Effectiveness of educational and psychological survivorship interventions to improve health-related quality of life outcomes for men with prostate cancer on androgen deprivation therapy: A systematic review
Article
Article Title | Effectiveness of educational and psychological survivorship interventions to improve health-related quality of life outcomes for men with prostate cancer on androgen deprivation therapy: A systematic review |
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ERA Journal ID | 200230 |
Article Category | Article |
Authors | Sara, Sally AM, Heneka, Nicole, Green, Anna, Chambers, Suzanne K, Dunn, Jeff and Terry, Victoria R |
Journal Title | BMJ Open |
Journal Citation | 14 (5) |
Article Number | e080310 |
Number of Pages | 9 |
Year | 2024 |
Publisher | BMJ |
Place of Publication | United Kingdom |
ISSN | 2044-6055 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/bmjopen-2023-080310 |
Web Address (URL) | https://bmjopen.bmj.com/content/14/5/e080310 |
Abstract | Objectives Androgen deprivation therapy (ADT), a common treatment for prostate cancer, has debilitating impacts on physical and psychological quality of life. While some interventions focus on managing the physical side effects of ADT, there is a paucity of interventions that also address psychosocial and educational needs. The objective of this systematic review was to identify psychological and educational survivorship interventions targeting health-related quality of life (HRQoL) outcomes in men on ADT. Design A systematic review of randomised controlled trials. Data sources Web of Science, Cochrane, EBSCO Host, PubMed, SCOPUS from inception (1984) to 28 January 2023. Eligibility criteria for selecting studies Psychological and/or educational survivorship interventions targeting HRQoL outcomes for men on ADT; minimum 80% of participants on ADT; used a validated HRQoL outcome measure; published in English in a peer-reviewed journal. Data extraction and synthesis Data extraction using pre-specified study criteria was conducted. Heterogeneity of eligible studies precluded a meta-analysis. Results A total of 3381 publications were identified with eight meeting the criteria. Interventions were either psychological with a cognitive behavioural approach (n=4), or educational with (n=2) or without (n=2) psychoeducational components. Two studies reported a statistically significant improvement using a specific HRQoL measure. Most studies were not adequately powered and/or included small sample sizes limiting the conclusions that can be drawn on effectiveness. The most effective interventions were (i) individually based, (ii) educational with a psychoeducational component, (iii) supplemented with information packages and/or homework and (iv) included personalised needs assessments. Conclusion There is a paucity of literature reporting psychological and educational survivorship interventions targeting HRQoL outcomes for men on ADT. What is urgently needed are person-centred survivorship interventions that are flexible enough to identify and address individual needs, taking into account the impact ADT has on both physical and psychological quality of life. |
Keywords | Clinical Trial |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 321199. Oncology and carcinogenesis not elsewhere classified |
Byline Affiliations | University of Southern Queensland |
Australian Catholic University | |
Prostate Cancer Foundation of Australia |
https://research.usq.edu.au/item/z858q/effectiveness-of-educational-and-psychological-survivorship-interventions-to-improve-health-related-quality-of-life-outcomes-for-men-with-prostate-cancer-on-androgen-deprivation-therapy-a-systematic
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