Identifying the unmet supportive care needs of men living with and beyond prostate cancer: A systematic review

Paterson, Catherine; Robertson, A J; Smith, Alison; Nabi, Ghulam

doi:10.1016/j.ejon.2014.12.007

Cited by 154 publications

(183 citation statements)

References 61 publications

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“…The importance of social support as a resource for people affected by cancer is not a new concept, but specifically, prostate cancer survivors have reported a lack of support for their unmet physical and psychological problems (Cockle-Hearne et al, 2013;Paterson et al, 2015;Ream et al, 2008). Therefore, understanding the mechanism effect of how coping and social support operate on emotional outcome over time has the potential to help to identify men who are at high risk of inadequate support provision and suggest directions for intervention (Paterson et al, 2013).…”

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confidence: 99%

What is the mechanism effect that links social support to coping and psychological outcome within individuals affected by prostate cancer? Real time data collection using mobile technology

Paterson

Jones

Rattray

et al. 2016

European Journal of Oncology Nursing

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Purpose: Unmet support needs are prevalent in men affected by prostate cancer. Moreover, little is known about the optimal type of social support, or its mechanism effect between coping and emotional outcome in men affected by this disease to identify areas for clinical intervention. This study aimed to empirically test the propositions of social support theory in "real time" within individual men living with and beyond prostate cancer.Methods: Purposeful sub-sample from a larger prospective longitudinal study of prostate cancer survivors, took part in real time data collection using mobile technology. Self-reports were collected for 31 days prompted by an audio alarm 3 times per day (a total of 93 data entries) for each of the 12 case studies. Electronic data were analysed using time series analysis.Results: Majority of response rates were >90%. Men reported a lack of satisfaction with their support over time. Testing the propositions of social support theory "within individuals" over time demonstrated different results for main effect, moderation and mediation pathways that linked coping and social support to emotional outcome. For two men, negative effects of social support were identified. For six men the propositions of social support theory did not hold considering their within-person data. Conclusion:This innovative study is one of the first, to demonstrate the acceptability of e-health technology in an aging population of men affected by prostate cancer. Collectively, the case series provided mixed support for the propositions of social support theory, and demonstrates that "one size does not fit all". IntroductionProstate cancer is a major health burden in Europe (Jemal et al., 2011). The disease and its treatments have the potential to cause substantial short-and long-term problems for men affected by prostate cancer (Davis et al., 2014). The delicate nature of treatments mean that men with prostate cancer often face a host of difficulties which can negatively affect Health-Related Quality of Life (HRQoL) (van Tol-Geerdink et al., 2013), including physical and psychological problems (CockleHearne et al., 2013;Ream et al., 2008). Toxicities associated with prostate cancer treatments include: urinary (urgency, frequency, incontinence) (Zelefsky et al., 2008), bowel (rectal bleeding, urgency in defecation, diarrhoea, and faecal leakage) (Fransson et al., 2006) and sexual dysfunction (impotence, loss of libido) (Shikanov et al., 2008). Other physical symptoms associated with therapies include: fatigue, weight gain, osteopenia, anaemia, muscle atrophy, gynaecomastia, and hot flushes, and psychological problems including anxiety, depression and loss of cognitive function (Carter et al., 2011). Due to increasing survival rates (Jemal et al., 2011) the number of men dealing with the aftermath consequences of prostate cancer are set to rise, currently 250,000 men in the UK alone (Prostate Cancer UK, 2014).For many patients and family members, a diagnosis of prostate cancer can lead to many ambiguities, such as...

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confidence: 99%

What is the mechanism effect that links social support to coping and psychological outcome within individuals affected by prostate cancer? Real time data collection using mobile technology

Paterson

Jones

Rattray

et al. 2016

European Journal of Oncology Nursing

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“…Indien deze onderwerpen aan bod komen in de consultatie, dan focust de professional zich met name op de fysieke aspecten en niet of nauwelijks op de psychologische gevolgen 10 . De rol van de partner wordt hierbij niet (altijd) onderkend, terwijl ook zij ondersteuning nodig hebben bij het verwerken van veranderingen in de (seksuele) relatie, de gevolgen van prostaatkanker(behandeling) bij hun partner en het bespreekbaar maken van deze onderwerpen 7,11,12 . Daarnaast is het voor de man met protstaatkanker en zijn partner zelf ook lastig om onderling een gesprek aan te gaan over de impact van de diagnose en behandeling op hun emotionele welzijn en relatie 7 .…”

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“…Gezien de (vele) bijwerkingen van de behandeling en impact op vrijwel alle bevraagde domeinen vinden de donateurs en hun partners goede voorlichting essentieel, net als bij veel andere aspecten die aan bod komen in de spreekkamer. Uit eerder onderzoek blijkt dat mannen met prostaatkanker het lastig vinden om de informatie die de arts geeft bij de diagnose te begrijpen en te onthouden, waarbij het risico is dat mannen slecht voorbereid zijn op de mogelijke (negatieve) bijwerkingen van de behandeling 9,10,12 . Het huidige onderzoek laat zien dat een goede voorlichting door artsen en verpleegkundigen lijkt bij te dragen aan het verkleinen van de impact van prostaatkanker op intimiteit, seksualiteit, lichamelijke gesteldheid en kwaliteit van leven.…”

Section: Communicatie Binnen De Gezondheidszorgunclassified

Prostaatkanker verstoort intimiteit en seksualiteit: Maak het bespreekbaar!

Vocht¹,

Ouden²,

Keurhorst³

et al. 2016

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“…The physical and psychological sequelae of prostate cancer and its associated treatments have been welldocumented (e.g. urinary, bowel, and sexual dysfunction, pain, fatigue, spinal cord compression, hot flushes, difficulties with self-image and masculinities) but little is known about men's perceptions about the impact of these on their lives, and the areas in which they most require assistance 10 . One approach to quality of life evaluation that assesses supportive care requirements is needs assessment 13 .…”

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“…Thus, effective consultancy skills are paramount in delivery of supportive care for men affected by prostate cancer 10 .…”

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A Model of Consultation in Prostate Cancer Care

Paterson

Nabi

2017

Cancer Nurs

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Background: There has been an evolution of various consultation models in the literature. Men affected by prostate cancer can experience a range of unmet supportive care needs. Thus, effective consultations are paramount in the delivery of supportive care to optimize tailored self-management plans at the individual level of need. Objective: The aim of this study is to critically appraise existing models of consultation and make recommendations for a model of consultation within the scope of clinical practice for prostate cancer care. Methods: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement Guidelines. Electronic databases were searched using a wide range of keywords and free text items to increase the sensitivity and inclusiveness of the searches. Findings were integrated in a narrative synthesis. Results: A total of 1829 articles were retrieved and 17 papers were included. Beneficial features ranged across a number of models that included a person-centered consultation, shared management plans, and safety netting. None of the reviewed models of consultation are suitable for use in prostate cancer care because of a range of limitations and the clinical context in which models were developed. A Cancer Care Consultation Model was informed from critical appraisal of the evidence and expert clinical and service user comment. Conclusion: Further research is needed to empirically test consultation models in routine clinical practice, specifically for advanced cancer specialist nurses. Implications for Practice: The Prostate Cancer Model of Consultation can be used to structure clinical consultations to target self-management care plans at the individual level of need over the cancer care continuum.

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Identifying the unmet supportive care needs of men living with and beyond prostate cancer: A systematic review

Cited by 154 publications

References 61 publications

What is the mechanism effect that links social support to coping and psychological outcome within individuals affected by prostate cancer? Real time data collection using mobile technology

What is the mechanism effect that links social support to coping and psychological outcome within individuals affected by prostate cancer? Real time data collection using mobile technology

Prostaatkanker verstoort intimiteit en seksualiteit: Maak het bespreekbaar!

A Model of Consultation in Prostate Cancer Care

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