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A feasibility study of a psycho-educational support intervention for men with prostate cancer on active surveillance.

Hughes, J.G., Leydon, G.M., Watts, S., Hughes, S., Brindle, L.A., Arden-Close, E., Bacon, R., Birch, B., Carballo, L., Plant, H., Moore, C.M., Stuart, B., Yao, G., Lewith, G. and Richardson, A., 2020. A feasibility study of a psycho-educational support intervention for men with prostate cancer on active surveillance. Cancer Reports, 3 (2), e1230.

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PROACTIVE_paper_Cancer Reports accepted VERSION.pdf - Accepted Version
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Background: PROACTIVE is a psycho-educational support intervention for prostate cancer patients managed on Active Surveillance. PROACTIVE is comprised of two interdependent components: group workshops and internet delivered information modules. Aims: We conducted a feasibility study to determine the practicality of delivering PROACTIVE at two prostate cancer centres. Methods: The feasibility study was a mixed methods randomized parallel-group exploratory trial. Participants were randomised using a ratio of 3:1 PROACTIVE group to treatment as usual. Qualitative semi-structured interviews and quantitative measures were completed at baseline, intervention completion (week 6), and at 6-months follow-up. Interview transcripts were analysed thematically using Framework analysis. Descriptive statistics were used to examine recruitment and retention rates, and changing trends in outcome measures. Results: Most aspects of the research design and PROACTIVE intervention were acceptable to those participating in the study. In particular participants valued the opportunity to share and discuss experiences with other prostate cancer patients on Active Surveillance, and receive detailed authoritative information. However, three issues were identified: 1. a low response rate (13 participants recruited, response rate 16%) 2. low utilisation of internet delivered information modules 3. self-perceived low levels of anxiety amongst participants with the majority perceiving their cancer as not impacting on their day-to-day life or causing anxiety. Conclusions: Due to these significant research design issues it is not recommended PROACTIVE be evaluated in a large scale randomised controlled trial. Further research is required to explore the impact of Active Surveillance on anxiety amongst men with localized prostate cancer managed by Active Surveillance.

Item Type:Article
Additional Information:Funding Information Prostate Cancer UK. Grant Number: PG14‐023
Uncontrolled Keywords:prostate cancer; active surveillance; anxiety; psycho-educational support; feasibility study
Group:Faculty of Science & Technology
ID Code:33157
Deposited By: Symplectic RT2
Deposited On:08 Jan 2020 16:38
Last Modified:14 Mar 2022 14:19


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