Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 18, 2018
Open Peer Review Period: Jul 21, 2018 - Sep 15, 2018
Date Accepted: Dec 21, 2018
(closed for review but you can still tweet)
Enhanced patient activation in cancer care transitions – a randomized controlled trial of a tailored eHealth intervention for men with prostate cancer
ABSTRACT
Background:
Prostate cancer has increased in incidence worldwide and is the leading cause of cancer death in 24 countries. The most common treatment is radical prostatectomy. However, surgery is associated with postoperative complications such as urinary incontinence and sexual dysfunction, causing decreased quality of life. If survivors are encouraged to be more active in self-care management, the symptom burden may decrease and quality of life improve. An eHealth intervention based on motivational behavioral theory has been developed for this purpose.
Objective:
to compare the effectiveness of a tailored eHealth-assisted self-management support, ePATH, with standard care of postoperative symptoms (urinary incontinence and sexual functioning) in men undergoing radical prostatectomy. The secondary aim is to test the effect on patient activation, motivation, overall well-being, and health literacy over time, in and between groups.
Methods:
A pragmatic multi-center block-randomized controlled trial (RCT) with two study arms, standard care (control) and eHealth-assisted standard care (intervention), for patients undergoing radical prostatectomy. For 80% power, a sample of 242 men will need to be recruited.
Results:
N.A.
Conclusions:
Many prostate cancer survivors suffer from poor quality of life and depression due to postoperative complications. Erectile dysfunction and urinary leakage are common and may be difficult to discuss openly. With the expected increase of men living with cancer, attention should be paid to rehabilitation, psychosocial care, and creation of tools to help patients return to as normal a life as possible. This project can increase knowledge of how patients can be supported to perform self-care and to feel involved in their care. The anticipated effects of ePATH could improve health outcomes for individuals and facilitate follow-up for healthcare professionals. Clinical Trial: ISRCTN 18055968
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.