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.
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.
Keywords
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Article info
Publication history
Published online: November 14, 2018
Accepted:
October 28,
2018
Received in revised form:
October 25,
2018
Received:
March 3,
2018
Footnotes
☆Part of this work has been accepted for presentation and inclusion of published abstracts at the following International Congress Meetings.• Multinational Association of Supportive Care in Cancer (MASCC/ISSOO) Washington DC, USA, 22–24 June 2017 Poster Presentation.• European Association of Urology (EAU), London, UK, 24–28th March 2017, Poster Presentation.• American Urological Association (AUA), Boston, USA, 12–16th May 2017, Podium Presentation.
Identification
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