Key result
In 103 patients and partners, couple-based psychosocial interventions significantly improved positive and negative affect and mental HRQOL in partners compared with usual care.
Why the study?
There is a lack of studies focusing on the effectiveness of couple-based psychosocial interventions on both patients with prostate cancer and their partners in Asia.
Do couple-based psychosocial interventions improve emotion status and health-related quality of life in newly diagnosed prostate cancer patients and their partners?
RCT (n=103)
random assignment
Do couple-based psychosocial interventions improve emotion status and health-related quality of life in newly diagnosed prostate cancer patients and their partners?
Couple-based psychosocial interventions improve affect and mental health-related quality of life in partners of prostate cancer patients, though not significantly in the patients themselves.
Answers are grounded in this paper and cite their sources.
May support partner-focused interventions; leaves open patient benefits and requires larger trials.
AIMS: To understand the effectiveness of a couple-based psychosocial information package (PIP) and multimedia psychosocial intervention (MPI) on patients with prostate cancer and their partners. DESIGN: A random assignment and quasi-experimental design were used. METHODS: From August 2015-March 2018, 103 newly diagnosed patients with prostate cancer and their partners were divided into a control group (CG) (N = 50), PIP group (N = 25) and MPI group (N = 28). The CG received usual care, the PIP group received information manuals and telephone counselling for 6-week and the MPI group received multimedia films and manuals and professional support for 6 weeks. The three groups were posttested 6, 10, 18 and 24 weeks after the pre-test. The outcome measurements included disease appraisals, emotion status, relationship satisfaction, health-related quality of life (HRQOL) and satisfaction with MPI. RESULTS/FINDINGS: Partners in the MPI and PIP groups experienced significant improvements in positive and negative affect or mental HRQOL as compared with the CG. The effectiveness of MPI and PIP on negative affect, mental HRQOL, however, were not statistically significant in patients with prostate cancer. Nevertheless, patients were satisfied with the MPI. CONCLUSION: Nurses can provide different types of interventions for partners, depending on personal preferences and available resources. IMPACT: There is a lack of studies that focus on the effectiveness of couple-based psychosocial intervention on both the patients with prostate cancer and their partners in Asia. Partners in the multimedia psychosocial intervention group and psychosocial information package group experienced improvements in positive affect, negative affect or health-related quality of life as compared with the control group. Patients in both intervention groups experienced similar negative affect and health-related quality of life as compared with the control group. The couple-based psychosocial interventions can be provided by nurses based on partners' preferences and available resources.
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Chien et al. (2020) conducted an RCT in prostate cancer (n=103). Couple-based psychosocial information package (PIP) and multimedia psychosocial intervention (MPI) vs. Usual care was evaluated on Disease appraisals, emotion status, relationship satisfaction, health-related quality of life (HRQOL) and satisfaction with MPI. In 103 patients and partners, couple-based psychosocial interventions significantly improved positive and negative affect and mental HRQOL in partners compared with usual care.
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