam.ac.uk/handle/1810/273660
Attribution-NonCommercial-NoDerivatives 4.0 International
Licence URL: http://creativecommons.org/licenses/by-nc-nd/4.0/
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