Key result
The TEMPO web-based self-management program met acceptability benchmarks with <25% attrition and 45% adherence, though recruitment averaged 6.1 dyads/month against a benchmark of 8.
Why the study?
Family caregivers of men with prostate cancer often assume their role without formal training, contributing to high burden, prompting the pilot of TEMPO, a dyadic web-based self-management program.
Does the TEMPO web-based program improve feasibility, acceptability, and clinical outcomes in men with prostate cancer and their caregivers compared to usual care?
RCT (n=49)
randomized
Yes
Does the TEMPO web-based program improve feasibility, acceptability, and clinical outcomes in men with prostate cancer and their caregivers compared to usual care?
The TEMPO web-based self-management program is feasible and acceptable for men with prostate cancer and their caregivers, showing potential clinical benefits for anxiety and quality of life.
Answers are grounded in this paper and cite their sources.
TEMPO pilot supports proceeding to efficacy trials; leaves open clinical benefits for dyads in definitive studies.
Background: Prostate cancer is the most common cancer diagnosis among men. Family caregivers (often female spouses) play a key role in ensuring patients’ needs are met, frequently assuming their role with no formal training, which can contribute to a high burden. The purpose of this study was to pilot TEMPO—the first dyadic, Tailored, wEb-based, psychosocial and physical activity self-Management PrOgram for men with prostate cancer and their caregivers. Methods: 49 men with prostate cancer and their caregivers were randomized to TEMPO or usual care. Baseline and follow-up questionnaires were completed to assess feasibility, acceptability, and clinical significance. A priori benchmarks for these outcomes were set. Thirteen exit interviews were conducted to further explore acceptability. Results: Feasibility benchmarks were met with the exception for recruitment with on average 6.1 dyads recruited/month (benchmark: 8 dyads/month). Benchmarks of acceptability focused on attrition (<25%) and system usability, which were met. Using the strict criteria for adherence of 100% of the module viewed and participants spending at least 15 min on the module, 45% of participants were adherent. The clinical significance on anxiety and quality of life was supported for caregivers, and mostly supported for the men with prostate cancer. Conclusion: This pilot trial was successful, with minor modifications needed prior to a large trial.
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Lambert et al. (2022) conducted an RCT in Prostate cancer (n=49). TEMPO (web-based psychosocial and physical activity self-management program) vs. usual care was evaluated on Feasibility, acceptability, and clinical significance. The TEMPO web-based self-management program met acceptability benchmarks with <25% attrition and 45% adherence, though recruitment averaged 6.1 dyads/month against a benchmark of 8.
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