Title

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

Document Type

Journal Article

Publication Title

Psycho-Oncology

ISSN

1099-1611

Volume

28

Issue

4

First Page

775

Last Page

783

PubMed ID

30716188

Publisher

John Wiley and Sons Ltd

School

Exercise Medicine Research Institute / School of Medical and Health Sciences

Grant Number

NHMRC Number : 496001

Comments

Originally published as: Chambers, S. K., Occhipinti, S., Stiller, A., Zajdlewicz, L., Nielsen, L., Wittman, D., ... Dunn, J. (2019). Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer. Psycho‐Oncology, 28(4), 775–783. Original publication available here

Abstract

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.

DOI

10.1002/pon.5019

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