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PROSPECTIV-a pilot trial of a nurse-led psychoeducational intervention delivered in primary care to prostate cancer survivors: study protocol for a randomised controlled trial

Watson, E, Rose, P, Frith, E, Hamdy, F, Neal, D, Kastner, C, Russell, S, Walter, FM, Faithfull, S, Wolstenholme, J, Perera, R, Weller, D, Campbell, C, Wilkinson, C, Neal, R, Sooriakumaran, P, Butcher, H and Matthews, M (2014) PROSPECTIV-a pilot trial of a nurse-led psychoeducational intervention delivered in primary care to prostate cancer survivors: study protocol for a randomised controlled trial BMJ OPEN, 4 (5), ARTN e0051.

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Abstract

Background: Prostate cancer survivors can experience physical, sexual, psychological and emotional problems, and there is evidence that current follow-up practices fail to meet these men’s needs. Studies show that secondary and primary care physicians see a greater role for primary care in delivering follow-up, and that primary care-led follow-up is acceptable to men with prostate cancer. Methods and analysis: A two-phase study with target population being men who are 9–24 months from diagnosis. Phase 1 questionnaire aims to recruit 300 men and measure prostate-related quality of life and unmet needs. Men experiencing problems with urinary, bowel, sexual or hormonal function will be eligible for phase 2, a pilot trial of a primary care nurse-led psychoeducational intervention. Consenting eligible participants will be randomised either to intervention plus usual care, or usual care alone (40 men in each arm). The intervention, based on a self-management approach, underpinned by Bandura’s Social Cognitive Theory, will provide advice and support tailored to these men’s needs and address any problems they are experiencing. Telephone follow-up will take place at 6 months. Study outcomes will be measured by a questionnaire at 7 months. Phase 1 will allow us to estimate the prevalence of urinary, sexual, bowel and hormone-related problems in prostate cancer survivors and the level of unmet needs. ‘Usual care’ will also be documented. Phase 2 will provide information on recruitment and retention, acceptability of the intervention/outcome measures, effect sizes of the intervention and cost-effectiveness data, which is required to inform development of a larger, phase 3 randomised controlled trial. The main outcome of interest is change in prostate-cancer-related quality of life. Methodological issues will also be addressed.

Item Type: Article
Subjects : Nursing; Cancer care
Divisions : Faculty of Health and Medical Sciences
Authors :
AuthorsEmailORCID
Watson, EUNSPECIFIEDUNSPECIFIED
Rose, PUNSPECIFIEDUNSPECIFIED
Frith, EUNSPECIFIEDUNSPECIFIED
Hamdy, FUNSPECIFIEDUNSPECIFIED
Neal, DUNSPECIFIEDUNSPECIFIED
Kastner, CUNSPECIFIEDUNSPECIFIED
Russell, SUNSPECIFIEDUNSPECIFIED
Walter, FMUNSPECIFIEDUNSPECIFIED
Faithfull, SUNSPECIFIEDUNSPECIFIED
Wolstenholme, JUNSPECIFIEDUNSPECIFIED
Perera, RUNSPECIFIEDUNSPECIFIED
Weller, DUNSPECIFIEDUNSPECIFIED
Campbell, CUNSPECIFIEDUNSPECIFIED
Wilkinson, CUNSPECIFIEDUNSPECIFIED
Neal, RUNSPECIFIEDUNSPECIFIED
Sooriakumaran, PUNSPECIFIEDUNSPECIFIED
Butcher, HUNSPECIFIEDUNSPECIFIED
Matthews, MUNSPECIFIEDUNSPECIFIED
Date : 1 January 2014
Identification Number : 10.1136/bmjopen-2014-005186
Copyright Disclaimer : This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons.org/licenses/by-nc/4.0/
Uncontrolled Keywords : Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, MEDICINE, GENERAL & INTERNAL, QUALITY-OF-LIFE, FOLLOW-UP, NEEDS, MEN, VALIDATION, MANAGEMENT, EFFICACY, SUPPORT
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 07 Jul 2016 08:33
Last Modified : 07 Jul 2016 11:20
URI: http://epubs.surrey.ac.uk/id/eprint/811097

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