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An online psychological intervention can improve the sexual satisfaction of men following treatment for localized prostate cancer: outcomes of a randomised controlled trial evaluating My Road Ahead
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posted on 2017-07-01, 00:00 authored by A C Wootten, D Meyer, J-A M Abbott, K Chisholm, David AustinDavid Austin, B Klein, M McCabe, D G Murphy, A J CostelloBACKGROUND: Prostate cancer treatment often results in significant psycho-sexual challenges for men following treatment; however, many men report difficulty in accessing appropriate care. METHODS: A randomized controlled trial was undertaken to assess the efficacy of a 10-week self-guided online psychological intervention called My Road Ahead (MRA) for men with localized prostate cancer in improving sexual satisfaction. Participants were randomized to 1 of 3 conditions MRA alone or MRA plus online forum, or forum access alone. Pre, post, and follow-up assessments of overall sexual satisfaction were conducted. Mixed models and structural equation modeling were used to analyze the data. RESULTS: One hundred forty-two men (mean age 61 y; SD = 7) participated. The majority of participants had undergone radical prostatectomy (88%) and all men had received treatment for localized prostate cancer. Significant differences were obtained for the 3 groups (P = .026) and a significant improvement in total sexual satisfaction was observed only for participants who were allocated to MRA + forum with a large effect size (P = .004, partial η(2) = 0.256). Structural equation modeling indicated that increases in sexual function, masculine self-esteem, and sexual confidence contributed significantly to overall sexual satisfaction for the MRA + forum plus forum condition. CONCLUSIONS: This study is the first, to our knowledge, that has evaluated a self-guided online psychological intervention tailored to the specific needs of men with prostate cancer. The findings indicate the potential for MRA to deliver support that men may not otherwise receive and also highlight the importance of psychological intervention to facilitate improved sexual outcomes.
History
Journal
Psycho-oncologyVolume
26Issue
7Pagination
975 - 981Publisher
WileyLocation
Chichester, Eng.Publisher DOI
ISSN
1057-9249eISSN
1099-1611Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2016, WileyUsage metrics
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No categories selectedKeywords
online interventionprostate cancerpsychological interventionsexual outcomesScience & TechnologySocial SciencesLife Sciences & BiomedicineOncologyPsychologyPsychology, MultidisciplinarySocial Sciences, BiomedicalBiomedical Social SciencesQUALITY-OF-LIFERADICAL PROSTATECTOMYPATIENTS PERCEPTIONSDISTRESSDYSFUNCTIONPARTNERSCOUPLESHEALTHAGE
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