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Supporting prostate cancer survivors in primary care: Findings from a pilot trial of a nurse-led psycho-educational intervention (PROSPECTIV)

Watson, E, Shinkins, B, Matheson, L, Burns, R, Frith, E, Neal, D, Hamdy, F, Walter, F, Weller, D, Wilkinson, C , Faithfull, Sara, Sooriakumaran, P, Kastner, C, Campbell, C, Neal, R, Butcher, H, Matthews, M, Perera, R, Wolstenholme, J and Rose, P (2017) 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, 32. pp. 73-81.

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Abstract

<b>Purpose:</b> <p>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.</p> <b>Methods:</b> <p>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.</p> <b>Results:</b> <p>61% eligible men (83/136) participated in the trial, with an 87% (72/83) completion rate.</p> 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.</p> <b>Conclusions:</b> <p>Findings suggest a nurse-led psycho-educational intervention in primary care is feasible, acceptable and potentially useful to prostate cancer survivors.</p>

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Watson, EUNSPECIFIEDUNSPECIFIED
Shinkins, BUNSPECIFIEDUNSPECIFIED
Matheson, LUNSPECIFIEDUNSPECIFIED
Burns, RUNSPECIFIEDUNSPECIFIED
Frith, EUNSPECIFIEDUNSPECIFIED
Neal, DUNSPECIFIEDUNSPECIFIED
Hamdy, FUNSPECIFIEDUNSPECIFIED
Walter, FUNSPECIFIEDUNSPECIFIED
Weller, DUNSPECIFIEDUNSPECIFIED
Wilkinson, CUNSPECIFIEDUNSPECIFIED
Faithfull, SaraS.Faithfull@surrey.ac.ukUNSPECIFIED
Sooriakumaran, PUNSPECIFIEDUNSPECIFIED
Kastner, CUNSPECIFIEDUNSPECIFIED
Campbell, CUNSPECIFIEDUNSPECIFIED
Neal, RUNSPECIFIEDUNSPECIFIED
Butcher, HUNSPECIFIEDUNSPECIFIED
Matthews, MUNSPECIFIEDUNSPECIFIED
Perera, RUNSPECIFIEDUNSPECIFIED
Wolstenholme, JUNSPECIFIEDUNSPECIFIED
Rose, PUNSPECIFIEDUNSPECIFIED
Date : 29 December 2017
Identification Number : 10.1016/j.ejon.2017.12.002
Copyright Disclaimer : © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords : Prostate cancer Randomised controlled trial Pilot trial Primary care Nurse-led intervention Feasibility Self-efficacy
Depositing User : Melanie Hughes
Date Deposited : 04 Jan 2018 11:43
Last Modified : 04 Jan 2018 11:43
URI: http://epubs.surrey.ac.uk/id/eprint/845530

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