Institution - Oxford Brookes University
Researcher - Professor Eila Watson
Grant award - £205,444
Duration - 2012-2015
The Charity has a firm commitment to support men living with the ongoing side effects and consequences of prostate cancer and its treatment, from our own work we know this is an area where men do not receive sufficient support. This project will offer support and advice for men experiencing problems following their prostate cancer diagnosis and/or treatment, with a 6-month follow up appointment. This study will be used to inform a larger study to fully test the intervention.
A pilot randomized controlled trial of a nurse-led psycho-educational intervention delivered in primary care to prostate cancer survivors.
Many studies (including our own) have shown that men with prostate cancer can experience a range of problems (eg physical, psychosexual, psychological) following diagnosis and treatment, and that current follow-up practices fail to meet these needs. The research team believe there is sufficient evidence to suggest a nurse-led intervention which focuses on identifying and dealing with problematic symptoms and / or psychological / psychosexual issues will lead to improvements in prostate-related quality of life. In line with current guidance on follow-up for men who are stable, our intervention is based in primary care. This study will test the effectiveness of a nurse-led intervention which will target men with prostate-related problems (physical (eg urinary, bowel, sexual functioning) or psychological/ psychosexual) when they are 12-24 months post-diagnosis, and will offer individualised advice and support. Men will be offered a nurse appointment in primary care. The nurse will identify the most important quality of life issue(s) for the man (and his partner if relevant) and offer evidence-based information, advice and support, or referral to the GP, secondary care or other support service as appropriate. A routine nurse telephone follow-up appointment will take place six months later. Additional contact will be tailored according to individual needs. This project is a pilot trial which is an essential first step required to generate the information needed to design and run a definitive, future trial to test the clinical and cost-effectiveness of the intervention.
This is a well designed pilot RCT required in order to identify key issues concerned with the design and process of a full RCT at some point in the future. The focus of the RCT is important. I feel this work should be supported.