A pilot randomised controlled trial of a multimodal supportive care (ThriverCare) intervention for managing unmet supportive care needs in men with metastatic prostate cancer on hormonal treatment and their partner/caregivers.

Paterson, Catherine; Primeau, Charlotte; Nabi, Ghulam

Abstract

Purpose: Men with metastatic prostate cancer experience high levels of unmet supportive care needs in current healthcare delivery. We set out to determine the effectiveness of a multimodality supportive care (ThriverCare) intervention on the prevalence of unmet supportive care needs for men and their partner/caregivers. Methods: A prospective parallel group, pilot randomised controlled pilot trial in 4 hospitals in Scotland. 38 participants with radiologically proven metastatic prostate cancer disease and 10 partners/caregivers were recruited into the study. A two arm 1:1 study design compared the usual standard of care (SC) approach to SC plus ThriverCare intervention. The primary outcome was the Supportive Care Needs Survey at 3 months of intervention. Results: There was no statistical significant difference in the prevalence of unmet supportive care needs between the intervention group and the usual SC group at baseline p=0.112, however a statistically significant difference was observed at 3 months, indicating that the prevalence of unmet supportive care needs were less in the intervention group (1.13, SD 2.5) compared to the usual SC (6.17, SD 7.05), p=0.002. This document includes supplementary information of "A prostate cancer gude to thriveship: Men, it's time to thirve", which can be found at the end of the article. Conclusion: ThriverCare appears to improve the supportive care experience of men with metastatic prostate cancer on hormonal treatment and their partner/caregivers. Our results accentuate that no longer one size of care delivery fits all, care must be responsive and adaptable to meet the individual needs of people affected by cancer to thrive.

Citation

PATERSON, C., PRIMEAU, C. and NABI, G. 2018. A pilot randomised controlled trial of a multimodal supportive care (ThriverCare) intervention for managing unmet supportive care needs in men with metastatic prostate cancer on hormonal treatment and their partner/caregivers. European journal of oncology nursing [online], 37, pages 65-73. Available from: https://doi.org/10.1016/j.ejon.2018.10.007

• Journal Article Type: Article
• Acceptance Date: Oct 28, 2018
• Online Publication Date: Oct 31, 2018
• Publication Date: Dec 31, 2018
• Deposit Date: Oct 29, 2018
• Publicly Available Date: Nov 1, 2019
• Journal: European journal of oncology nursing
• Print ISSN: 1462-3889
• Electronic ISSN: 1532-2122
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 37
• Pages: 65-73
• DOI: https://doi.org/10.1016/j.ejon.2018.10.007
• Keywords: Prostate cancer; Supportive care; Partner/caregivers; Side-effects; Hormonal treatment; Thrive
• Public URL: http://hdl.handle.net/10059/3198
• Contract Date: Oct 29, 2018