Faculty of Health, Cancer and Palliative Care Outcomes Centre, Queensland University of Technology, Brisbane, Queensland, Australia.
Faculty of Health, Deakin Health Economics, Institute for Health Transformation, Deakin University, Melbourne, Victoria, Australia.
Psychooncology. 2021 Sep;30(9):1544-1554. doi: 10.1002/pon.5729. Epub 2021 May 24.
To evaluate the feasibility of implementing an integrated multicomponent survivorship care model for men affected by prostate cancer.
Using a single arm prospective cohort study design, men with prostate cancer were recruited from two regional public hospitals in Australia for a 6-months program that provided information and decision support, exercise and nutrition management, specialised clinical support, and practical support through localised and central care coordination. Carers of the men were also invited to the program. Data were collected from multiple sources to evaluate: (1) recruitment capability and participant characteristics; (2) appropriateness and feasibility of delivering the specific intervention components using an electronic care management tool; and (3) suitability of data collection procedures and proposed outcome measures.
Of the 105 eligible men, 51 (consent rate 49%) participated in the program. Of the 31 carers nominated by the men, 13 consented (consent rate 42%). All carers and 50 (98%) men completed the program. Most (92%) men were newly diagnosed with localised prostate cancer. All men attended initial screening and assessment for supportive care needs; a total of 838 episodes of contact/consultation were made by the intervention team either in person (9%) or remotely (91%). The intervention was implemented as proposed with no adverse events. The proposed outcome measures and evaluation procedures were found to be appropriate.
Our results support the feasibility of implementing this integrated multicomponent care model for men affected by prostate cancer.
评估为前列腺癌男性患者实施综合多组分生存护理模式的可行性。
采用单臂前瞻性队列研究设计，从澳大利亚两家地区公立医院招募前列腺癌男性患者参加一项为期 6 个月的项目，该项目提供信息和决策支持、运动和营养管理、专门的临床支持以及通过局部和中央护理协调提供实际支持。也邀请了男性患者的照顾者参加该项目。从多个来源收集数据，以评估：（1）招募能力和参与者特征；（2）使用电子护理管理工具提供特定干预措施的适当性和可行性；（3）数据收集程序和拟议结果测量的适宜性。
在 105 名符合条件的男性中，有 51 名（同意率 49%）参加了该项目。在男性提名的 31 名照顾者中，有 13 名（同意率 42%）同意参加。所有照顾者和 50 名（98%）男性都完成了该项目。大多数（92%）男性被诊断为局限性前列腺癌。所有男性都接受了初始筛查和支持性护理需求评估；干预团队共进行了 838 次接触/咨询，其中 9%是亲自进行的，91%是远程进行的。该干预措施按照建议实施，没有发生不良事件。拟议的结果测量和评估程序被认为是合适的。
我们的结果支持为前列腺癌男性患者实施这种综合多组分护理模式的可行性。
