Enhancing survivorship care planning for patients with localized prostate cancer using a couple-focused web-based, mHealth program: the results of a pilot feasibility study
Lixin Song, Peiran Guo, Xianming Tan, Ronald C Chen, Matthew E Nielsen, Sarah A Birken, Bridget F Koontz, Laurel L Northouse, Deborah K Mayer, Lixin Song, Peiran Guo, Xianming Tan, Ronald C Chen, Matthew E Nielsen, Sarah A Birken, Bridget F Koontz, Laurel L Northouse, Deborah K Mayer
Abstract
Purpose: To examine the feasibility of an enhanced survivorship care plan (ESCP) that integrated the web-based program Patient Education Resources for Couples (PERC) into a standardized survivorship care plan (SCP) and estimated the outcomes of ESCPs versus SCPs.
Methods: In this randomized pilot trial, localized prostate cancer (PC) patients and partners (i.e., couple) were randomly assigned to ESCP that contained a link to PERC or to SCP that contained a link to general PC information on the National Cancer Institute website. Couples completed assessments measuring quality of life (QOL), appraisal of symptoms, and coping resources at baseline (T1) and 4-6 months later (T2). We examined feasibility (e.g., recruitment and retention) using descriptive statistics. Linear mixed models examined changes in couples' outcomes over time and Poisson regression examined differences in patient healthcare utilization.
Results: Sixty-two couples completed T1 surveys (recruitment rate 41.6%) and were randomly assigned to receive ESCP (n = 31) or SCP (n = 31). Twenty-eight (ESCP) and 25 (SCP) couples completed T2 surveys (retention rates = 90.3% vs. 80.7%). ESCP participants (70%) reviewed webpages consistent with patients' symptoms. ESCP patients reported greater program satisfaction (p = 0.02) and better urinary symptom scores (p < 0.01) than SCP patients.
Conclusions: Delivering ESCPs that embed a web-link to a couple-focused, tailored program is feasible and can potentially improve patient outcomes. The promising results need to be validated in a larger definitive trial using a diverse sample.
Implications for cancer survivors: SCPs, enhanced using a web-based intervention (e.g., PERC), may help PC cancer survivors better manage their urinary symptoms.
Trial registration: ClinicalTrials.gov identifier: NCT04350788.
Keywords: Prostate cancer; Quality of life; Randomized trial; Self-management; Survivorship care plan; Symptom.
Conflict of interest statement
Conflict of Interest: Authors declare no conflict of interest.
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Source: PubMed