Supporting prostate cancer survivors in primary care: Findings from a pilot trial of a nurse-led psycho-educational intervention (PROSPECTIV)

Abstract

Findings suggest a nurse-led psycho-educational intervention in primary care is feasible, acceptable and potentially useful to prostate cancer survivors.

Including Health Economic Analysis in Pilot Studies: Lessons Learned from a Cost-Utility Analysis within the PROSPECTIV Pilot Study

“…ICER = incremental cost-effectiveness ratios; follow-up. to respond to the resource-use questionnaires, even over an extended period of seven months (10). Resource use reported in the patient diaries varied across the trial arms and the type of resources utilised.…”

“…The study had several objectives and the target recruitment for the pilot phase was 80 patients, as this was judged sufficient to enable the study objectives to be met (7). Two of the men in the intervention group were withdrawn from the study during the follow-up period, leaving 81 patients who were included in the health economic evaluation (10). Training for the nurse-led delivery of the NLPI arm consisted of a three-day educational programme.…”

“…Several validated instruments were used for measuring diseasespecific and generic quality of life, and are discussed in detail elsewhere (7,10); for this analysis, we used only the generic EuroQol five-dimensions questionnaire (EQ-5D) using 5 level (EQ-5D-5L) described in detail below. The trial participants were asked to record their health service contacts related to their prostate cancer in a patient diary constructed as part of the trial.…”

“Yes, I have cancer, but I'm also lonely”; tackling a common problem in cancer care

“…Interventions based in primary care have shown some promise in addressing psychosocial needs, but there are ongoing challenges in identifying those men with unmet needs post-treatment, and designing interventions which are both acceptable and cost-effective (Watson et al, 2018). Dunn et al (2018) examine the issue of cancer support groups-in this case, for prostate cancer.…”

“…Psychosocial problems, as well as symptoms such as urinary incontinence and sexual dysfunction, are also common after treatment for prostate cancer (Gore, Kwan, Lee, Reiter, & Litwin, 2009)-yet the needs of these patients are often neglected. Interventions based in primary care have shown some promise in addressing psychosocial needs, but there are ongoing challenges in identifying those men with unmet needs post-treatment, and designing interventions which are both acceptable and cost-effective (Watson et al, 2018). Dunn et al (2018) examine the issue of cancer support groups-in this case, for prostate cancer.…”