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Development of a prehabilitation multimodal supportive care interventions for men and their partners prior to radical prostatectomy for localized prostate cancer.

Paterson, Catherine; Primeau, Charlotte; Pullar, Irene; Nabi, Ghulam

Authors

Catherine Paterson

Charlotte Primeau

Irene Pullar

Ghulam Nabi



Abstract

Background: An important question revolves around when the most opportune time is to introduce recovery-optimizing behaviors for men opting for radical prostatectomy (RP) for localized prostate cancer (PCa). An emerging field of research describes the role of pre-operative strategies to improve treatment tolerance, and overall physical and psychological recovery. Objective: To explore the perceptions of a multimodal pre-habilitation intervention for men and their partners prior to RP for localized PCa. Intervention/Methods: Thirty-four patients who opted for RP for localized PCa and their partners (19) were identified and recruited into the study. The multimodal intervention comprised of educational materials, physiotherapy instruction and a self-management group-based seminar. Results: The multimodal pre-habilitation intervention was perceived as overall helpful with demonstrated acceptability (91.9%). Beneficial themes related to the quality of the information provided to support self-management, open forum questions with multidisciplinary healthcare professionals, and increased knowledge among partners to help with their understanding of how to look after their husbands. Conclusion: The intervention was feasible and beneficial for the prostate cancer dyad. A future pilot RCT study is needed to provide sufficient evidence on the long-term physical and psychological outcomes and cost-effectiveness. Implications for Practice: Oncology nurses play a key role in the development of pre-habilitation care delivery. Pre-habilitation interventions can have a positive effect on improving health outcomes for cancer patients and their partners after surgery and into survivorship.

Citation

PATERSON, C., PRIMEAU, C., PULLAR, I. and NABI, G. 2019. Development of a prehabilitation multimodal supportive care interventions for men and their partners prior to radical prostatectomy for localized prostate cancer. Cancer nursing [online], 42(4), pages E47-E53. Available from: https:doi.org/10.1097/NCC.0000000000000618

Journal Article Type Article
Acceptance Date Feb 14, 2018
Online Publication Date Jun 22, 2018
Publication Date Aug 31, 2019
Deposit Date Mar 15, 2018
Publicly Available Date Jun 23, 2019
Journal Cancer nursing
Print ISSN 0162-220X
Electronic ISSN 1538-9804
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Not Peer Reviewed
Volume 42
Issue 4
Pages E47-E53
DOI https://doi.org/10.1097/NCC.0000000000000618
Keywords Prostate cancer; Supportive care; Prehabilitation; Radical prostatectomy; Partner/caregivers
Public URL http://hdl.handle.net/10059/2801
Contract Date Mar 15, 2018

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