Journal article
Five-year outcomes from a randomised controlled trial of a couples-based intervention for men with localised prostate cancer
Psycho-Oncology, Vol.28(4), pp.775-783
2019
PMID: 30716188
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.
Details
- Title
- Five-year outcomes from a randomised controlled trial of a couples-based intervention for men with localised prostate cancer
- Authors
- Suzanne K Chambers - University of Technology SydneyStefano Occhipinti - Griffith UniversityAnna Stiller - Cancer Council QueenslandLeah Zajdlewicz - Cancer Council QueenslandLisa Nielsen - Cancer Council QueenslandDaniela Wittman - University of Michigan–Ann ArborJohn L Oliffe - University of British ColumbiaNicholas Ralph (Corresponding Author) - Australian and New Zealand Urogenital and Prostate Cancer Trials GroupJeff Dunn - Cancer Council Queensland
- Publication details
- Psycho-Oncology, Vol.28(4), pp.775-783
- Publisher
- John Wiley & Sons Ltd.
- Date published
- 2019
- DOI
- 10.1002/pon.5019
- ISSN
- 1099-1611
- PMID
- 30716188
- Identifiers
- ACTRN12608000358347
- Organisation Unit
- School of Health
- Language
- English
- Record Identifier
- 991087496402621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Oncology
- Psychology
- Psychology, Multidisciplinary
- Social Sciences, Biomedical
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Source: InCites