Effectiveness of a couple‐based psychosocial intervention on patients with prostate cancer and their partners: A quasi‐experimental study

Abstract

Aims: To understand the effectiveness of a couple-based psychosocial information package (PIP) and multimedia psychosocial intervention (MPI) on patients with prostate cancer and their partners. Design: A random assignment and quasi-experimental design were used. Methods: From August 2015-March 2018, 103 newly diagnosed patients with prostate cancer and their partners were divided into a control group (CG) (N = 50), PIP group (N = 25) and MPI group (N = 28). The CG received usual care, the PIP group received information manuals and telephone counselling for 6-week and the MPI group received multimedia films and manuals and professional support for 6 weeks. The three groups were posttested 6, 10, 18 and 24 weeks after the pre-test. The outcome measurements included disease appraisals, emotion status, relationship satisfaction, health-related quality of life (HRQOL) and satisfaction with MPI. Results/Findings: Partners in the MPI and PIP groups experienced significant improvements in positive and negative affect or mental HRQOL as compared with the CG. The effectiveness of MPI and PIP on negative affect, mental HRQOL, however, were not statistically significant in patients with prostate cancer. Nevertheless, patients were satisfied with the MPI. Conclusion: Nurses can provide different types of interventions for partners, depending on personal preferences and available resources. IMPACT: There is a lack of studies that focus on the effectiveness of couple-based psychosocial intervention on both the patients with prostate cancer and their partners in Asia. Partners in the multimedia psychosocial intervention group and psychosocial information package group experienced improvements in positive affect, negative affect or health-related quality of life as compared with the control group. Patients in both intervention groups experienced similar negative affect and health-related quality of life as compared with the control group. The couple-based psychosocial | 2573 CHIEN Et al.

The effectiveness of psychoeducational interventions on caregiver‐oriented outcomes in caregivers of adult cancer patients: A systematic review and meta‐analysis

“…Twenty‐four of the included articles reported RCTs while four studies used a quasi‐experimental design to assess the effect of PEIs on caregiver outcomes 15,34–36 . The majority of the trials were conducted in the United States of America 37–46 with just one trial from France, 47 Nigeria, 36 and Taiwan 35 …”

“…The majority of interventions were delivered to caregivers in a group setting, 15,36,50,51,55,60 others were delivered individually 34,37–39,42,43,45–49,52,54,56–59,61 and one study administered intervention to the patient‐caregiver dyad 35,40,44 . Interventions varied in duration, ranging from 1 contact session 47 to 10 contact sessions, 43,60 over 2 weeks 40 to 1 year 37 .…”

“…Length of individual contacts lasted between 15 min 57 to 2 h 50 . Many of the interventions were delivered via face‐to‐face contact in a hospital, often supplemented with telephone follow‐ups, 35,39,42,44,49,51,54,56,59 websites 38,48 and home visits 53 . Thirteen of the interventions were nurse‐led interventions 34–36,39,40,43,47,50,52–54,59 .…”

“…Many of the interventions were delivered via face‐to‐face contact in a hospital, often supplemented with telephone follow‐ups, 35,39,42,44,49,51,54,56,59 websites 38,48 and home visits 53 . Thirteen of the interventions were nurse‐led interventions 34–36,39,40,43,47,50,52–54,59 . Other interventions were facilitated by social workers, 34,37,44,46,50 psychologists, 15,34,56,58 oncology experts 38 and three studies were facilitated by trained researchers 55,57,60 .…”

An Integrative Counseling Approach for African American Couples With Prostate Cancer

“…Web‐based PCa education has also been helpful in improving QoL and reducing treatment side effect symptoms (Song et al, 2015). Researchers have also shown that use of media can be helpful in an intervention (e.g., Chien et al, 2020). Web‐based PCa education would be especially beneficial for those African American PCa couples who find the idea of engaging in traditional counseling intimidating or who may be hesitant to discuss issues related to PCa (Rivers et al, 2012).…”