A randomised controlled trial of a couples‐based sexuality intervention for men with localised prostate cancer and their female partners

Chambers, Suzanne K.; Occhipinti, Stefano; Schover, Leslie R.; Nielsen, Lisa; Zajdlewicz, Leah; Clutton, Samantha; Halford, W. Kim; Gardiner, Robert A.; Dunn, Jeff

doi:10.1002/pon.3726

Cited by 88 publications

(126 citation statements)

References 39 publications

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“…determine the effect of the intervention specifically on sexual and urological problems after radical prostatectomy and therefore included only sexually active men. In similar studies, sexually active men treated with either radiation or surgery were recruited from three months up to 5-7 years after treatment [8,16,17], invited from cancer registries or outpatient clinics, and through public service announcements; however, only one study had a recruitment rate of 47% [16]. Furthermore, these recruitment strategies may introduce selfselection bias and result in a sample of participants who are not representative of the population to be examined.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility and acceptability of couple counselling and pelvic floor muscle training after operation for prostate cancer

Karlsen

Bidstrup

Hvarness³

et al. 2017

Acta Oncologica

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Background: Radical prostatectomy is often followed by long-lasting erectile dysfunction and urinary incontinence, with adverse effects on the quality of life and intimate relationship of patients and partners. We developed the ProCan intervention to ameliorate sexual and urological dysfunction after radical prostatectomy and examined its feasibility, acceptability and changes in sexual function. Material and methods: Between May 2014 and October 2014, seven couples attending the Department of Urology, Rigshospitalet, were included 3-4 weeks after radical prostatectomy in the ProCan intervention, which consists of up to six couple counselling sessions, group instruction in pelvic floor muscle training (PFMT), up to three individual PFMT sessions and a DVD home training program. We examined its feasibility on the basis of the recruitment rate, adherence to and acceptability of the intervention, the response rate and changes in erectile and sexual functioning measured on the International Index of Erectile Function at baseline and at eight and 12 months. Results: The recruitment rate was 14%. One couple withdrew, six couples attended 1-4 counselling sessions, and all patients attended PFMT until continence was achieved. The response rate on outcomes was 85% for patients and 71% for partners. The couples reported that counselling improved their sex life but it did not improve their ability to talk openly about sex. Most patients found that the physiotherapist improved their motivation and the quality and intensity of PFMT. Erectile dysfunction improved from severe at baseline to moderate at eight months' follow-up, and mean sexual functioning improved from 18.4 to 37.1 points at eight months' follow-up, but decreased slightly to 31.4 at 12 months. Conclusion: Our results suggest that the recruitment procedure should be adapted and minor revisions are needed in the intervention. The key components, couple counselling and PFMT, were well accepted and achievable for the patients.

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Section: Discussionmentioning

confidence: 99%

“…To our knowledge, only two previous randomized clinical trials have used complex strategies to target sexuality in couples after an operation for prostate cancer [16,17], and none included PFMT. Previous studies of interventions for couples after cancer have found it difficult to both recruit and retain couples [8,18].…”

mentioning

confidence: 99%

Feasibility and acceptability of couple counselling and pelvic floor muscle training after operation for prostate cancer

Karlsen

Bidstrup

Hvarness³

et al. 2017

Acta Oncologica

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Section: Introductionmentioning

confidence: 99%

“…A three arm randomised control trial with 189 heterosexual couples in which the man had been previously diagnosed with prostate cancer compared the efficacy of peer-delivered telephone support Vs nursedelivered telephone counselling Vs usual care in improving both men's sexual and psychosocial adjustment [20]. Although peer and nurse couples based interventions may increase use of sexual aids this may not translate into better sexual outcomes [20].…”

Section: Introductionmentioning

confidence: 99%

“…Although peer and nurse couples based interventions may increase use of sexual aids this may not translate into better sexual outcomes [20]. Timing within the treatment trajectory may be crucial for sexuality intervention studies after prostate cancer treatment [20]. Interventions in combination with access to a moderated forum provides an effective intervention in reducing psychological distress and improving sexual satisfaction [21].…”

Section: Introductionmentioning

confidence: 99%

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Erectile Function Post Robotic Radical Prostectomy: What are the Technical Tips and Tricks?

Ss¹,

Persad²

2016

Med Surg Urol

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Telephone interventions for symptom management in adults with cancer

Ream

Hughes

Cox

et al. 2020

Cochrane Database of Systematic Reviews

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BackgroundPeople with cancer experience a variety of symptoms as a result of their disease and the therapies involved in its management. Inadequate symptom management has implications for patient outcomes including functioning, psychological well-being, and quality of life (QoL). Attempts to reduce the incidence and severity of cancer symptoms have involved the development and testing of psycho-educational interventions to enhance patients' symptom self-management. With the trend for care to be provided nearer patients' homes, telephonedelivered psycho-educational interventions have evolved to provide support for the management of a range of cancer symptoms. Early indications suggest that these can reduce symptom severity and distress through enhanced symptom self-management. ObjectivesTo assess the e ectiveness of telephone-delivered interventions for reducing symptoms associated with cancer and its treatment. To determine which symptoms are most responsive to telephone interventions. To determine whether certain configurations (e.g. with/ without additional support such as face-to-face, printed or electronic resources) and duration/frequency of intervention calls mediate observed cancer symptom outcome e ects.

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A randomised controlled trial of a couples‐based sexuality intervention for men with localised prostate cancer and their female partners

Cited by 88 publications

References 39 publications

Feasibility and acceptability of couple counselling and pelvic floor muscle training after operation for prostate cancer

Feasibility and acceptability of couple counselling and pelvic floor muscle training after operation for prostate cancer

Erectile Function Post Robotic Radical Prostectomy: What are the Technical Tips and Tricks?

Telephone interventions for symptom management in adults with cancer

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