Abstract
Background: Prostate cancer is the most common cancer diagnosis among men. Family caregivers (often female spouses) play a key role in ensuring patients’ needs are met, frequently assuming their role with no formal training, which can contribute to a high burden. The purpose of this study was to pilot TEMPO—the first dyadic, Tailored, wEb-based, psychosocial and physical activity self-Management PrOgram for men with prostate cancer and their caregivers. Methods: 49 men with prostate cancer and their caregivers were randomized to TEMPO or usual care. Baseline and follow-up questionnaires were completed to assess feasibility, acceptability, and clinical significance. A priori benchmarks for these outcomes were set. Thirteen exit interviews were conducted to further explore acceptability. Results: Feasibility benchmarks were met with the exception for recruitment with on average 6.1 dyads recruited/month (benchmark: 8 dyads/month). Benchmarks of acceptability focused on attrition (<25%) and system usability, which were met. Using the strict criteria for adherence of 100% of the module viewed and participants spending at least 15 min on the module, 45% of participants were adherent. The clinical significance on anxiety and quality of life was supported for caregivers, and mostly supported for the men with prostate cancer. Conclusion: This pilot trial was successful, with minor modifications needed prior to a large trial.
Highlights
Prostate cancer is the most common cancer among men [1]
Two thirds of men were diagnosed with early-stage prostate cancer, and most were at least one year from the diagnosis
Qualitative interviews were conducted, with 12 dyads and one patient who participated without a caregiver
Summary
Prostate cancer and its treatment remain a major life stressor [2,3], and confront men with many physical symptoms (e.g., urinary incontinence, bowel dysfunction, and sexual dysfunction) [4,5] and psychosocial challenges (e.g., anxiety, depression, and fatigue) [6,7,8]. These challenges often remain poorly managed, resulting in impaired functioning and lower quality of life than the general population [9]. Conclusion: This pilot trial was successful, with minor modifications needed prior to a large trial
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