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Self Management Activation Randomised Trial for Prostatitis (SMART-P): study protocol for a randomised controlled

Mark Rochester1, James Armitage, Mark Sanders

  • 1Norfolk and Norwich University Hospital NHS Foundation Trust Colney Lane Norwich, NR4 7UY, UK. mark.rochester@nnuh.nhs.uk

Trials
|September 28, 2011
PubMed
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A new cognitive behavioral therapy program for chronic prostatitis (chronic pelvic pain syndrome) shows promise. This self-management approach may offer a more effective treatment option than conventional pain clinic therapies for men.

Area of Science:

  • Urology
  • Pain Management
  • Psychology

Background:

  • Chronic prostatitis, also known as chronic pelvic pain syndrome, significantly impacts men's quality of life.
  • Conventional treatments like antibiotics and analgesics are often ineffective, leading many patients to chronic pain services.
  • Cognitive behavioral therapy (CBT) and self-management programs show potential for managing chronic diseases and lower urinary tract symptoms.

Purpose of the Study:

  • To develop and evaluate a novel cognitive behavioral therapy (CBT) self-management program for men with chronic prostatitis.
  • To compare the efficacy of this CBT program against conventional pain clinic treatments in a randomized controlled trial.

Main Methods:

  • Men diagnosed with chronic prostatitis were recruited from urology clinics.

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  • Participants were randomized to a six-week group CBT self-management program or standard pain clinic referral.
  • The CBT program focused on problem-solving, goal-setting, coping mechanisms, and cognitive modification.
  • Outcomes, including the NIH Chronic Prostatitis Symptom Index and quality of life scores, were assessed at 2, 6, and 12 months.

    • Main Results:

    • Primary outcome: Change in the National Institute of Health Chronic Prostatitis Symptom Index.
    • Secondary outcomes: Generic quality of life scores, analgesic and drug usage.
    • Assessments conducted at 2, 6, and 12 months post-intervention.

    Conclusions:

    • The group-administered self-management CBT program may become a new standard of care for chronic prostatitis if proven effective.
    • This approach could potentially be adapted for treating interstitial cystitis in women.