PD09-04 A RANDOMISED CONTROLLED FEASIBILITY STUDY: A MULTIMODAL SUPPORTIVE CARE INTERVENTION IN MEN AND THEIR PARTNERS/CARERS AFFECTED BY METASTATIC PROSTATE CANCER

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making II1 Apr 2017PD09-04 A RANDOMISED CONTROLLED FEASIBILITY STUDY: A MULTIMODAL SUPPORTIVE CARE INTERVENTION IN MEN AND THEIR PARTNERS/CARERS AFFECTED BY METASTATIC PROSTATE CANCER Catherine Paterson, Charlotte Primeau, and Ghulam Nabi Catherine PatersonCatherine Paterson More articles by this author , Charlotte PrimeauCharlotte Primeau More articles by this author , and Ghulam NabiGhulam Nabi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.554AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES A metastatic prostate cancer diagnosis and its treatments carry significant morbidity and related unmet supportive care needs. Such unmet needs have a profound decrement on patients and their families. We aimed to deliver at multimodal intervention based approach that targeted unmet needs for men and their partner/carers and compared this to current standard care. METHODS A two arm randomised controlled feasibility trial compared standard care to a multimodal supportive care intervention that combined an educational seminar on prostate cancer thrivership and individualized care from a designated prostate cancer specialist nurse. This involved in-depth assessment using patient reported outcome measures (PROMs) in routine clinical practice, followed up with a tailored plan of ongoing support to address informational, emotional, social and practical needs. 38 participants and 10 carers/partners completed validated and reliable self-reported measures at baseline and at 3 months. 32 Semi-structured interviews were conducted with men, carers/partners and members of the multidisciplinary team. Self-efficacy was included as the potential moderator/mediator of intervention effect. Primary outcomes are unmet supportive care needs and quality of life. An economic evaluation was conducted alongside the randomised trial. RESULTS 29 participants in standard care arm (age 77.5, SD 6.2 years) identified a range of unmet supportive care needs related to physical, psychological/emotional, intimacy/sexual, practical, health system/informational, existential and patient/clinician communication needs. 19 participants (age 74.9, SD 8.2, years) in the interventions group, reported overall high satisfaction with the intervention and acceptance of PROMs in routine clinical practice, with less prevalence of unmet needs compared to standard care over time. Men and carers/partners perceived that they had derived benefit from this model of care. Certain themes clearly emerged as important for participants, including being listened to by someone who could facilitate emotional expression, being provided with individually tailored information and receiving practical help and evidence-based advice for managing the consequences of cancer and its associated treatments. Significant cost-savings emerged in favour of the intervention. CONCLUSIONS This study has demonstrated that a multimodality supportive care intervention for men and their carer/partners affected by metastatic prostate cancer can achieve optimal supportive care. The active components of the intervention have been distinguished and provide the basis for the development of a larger sufficiently powered trial. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e195 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Catherine Paterson More articles by this author Charlotte Primeau More articles by this author Ghulam Nabi More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...