TY - JOUR
T1 - A pilot randomised controlled trial of a multimodal supportive care (ThriverCare) intervention for managing unmet supportive care needs in men with metastatic prostate cancer on hormonal treatment and their partner/caregivers
AU - Paterson, Catherine
AU - Primeau, Charlotte
AU - Nabi, Ghulam
N1 - Funding Information:
This study was funded by The Urology Foundation . We would like to thank Maggie's Cancer Care and Centre Head, Dr Lesley Howells, Clinical Psychologist ( https://www.maggiescentres.org/our-centres/maggies-dundee/ ), and Mr Simon Brady, Exercise Development Officer for people affected by cancer, ( http://www.leisureandculturedundee.com/move-more-dundee ) for supporting the delivery of the Group-Based Seminar as part of the ThriverCare Intervention.
Publisher Copyright:
© 2018 Elsevier Ltd
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Purpose: Men with metastatic prostate cancer experience high levels of unmet supportive care needs in current healthcare delivery. We set out to determine the effectiveness of a multimodality supportive care (ThriverCare) intervention on the prevalence of unmet supportive care needs for men and their partner/caregivers. Methods: A prospective parallel group, pilot randomised controlled pilot trial in 4 hospitals in Scotland. 38 participants with radiologically proven metastatic prostate cancer disease and 10 partners/caregivers were recruited into the study. A two arm 1:1 study design compared the usual standard of care (SC) approach to SC plus ThriverCare intervention. The primary outcome was the Supportive Care Needs Survey at 3 months of intervention. Results: There was no statistical significant difference in the prevalence of unmet supportive care needs between the intervention group and the usual SC group at baseline p = 0.112, however a statistically significant difference was observed at 3 months, indicating that the prevalence of unmet supportive care needs were less in the intervention group (1.13, SD 2.5) compared to the usual SC (6.17, SD 7.05), p = 0.002. Conclusion: ThriverCare appears to improve the supportive care experience of men with metastatic prostate cancer on hormonal treatment and their partner/caregivers. Our results accentuate that no longer one size of care delivery fits all, care must be responsive and adaptable to meet the individual needs of people affected by cancer to thrive.
AB - Purpose: Men with metastatic prostate cancer experience high levels of unmet supportive care needs in current healthcare delivery. We set out to determine the effectiveness of a multimodality supportive care (ThriverCare) intervention on the prevalence of unmet supportive care needs for men and their partner/caregivers. Methods: A prospective parallel group, pilot randomised controlled pilot trial in 4 hospitals in Scotland. 38 participants with radiologically proven metastatic prostate cancer disease and 10 partners/caregivers were recruited into the study. A two arm 1:1 study design compared the usual standard of care (SC) approach to SC plus ThriverCare intervention. The primary outcome was the Supportive Care Needs Survey at 3 months of intervention. Results: There was no statistical significant difference in the prevalence of unmet supportive care needs between the intervention group and the usual SC group at baseline p = 0.112, however a statistically significant difference was observed at 3 months, indicating that the prevalence of unmet supportive care needs were less in the intervention group (1.13, SD 2.5) compared to the usual SC (6.17, SD 7.05), p = 0.002. Conclusion: ThriverCare appears to improve the supportive care experience of men with metastatic prostate cancer on hormonal treatment and their partner/caregivers. Our results accentuate that no longer one size of care delivery fits all, care must be responsive and adaptable to meet the individual needs of people affected by cancer to thrive.
KW - Intervention
KW - Metastatic prostate cancer
KW - Partner/caregivers
KW - Patient reported outcomes
KW - Randomised controlled trial
KW - Supportive care
KW - Unmet needs
UR - http://www.scopus.com/inward/record.url?scp=85056488151&partnerID=8YFLogxK
U2 - 10.1016/j.ejon.2018.10.007
DO - 10.1016/j.ejon.2018.10.007
M3 - Article
C2 - 30473053
AN - SCOPUS:85056488151
SN - 1462-3889
VL - 37
SP - 65
EP - 73
JO - European Journal of Oncology Nursing
JF - European Journal of Oncology Nursing
ER -
