A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners

Chambers, Suzanne K. and Occhipinti, Stefano and Schover, Leslie and Nielsen, Lisa and Zajdlewicz, Leah and Clutton, Samantha and Halford, Kim and Gardiner, Robert A. and Dunn, Jeff (2015) A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners. Psycho-Oncology, 24 (7). pp. 748-756. ISSN 1057-9249

Abstract

Objective: The diagnosis and treatment of prostate cancer is followed by substantive sexual morbidity. The optimal approach for intervening remains unclear. Methods/design A three-arm randomised control trial was undertaken with 189 heterosexual couples where the man had been diagnosed with prostate cancer and treated surgically. The efficacy of peer-delivered telephone support versus nurse-delivered telephone counselling versus usual care in improving both men's and women's sexual adjustment was investigated. Assessments were undertaken at baseline (pre-test) with follow-up at 3, 6 and 12 months. Results At 12 months, men in the peer (p=0.016) and nurse intervention (p=0.008) were more likely to use medical treatments for erectile dysfunction (ED) than men in the usual care arm. Men in the nurse intervention more frequently used oral medication for ED than men in usual care (p=0.002). No significant effects were found for sexual function, sexuality needs, sexual self-confidence, masculine self-esteem, marital satisfaction or intimacy. Conclusion Although peer and nurse couples-based interventions can increase use of medical treatments for ED, this may not translate into better sexual or relationship outcomes. More research is needed into the optimal timing of interventions to improve sexual outcomes for men with prostate cancer and to identify the subpopulations that will benefit from them.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty / Department / School: No Faculty
Date Deposited: 07 Jun 2017 04:01
Last Modified: 08 Jun 2017 01:39
Uncontrolled Keywords: couples; partners; peer support; prostate cancer; psychosexual adjustment; Adaptation, Psychological; Aged; Counseling; Erectile Dysfunction; Female; Heterosexuality; Humans; Male; Middle Aged; Peer Group; Personal Satisfaction; Practice Patterns, Nurses'; Prostatic Neoplasms; Self Concept; Sexual Dysfunction, Physiological; Sexual Partners; Telephone; Urological Agents; Cancer; Urology and Nephrology; Psychiatry;
Fields of Research : 11 Medical and Health Sciences > 1112 Oncology and Carcinogenesis > 111299 Oncology and Carcinogenesis not elsewhere classified
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1002/pon.3726
URI: http://eprints.usq.edu.au/id/eprint/32029

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