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[Development of a therapeutic education program for prostate cancer patients undergoing new generation hormone
Alice Cuenant1, Isabelle Eglin2, Virginia Ferreira1
1CHU Carémeau, institut de cancérologie du Gard, département d'oncologie médicale, 30029 Nîmes, France.
Abstract:
New generation hormone therapies (NGHT) is the gold standard treatment for metastatic prostate cancers and/or castration-resistant tumors. Four molecules have been approved: enzalutamide, abiraterone acetate, apalutamide and darolutamide. These treatments are oral therapies taken on a daily basis, which raise issues of adherence to treatment, adverse effects and drug interactions. Therapeutic educational programs for patients represent an emerging care activity that allows patients to acquire skills to better live with their disease and treatment. As of today, no such specific program to new generation hormone therapy in prostate cancer has been developed in France, which was the goal of our current study. This was conducted in three steps: i) identification of patients' educational needs through an exchange with a focus group of patients, ii) gathering of expert opinions on useful information to be given to patients on NGHT via a questionnaire submitted to GETUG members and iii) implementation of the program per se. Qualitative analysis of exchanges with the focus group of patients led to the identification of 7 meaning categories. Expert opinions regarding useful information to deliver to patients identified 13 key items. Based on these preliminary data concerning patients' educational needs, we set up the first french program dedicated to metastatic prostate cancer patients undergoing NGHT that included three therapeutic education workshops: "Experience of the disease", "Management of the treatment" and "Physical activity and diet".
Insights
New generation hormone therapies (NGHT) for prostate cancer require patient education. This study developed France
Area of Science:
- Oncology
- Patient Care
- Therapeutic Education
Background:
- New generation hormone therapies (NGHT) are standard for metastatic and castration-resistant prostate cancer.
- Approved NGHTs include enzalutamide, abiraterone acetate, apalutamide, and darolutamide.
- Oral administration of NGHTs poses challenges in adherence, side effects, and drug interactions.
Purpose of the Study:
- To develop the first therapeutic educational program for prostate cancer patients on NGHT in France.
- To address the unmet need for specific patient education regarding these advanced treatments.
Main Methods:
- Patient educational needs were identified through focus group discussions.
- Expert opinions on essential patient information were gathered via a questionnaire from GETUG members.
- A three-step approach: needs assessment, expert consultation, and program implementation.
Main Results:
- Qualitative analysis of patient focus groups identified 7 key meaning categories for educational needs.
- Expert consultations yielded 13 critical information items for patients on NGHT.
- The developed program comprises three workshops: 'Experience of the disease,' 'Management of the treatment,' and 'Physical activity and diet.'
Conclusions:
- A tailored therapeutic education program for French prostate cancer patients on NGHT has been successfully established.
- The program is based on identified patient needs and expert recommendations.
- This initiative aims to improve patient self-management and quality of life during NGHT.
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