University of Surrey

Test tubes in the lab Research in the ATI Dance Research

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.

[img] Text
PROSPECTIV_EJON_Watson_revisedmanuscript_acceptedversion.docx - Accepted version Manuscript

Download (99kB)
[img] Text
Figure 1.docx - Accepted version Manuscript

Download (91kB)



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.


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.


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.


Findings suggest a nurse-led psycho-educational intervention in primary care is feasible, acceptable and potentially useful to prostate cancer survivors.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
Watson, E
Shinkins, B
Matheson, L
Burns, R
Frith, E
Neal, D
Hamdy, F
Walter, F
Weller, D
Wilkinson, C
Sooriakumaran, P
Kastner, C
Campbell, C
Neal, R
Butcher, H
Matthews, M
Perera, R
Wolstenholme, J
Rose, P
Date : 29 December 2017
DOI : 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
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 : 29 Dec 2018 02:08

Actions (login required)

View Item View Item


Downloads per month over past year

Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800