Feasibility, acceptability, and preliminary efficacy of a technology-assisted psychosocial intervention for racially diverse men with advanced prostate cancer.

Cancer 2015 Dec 8;121(24):4407-15. Epub 2015 Sep 8.

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Background: The utility of psychosocial interventions in reducing symptom burden and improving health-related quality of life (HRQOL) for men with localized prostate cancer has been demonstrated. However, studies have yet to demonstrate the efficacy of interventions in advanced prostate cancer (APC). This study examined the feasibility, acceptability, and preliminary efficacy of a technology-assisted, 10-week, group-based psychosocial intervention for diverse men with APC.

Methods: The participants were 74 men (mean age, 68.84 years; non-Hispanic white, 57%; black, 40.5%) who were randomized to a cognitive-behavioral stress management (CBSM) treatment or health promotion (HP) attention-control condition. The participants were assessed at the baseline, weekly throughout the 10-week program, and 6 months after the baseline. Outcomes were assessed with the Patient-Reported Outcomes Measurement Information System along with established measures of HRQOL, CBSM intervention targets (eg, relaxation skills), and patient-reported acceptability.

Results: Feasibility was demonstrated through good retention rates (>85%) and acceptable average attendance rates (>70%), and acceptability was demonstrated through very favorable weekly session evaluations (mean score, 4/5) and exit surveys (mean score, 3.6/4). Men randomized to the CBSM condition reported significant reductions (P < .05) in depressive symptoms and improvements in relaxation self-efficacy (P < .05) at the 6-month follow-up. CBSM participants reported trends for improvement in distress and functional well-being (P < .08) in comparison with those in the HP condition. Effect sizes ranged from medium (0.54) to large (1.87) and, in some instances, were clinically meaningful.

Conclusions: Technology-based CBSM interventions among diverse men with APC may be feasible, acceptable, and efficacious.

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http://dx.doi.org/10.1002/cncr.29658DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670576PMC
December 2015
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References

(Supplied by CrossRef)

American Cancer Society et al.
2015
Men's perspectives on the impact of prostate cancer: implications for oncology nurses
Fitch et al.
Oncol Nurs Forum. 2000
Psychological distress among prostate cancer patients: fact or fiction?
Sharpley et al.
Clin Med Oncol. 2008

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