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Multi-level Factors to Build Confidence and Support in Active Surveillance for Low-Risk Prostate Cancer: A Qualitative Study

  • 0Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. jasonchn@med.umich.edu.
Journal of General Internal Medicine +

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January 27, 2025

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January 27, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Active surveillance for low-risk prostate cancer requires adherence to follow-up testing. Improving adherence involves enhancing patient confidence, providing psychosocial support, and optimizing healthcare systems.

Area Of Science

  • Urology
  • Oncology
  • Healthcare Management

Background

  • Active surveillance (AS) is a guideline-recommended approach for low-risk prostate cancer.
  • Adherence to AS, including follow-up testing and remaining on surveillance, presents challenges.

Purpose Of The Study

  • To understand provider and patient experiences with AS care delivery.
  • To identify opportunities for improving adherence to active surveillance.

Main Methods

  • Qualitative study involving 19 PCPs, 15 urologists, and 15 patients with AS experience.
  • Semi-structured interviews guided by the Theoretical Domains Framework and Behavior Change Wheel.
  • Thematic analysis to identify shared perspectives on AS care delivery.

Main Results

  • Building patient confidence in AS through provider expertise and communication.
  • Enhancing AS confidence via psychosocial support, including family and peer involvement.
  • Integrating AS support within healthcare processes and electronic health records.

Conclusions

  • Interventions are needed at care team, community, and health system levels.
  • Team-based approaches can improve individualized care and AS adherence.
  • Addressing challenges in AS care delivery is crucial for patient outcomes.

Keywords:

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