A pilot randomised controlled trial of a nurse-led psychoeducational intervention delivered in primary care to prostate cancer survivors (PROSPECTIV)

ISRCTN ISRCTN97242511
DOI https://doi.org/10.1186/ISRCTN97242511
Secondary identifying numbers 12425
Submission date
26/06/2012
Registration date
26/06/2012
Last edited
04/10/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://www.cancerresearchuk.org/cancer-help/trials/a-study-looking-quality-life-follow-up-men-prostate-cancer-prospectiv

Contact information

Prof Eila Watson
Scientific

School of Health Care and Social Care
Oxford Brookes University
Jack Straws Lane Marston
Oxford
OX3 0FL
United Kingdom

Email ewatson@brookes.ac.uk

Study information

Study designBoth; Interventional; Design type: Process of Care
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Scientific titleA pilot randomised controlled trial of a nurse-led psychoeducational intervention delivered in primary care to prostate cancer survivors (PROSPECTIV)
Study objectivesPrevious studies have shown that men with prostate cancer can experience a range of problems following treatment, including incontinence of urine, sexual problems, anxiety and depression. These are often not adequately addressed. In this pilot trial men with ongoing problems who are 9-24 months beyond diagnosis will be offered a nurse appointment in a GP surgery, where the nurse will offer advice and support on the best way to deal with these problems. This may involve giving information on how to improve symptoms (eg specific exercises for incontinence), or how to cope better with symptoms that can't be improved. Where appropriate, the nurse will refer the man to the GP (eg for prescription of drug treatment for erection difficulties), or to a specialist /other support service if the problem is more complex. Men will be offered additional nurse follow-up appointments to monitor progress and provide further advice and support, on an individual needs basis. A routine telephone follow-up appointment will take place at six months for all men. Our overall aim is to find out if this nurse-led intervention is more effective than current care in improving men's quality of life, unmet needs and satisfaction with care. Men recruited to the study will complete a questionnaire (Phase 1) which will identify those with ongoing problems. Those who consent will be randomly allocated either to the nurse intervention or to the current care group (Phase 2). Follow-up questionnaires will be given after 9 months and comparisons made between groups to make preliminary estimates of how effective the intervention is. The information from this pilot study will be essential for designing a larger trial which would definitively answer our research question.
Ethics approval(s)12/SC/0373
Health condition(s) or problem(s) studiedTopic: Primary Care Research Network for England; Subtopic: Not Assigned; Disease: All Diseases
InterventionRandomly allocated either to the nurse intervention or to the current care group

Nurse intervention: The intervention will provide tailored advice and support to men on dealing with any prostate related problems they have. The intervention will be delivered by a trained research nurse, based in primary care, who will offer an initial face to face appointment (approximately 30-45 minutes) to men. The intervention will aim to
1. Elicit the man's understanding of his illness
2. Assess the key problem(s)
3. Ensure optimal treatment is offered
Intervention typeOther
Primary outcome measureA follow-up questionnaire administered at 9 months will measure outcomes and costs
Secondary outcome measuresNot provided at time of registration
Overall study start date01/10/2012
Completion date01/10/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participantsPlanned Sample Size: 500; UK Sample Size: 500
Key inclusion criteria1. 9- 24 months post-diagnosis of prostate cancer
2. Men who have stable disease defined as having the followingm Prostate-specific antigen (PSA) values (most recent):
2.1. Surgical patients: 0.4ng/ml or less
2.2. Radiotherapy patients: 0.4ng/ml or less if nadir (0.2 or less) is reached, or PSA continuing to fall if nadir not reached
3. Hormone therapy patients: 10ng/ml or less
Key exclusion criteria1. < 9 or >24 months post-diagnosis
2. Unstable patients
3. Unable to understand/speak English
Date of first enrolment01/10/2012
Date of final enrolment01/10/2013

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Oxford Brookes University
Oxford
OX3 0FL
United Kingdom

Sponsor information

Oxford Brookes University (UK)
University/education

Jack Straws Lane Marston
Oxford
OX3 0FL
England
United Kingdom

ROR logo "ROR" https://ror.org/04v2twj65

Funders

Funder type

Charity

Prostate Cancer Charity (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 22/05/2014 Yes No
Results article results 01/02/2018 Yes No

Editorial Notes

04/10/2018: Publication reference added.