Effects of occupational therapy on quality of life of patients with metastatic prostate cancer

Abstract

Objectives:To evaluate the efficiency of occupational therapy relative to a home program in improving quality of life (QoL) among men who were treated for metastatic prostate cancer (MPC).Methods:Fifty-five men were assigned randomly to either the 12-week cognitive behavioral therapy based occupational therapy (OT-CBSM) intervention (treatment group) or a home program (control group) between March 2012 and August 2014 in the Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey. The Canadian Occupational Performance Measure (COPM) was used to measure the occupational performance and identify difficulties in daily living activities. The QoL and symptom status were measured by The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire C30 and its Prostate Cancer Module. A 12-week OT-CBSM intervention including client-centered training of daily living activities, recreational group activities, and cognitive behavioral stress management intervention were applied.Results:The COPM performance and satisfaction scores, which indicate occupational participation and QoL increased statistically in the treatment group in relation to men who were included in the home-program (p≤0.05).Conclusion:A 12-week OT-CBSM intervention was effective in improving QoL in men treated for MPC, and these changes were associated significantly with occupational performance.

New Flower Bed Design and Verification Supporting Horticultural Therapy Classes Based on Behavioral Observation

“…Group activities in planting and sharing experiences create community opportunities and respect among each other. There is a connection between social participation and environment recognition of the elderly [37,38]. Besides, there is also a strong correlation between the elderly's ability to successfully interact with society and the quality of their facilities and surroundings.…”

Occupational Therapy in Oncology and Palliative Care

“…Among cancer survivors, psychosocial problems are prevalent and may include economic difficulties related to repetition and fear of death, anxiety and depression, feelings of alienation or isolation, job loss, and discrimination in employment [40]. Because of these reasons, researchers focus on quality of life issues after cancer treatment [41]. The common rehabilitation goals and a couple of examples of instrument for assessing the achievement of this goal are shown in Table 3.…”

Rehabilitation of Patients with Prostate Cancer

“…These treatment options are associated with the risk of some side effects including fatigue, pain, urinary incontinence, erectile dysfunction, cognitive problems, decrease in bone density, weight loss, gynecomastia, and hot flushes with stress-related psychosocial problems [4]. Relative to other cancers, the prognosis of men with prostate cancer is much better, and the potential treatment-related side effects have important implications which can affect the health-related quality of life (QOL) of the patients; besides, these treatment-related side effects are significant in this population [5].…”

“…Increased rates of survival and support required for functional, physical, and psychological status led to a considerable interest in rehabilitation needs and the approaches used to increase the QOL of the patients with prostate cancer [5]. Recent studies support the efficiency of multimodal treatment to recognize, prevent, and increase functional recovery with an interdisciplinary rehabilitation team which includes physical and occupational therapists.…”

“…Occupational therapists play a vital role in increasing the occupational participation of the patients with prostate cancer [5]. Occupational therapists use training in activities of daily living, assistive technology approaches, education of energy conservation techniques, management of treatment-related problems such as pain, fatigue, and nausea.…”