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A Comprehensive 6-mo Prostate Cancer Patient Empowerment Program Decreases Psychological Distress Among Men
Gabriela Ilie1, Ricardo Rendon2, Ross Mason2
1Department of Urology, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia, Canada.
European Urology
|February 23, 2023
Summary
The Prostate Cancer Patient Empowerment Program (PC-PEP) significantly reduced psychological distress in men undergoing prostate cancer treatment. Early intervention with PC-PEP was more effective than standard care or delayed intervention.
Area of Science:
- Oncology
- Psychology
- Health Services Research
Background:
- Prostate cancer patients often experience significant treatment-related side effects, impacting quality of life.
- Psychological distress, including depression and anxiety, is common among men undergoing curative prostate cancer treatment.
Purpose of the Study:
- To evaluate the effectiveness of the Prostate Cancer Patient Empowerment Program (PC-PEP) in preventing psychological distress.
- To assess the impact of an online, home-based physical, mental, and social support intervention on men undergoing curative prostate cancer treatment.
Main Methods:
- A crossover randomized clinical trial involving 128 men aged 50-82 years undergoing prostate cancer treatment.
- Participants were randomized to receive either the 6-month PC-PEP intervention or standard of care, with a crossover design.
- The PC-PEP intervention included daily e-mails with video instructions on healthy living, physical and mental health, diet, social support, and stress reduction.
Main Results:
- At 6 months, patients receiving PC-PEP had significantly lower odds of psychological distress compared to the waitlist-control group.
- Early delivery of the PC-PEP intervention showed greater effectiveness in reducing psychological distress than delayed intervention.
Conclusions:
- The PC-PEP program, delivered early, effectively prevents psychological distress in men undergoing curative prostate cancer treatment.
- Multi-faceted patient empowerment programs developed with patient engagement are crucial for standard prostate cancer care.
- PC-PEP is a cost-effective, well-adhered-to program that reduces the psychological impact of prostate cancer treatment.
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