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Nurse-led group consultation intervention reduces depressive symptoms in men with localised prostate cancer: a cluster randomised controlled trial

Schofield, Penelope, Gough, Karla, Lotfi-Jam, Kerryann, Bergin, Rebecca, Ugalde, Anna, Dudgeon, Paul, Crellin, Wallace, Schubach, Kathryn, Foroudi, Farshard, Tai, Keen Hun, Duchesne, Gillian, Sanson-Fisher, Rob and Aranda, Sanchia 2016, Nurse-led group consultation intervention reduces depressive symptoms in men with localised prostate cancer: a cluster randomised controlled trial, BMC cancer, vol. 16, Article number: 637, pp. 1-12, doi: 10.1186/s12885-016-2687-1.

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Title Nurse-led group consultation intervention reduces depressive symptoms in men with localised prostate cancer: a cluster randomised controlled trial
Author(s) Schofield, Penelope
Gough, Karla
Lotfi-Jam, Kerryann
Bergin, Rebecca
Ugalde, AnnaORCID iD for Ugalde, Anna orcid.org/0000-0002-2473-8435
Dudgeon, Paul
Crellin, Wallace
Schubach, Kathryn
Foroudi, Farshard
Tai, Keen Hun
Duchesne, Gillian
Sanson-Fisher, Rob
Aranda, Sanchia
Journal name BMC cancer
Volume number 16
Season Article number: 637
Start page 1
End page 12
Total pages 12
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2016-08-16
ISSN 1471-2407
Keyword(s) prostate cancer
radiotherapy
intervention
unmet needs
psychological morbidity
quality of life
uro-oncology nurses
Summary BACKGROUND: Radiotherapy for localised prostate cancer has many known and distressing side effects. The efficacy of group interventions for reducing psychological morbidity is lacking. This study investigated the relative benefits of a group nurse-led intervention on psychological morbidity, unmet needs, treatment-related concerns and prostate cancer-specific quality of life in men receiving curative intent radiotherapy for prostate cancer.

METHODS: This phase III, two-arm cluster randomised controlled trial included 331 men (consent rate: 72 %; attrition: 5 %) randomised to the intervention (n = 166) or usual care (n = 165). The intervention comprised four group and one individual consultation all delivered by specialist uro-oncology nurses. Primary outcomes were anxious and depressive symptoms as assessed by the Hospital Anxiety and Depression Scale. Unmet needs were assessed with the Supportive Care Needs Survey-SF34 Revised, treatment-related concerns with the Cancer Treatment Scale and quality of life with the Expanded Prostate Cancer Index -26. Assessments occurred before, at the end of and 6 months post-radiotherapy. Primary outcome analysis was by intention-to-treat and performed by fitting a linear mixed model to each outcome separately using all observed data.

RESULTS: Mixed models analysis indicated that group consultations had a significant beneficial effect on one of two primary endpoints, depressive symptoms (p = 0.009), and one of twelve secondary endpoints, procedural concerns related to cancer treatment (p = 0.049). Group consultations did not have a significant beneficial effect on generalised anxiety, unmet needs and prostate cancer-specific quality of life.

CONCLUSIONS: Compared with individual consultations offered as part of usual care, the intervention provides a means of delivering patient education and is associated with modest reductions in depressive symptoms and procedural concerns. Future work should seek to confirm the clinical feasibility and cost-effectiveness of group interventions.
Language eng
DOI 10.1186/s12885-016-2687-1
Field of Research 111099 Nursing not elsewhere classified
1112 Oncology And Carcinogenesis
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30086129

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.