Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer
Article
Article Title | Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer |
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ERA Journal ID | 6624 |
Article Category | Article |
Authors | Chambers, Suzanne K. (Author), Occhipinti, Stefano (Author), Stiller, Anna (Author), Zajdlewicz, Leah (Author), Nielsen, Lisa (Author), Wittman, Daniela (Author), Oliffe, John L. (Author), Ralph, Nicholas (Author) and Dunn, Jeff (Author) |
Journal Title | Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer |
Journal Citation | 28 (4), pp. 775-783 |
Number of Pages | 9 |
Year | 2019 |
Publisher | John Wiley & Sons |
Place of Publication | United Kingdom |
ISSN | 1057-9249 |
1099-1611 | |
Digital Object Identifier (DOI) | https://doi.org/10.1002/pon.5019 |
Web Address (URL) | https://onlinelibrary.wiley.com/doi/10.1002/pon.5019 |
Abstract | Objective: Psychosexual morbidity is common after prostate cancer treatment, however, long‐term prospective research is limited. We report 5‐year outcomes from a couples‐based intervention in dyads with men treated for localised prostate cancer with surgery. Methods: A randomised controlled trial was conducted involving 189 heterosexual couples, where the man received a radical prostatectomy for prostate cancer. The trial groups were peer support vs. nurse counselling versus usual care. Primary outcomes were sexual adjustment, unmet sexual supportive care needs, masculine self‐esteem, marital satisfaction, and utilisation of erectile aids at 2‐, 3‐, 4‐ and 5‐year follow‐up. Results: The effects of the interventions varied across the primary outcomes. Partners in the peer group had higher sexual adjustment than those in the usual care and nurses group at 2 and 3 years (P = 0.002‐0.035). Men in usual care had lower unmet sexual supportive care needs than men in the peer and nurse groups (P = 0.001; P = 0.01) at 3 years. Women in usual care had lower sexual supportive care needs than women in the peer group at 2 and 3 years (P = 0.038; P = 0.001). Men in the peer and nurse group utilised sexual aids more than men in usual care; at 5 years 54% of usual care men versus 87% of men in peer support and 80% of men in the nurse group. Conclusion: Peer and nurse‐administered psychosexual interventions have potential for increasing men's adherence to treatments for erectile dysfunction. Optimal effects may be achieved through an integrated approach applying these modes of support. |
Keywords | couples, partners, peer‐support, prostate cancer, psychosexual adjustment |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 321104. Cancer therapy (excl. chemotherapy and radiation therapy) |
420506. Sub-acute care | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | University of Technology Sydney |
Griffith University | |
Cancer Council Australia, Australia | |
University of Michigan, United States | |
University of British Columbia, Canada | |
Institute for Resilient Regions | |
Institution of Origin | University of Southern Queensland |
Funding source | NHMRC Grant ID ID496001 |
https://research.usq.edu.au/item/q51w8/five-year-outcomes-from-a-randomised-controlled-trial-of-a-couples-based-intervention-for-men-with-localised-prostate-cancer
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