Five-year outcomes from a randomised controlled trial of a couples-based intervention for men with localised prostate cancer

Chambers, SK; Occhipinti, S; Stiller, A; Zajdlewicz, L; Nielsen, L; Wittman, D; Oliffe, JL; Ralph, N; Dunn, J

Five-year outcomes from a randomised controlled trial of a couples-based intervention for men with localised prostate cancer

Chambers, SK

Occhipinti, S Stiller, A Zajdlewicz, L Nielsen, L Wittman, D Oliffe, JL Ralph, N Dunn, J

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Publication Type:: Journal Article
Citation:: Psycho-Oncology, 2019, 28 (4), pp. 775 - 783
Issue Date:: 2019-04-01

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Field	Value	Language
dc.contributor.author	Chambers, SK https://orcid.org/0000-0003-2369-6111	en_US
dc.contributor.author	Occhipinti, S	en_US
dc.contributor.author	Stiller, A	en_US
dc.contributor.author	Zajdlewicz, L	en_US
dc.contributor.author	Nielsen, L	en_US
dc.contributor.author	Wittman, D	en_US
dc.contributor.author	Oliffe, JL	en_US
dc.contributor.author	Ralph, N	en_US
dc.contributor.author	Dunn, J https://orcid.org/0000-0002-1180-3381	en_US
dc.date.available	2019-01-28	en_US
dc.date.issued	2019-04-01	en_US
dc.identifier.citation	Psycho-Oncology, 2019, 28 (4), pp. 775 - 783	en_US
dc.identifier.issn	1057-9249	en_US
dc.identifier.uri	http://hdl.handle.net/10453/135334
dc.description.abstract	© 2019 John Wiley & Sons, Ltd. Objective: Psychosexual morbidity is common after prostate cancer treatment, however, long-term prospective research is limited. We report 5-year outcomes from a couples-based intervention in dyads with men treated for localised prostate cancer with surgery. Methods: A randomised controlled trial was conducted involving 189 heterosexual couples, where the man received a radical prostatectomy for prostate cancer. The trial groups were peer support vs. nurse counselling versus usual care. Primary outcomes were sexual adjustment, unmet sexual supportive care needs, masculine self-esteem, marital satisfaction, and utilisation of erectile aids at 2-, 3-, 4- and 5-year follow-up. Results: The effects of the interventions varied across the primary outcomes. Partners in the peer group had higher sexual adjustment than those in the usual care and nurses group at 2 and 3 years (P = 0.002-0.035). Men in usual care had lower unmet sexual supportive care needs than men in the peer and nurse groups (P = 0.001; P = 0.01) at 3 years. Women in usual care had lower sexual supportive care needs than women in the peer group at 2 and 3 years (P = 0.038; P = 0.001). Men in the peer and nurse group utilised sexual aids more than men in usual care; at 5 years 54% of usual care men versus 87% of men in peer support and 80% of men in the nurse group. Conclusion: Peer and nurse-administered psychosexual interventions have potential for increasing men's adherence to treatments for erectile dysfunction. Optimal effects may be achieved through an integrated approach applying these modes of support.	en_US
dc.relation.ispartof	Psycho-Oncology	en_US
dc.relation.isbasedon	10.1002/pon.5019	en_US
dc.subject.classification	Oncology & Carcinogenesis	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Prostatic Neoplasms	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Prostatectomy	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Adaptation, Psychological	en_US
dc.subject.mesh	Sexual Behavior	en_US
dc.subject.mesh	Heterosexuality	en_US
dc.subject.mesh	Self Concept	en_US
dc.subject.mesh	Spouses	en_US
dc.subject.mesh	Counseling	en_US
dc.subject.mesh	Couples Therapy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Sexual Partners	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Sexual Dysfunction, Physiological	en_US
dc.subject.mesh	Erectile Dysfunction	en_US
dc.title	Five-year outcomes from a randomised controlled trial of a couples-based intervention for men with localised prostate cancer	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	28	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

© 2019 John Wiley & Sons, Ltd. Objective: Psychosexual morbidity is common after prostate cancer treatment, however, long-term prospective research is limited. We report 5-year outcomes from a couples-based intervention in dyads with men treated for localised prostate cancer with surgery. Methods: A randomised controlled trial was conducted involving 189 heterosexual couples, where the man received a radical prostatectomy for prostate cancer. The trial groups were peer support vs. nurse counselling versus usual care. Primary outcomes were sexual adjustment, unmet sexual supportive care needs, masculine self-esteem, marital satisfaction, and utilisation of erectile aids at 2-, 3-, 4- and 5-year follow-up. Results: The effects of the interventions varied across the primary outcomes. Partners in the peer group had higher sexual adjustment than those in the usual care and nurses group at 2 and 3 years (P = 0.002-0.035). Men in usual care had lower unmet sexual supportive care needs than men in the peer and nurse groups (P = 0.001; P = 0.01) at 3 years. Women in usual care had lower sexual supportive care needs than women in the peer group at 2 and 3 years (P = 0.038; P = 0.001). Men in the peer and nurse group utilised sexual aids more than men in usual care; at 5 years 54% of usual care men versus 87% of men in peer support and 80% of men in the nurse group. Conclusion: Peer and nurse-administered psychosexual interventions have potential for increasing men's adherence to treatments for erectile dysfunction. Optimal effects may be achieved through an integrated approach applying these modes of support.

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http://hdl.handle.net/10453/135334