Effectiveness Evaluation of a Self-management Program for Prostate Cancer Survivors

Not Applicable

Completed

Interventions: Behavioral: Self-management program
Other: Information package

Brief Summary: Objectives: This project aims to develop a self-management program for survivors with prostate cancer experiencing urinary incontinence following radical prostatectomy and determine its effectiveness.

Methods: The investigators will develop a self-management program and conduct a study on survivors with prostate cancer experiencing urinary incontinence following radical prostatectomy. And the investigators will test the effectiveness of the self-management program. After completing a pretest, participants will be randomly assigned to the experimental or control group. The self-management group will receive the self-management program for 12 weeks, whereas the information group will receive an information package on a healthy diet. Posttests will be administered 12 and 16 weeks after the pretest. The study variables will include physical symptoms and bothers, cancer-related self-efficacy, social participation, demoralization, and resilience.

Detailed Description: Objectives: This project aims to develop a self-management program for survivors with prostate cancer experiencing urinary incontinence following radical prostatectomy and determine its effectiveness.

Methods: The investigators will develop a self-management program and conduct a study on survivors with prostate cancer experiencing urinary incontinence following radical prostatectomy. And the investigators will test the effectiveness of the self-management program. After completing a pretest, participants will be randomly assigned to the experimental or control group. The self-management group will receive the self-management program for 12 weeks, whereas the information group will receive an information package on a healthy diet. The self-management program is included a self-management application, a self-management manual, and professional support. The information package consists of a manual on a healthy diet and a multimedia film on a healthy diet. Posttests will be administered 12 and 16 weeks after the pretest. The study variables will include physical symptoms and bothers, cancer-related self-efficacy, social participation, demoralization, and resilience. The statistical analyses will consist of independent sample t-tests, Chi-squire, and generalized estimating equation analysis.

Recruitment & Eligibility

Inclusion Criteria

Prostate cancer survivors will include if they fit the following:

Received radical prostatectomy and suffering from urinary incontinence for at least one week
Eastern Cooperative Oncology Group 0-1 point, able to walk entirely independently
Have a smartphone or a tablet with a wireless network
Their intimate partner or one of the family members willing to learn together
Agreed to participate in the study and completed the informed consent form

Exclusion Criteria

Prostate cancer survivors will be excluded if they had one or more of the following:

A request, with the consideration of family members, that the medical team not tell the patient about the diagnosis or condition of the disease
A history of psychiatric illness, such as dementia, depression; schizophrenia, or bipolar disorder
Suffer from other types of cancer and actively undergoing treatment

Arm && Interventions

Group	Intervention	Description
Self-management group	Self-management program	The experimental group will receive the self-management program for 12 weeks.
Information group	Information package	The control group will receive an information package on a healthy diet.

Primary Outcome Measures

Name	Time	Method
Cancer related self-efficacy	16 weeks after the pretest	The Mandarin version of the Cancer Survivors' Self-Efficacy Scale (CSSES) will be used to evaluate the cancer-specific self-efficacy of participants.The total score ranges from 11 to 110; the lower the score, the worse the self-efficacy.

Secondary Outcome Measures

Name	Time	Method
Urinary symptoms and bothers	16 weeks after the pretest	The Mandarin version of the Expanded Prostate Cancer Index Composite (EPIC) will be used to measure the urinary symptoms and bother of the participants. Total 7 items and each question is linearly scaled from 0 (worst) to 100 (best).
Social participation	16 weeks after the pretest	A. The Mandarin version of the Older Adults Social Participation Scale will be used to assess participants' social participation. The scale includes 12 items with a score range of 12 to 60. A higher score shows a higher degree of social participation. B. Self-designed items will be used to assess participants' willingness to participate in social activities (1 item) and their satisfaction with social activities (1 item). Each item will have a score range of 0 to 10, with higher scores indicating a greater willingness to participate or higher satisfaction.
Demoralization	16 weeks after the pretest	The Mandarin version of the Demoralization Scale will be used to assess participants' demoralization. The scale includes 24 items, and the score range is 0-96. A higher score means higher demoralization.
Resilience	16 weeks after the pretest	The Mandarin version of the Connor-Davidson Resilience Scale will be used to measure the psychological resilience of participants. The scale has 10 items, and the score range is 0-100. A higher score reflects better resilience.

Locations (2): Chang Gung Memorial Hospital at Keelung
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Keelung, Taiwan
Chang Gung Memorial Hospital at Linkou
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Taoyuan, Taiwan