Acceptability of a virtual prostate cancer survivorship care model in rural Australia: A multi-methods, single-centre feasibility pilot.

Heneka, N; Chambers, SK; Schaefer, I; Carmont, K; Parcell, M; Wallis, S; Walker, S; Tuffaha, H; Steele, M; Dunn, J

Acceptability of a virtual prostate cancer survivorship care model in rural Australia: A multi-methods, single-centre feasibility pilot.

Heneka, N

Chambers, SK Schaefer, I

Carmont, K Parcell, M Wallis, S Walker, S Tuffaha, H Steele, M Dunn, J

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Aust J Rural Health, 2024, 32, (4), pp. 815-826
Issue Date:: 2024-08

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Field	Value	Language
dc.contributor.author	Heneka, N https://orcid.org/0000-0001-8102-1871
dc.contributor.author	Chambers, SK
dc.contributor.author	Schaefer, I https://orcid.org/0000-0001-9941-7671
dc.contributor.author	Carmont, K
dc.contributor.author	Parcell, M
dc.contributor.author	Wallis, S
dc.contributor.author	Walker, S
dc.contributor.author	Tuffaha, H
dc.contributor.author	Steele, M
dc.contributor.author	Dunn, J
dc.date.accessioned	2024-09-23T04:23:08Z
dc.date.available	2024-05-26
dc.date.available	2024-09-23T04:23:08Z
dc.date.issued	2024-08
dc.identifier.citation	Aust J Rural Health, 2024, 32, (4), pp. 815-826
dc.identifier.issn	1038-5282
dc.identifier.issn	1440-1584
dc.identifier.uri	http://hdl.handle.net/10453/180919
dc.description.abstract	DESIGN: A multi-methods, single-centre pilot comprising a quasi-experimental pre-/post-test design and an exploratory qualitative study. SETTING: A rural Australian hospital and health service. PARTICIPANTS: Men newly diagnosed with localised prostate cancer who were scheduled to undergo, or had undergone, radical or robotic prostatectomy surgery within the previous 3 months. INTERVENTION: The intervention comprised a 12-week virtual care program delivered via teleconference by a specialist nurse, using a pre-existing connected care platform. The program was tailored to the post-operative recovery journey targeting post-operative care, psychoeducation, problem-solving and goal setting. MAIN OUTCOME MEASURES: Primary outcome: program acceptability. SECONDARY OUTCOMES: quality of life; prostate cancer-related distress; insomnia severity; fatigue severity; measured at baseline (T1); immediately post-intervention (T2); and 12 weeks post-intervention (T3). RESULTS: Seventeen participants completed the program. The program intervention showed very high levels (≥4/5) of acceptability, appropriateness and feasibility. At T1, 47% (n = 8) of men reported clinically significant psychological distress, which had significantly decreased by T3 (p = 0.020). There was a significant improvement in urinary irritative/obstructive symptoms (p = 0.030) and a corresponding decrease in urinary function burden (p = 0.005) from T1 to T3. CONCLUSIONS: This pilot has shown that a tailored nurse-led virtual care program, incorporating post-surgical follow-up and integrated low-intensity psychosocial care, is both acceptable to rural participants and feasible in terms of implementation and impact on patient outcomes.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Aust J Rural Health
dc.relation.isbasedon	10.1111/ajr.13149
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 16 Studies in Human Society
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Prostatic Neoplasms
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Aged
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Middle Aged
dc.subject.mesh	Australia
dc.subject.mesh	Telemedicine
dc.subject.mesh	Quality of Life
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Rural Population
dc.subject.mesh	Survivorship
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Humans
dc.subject.mesh	Prostatic Neoplasms
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Telemedicine
dc.subject.mesh	Quality of Life
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Rural Population
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Australia
dc.subject.mesh	Male
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Survivorship
dc.title	Acceptability of a virtual prostate cancer survivorship care model in rural Australia: A multi-methods, single-centre feasibility pilot.
dc.type	Journal Article
utslib.citation.volume	32
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	16 Studies in Human Society
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres/IMPACCT
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2024-09-23T04:23:06Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	32
utslib.citation.issue	4

Abstract:

DESIGN: A multi-methods, single-centre pilot comprising a quasi-experimental pre-/post-test design and an exploratory qualitative study. SETTING: A rural Australian hospital and health service. PARTICIPANTS: Men newly diagnosed with localised prostate cancer who were scheduled to undergo, or had undergone, radical or robotic prostatectomy surgery within the previous 3 months. INTERVENTION: The intervention comprised a 12-week virtual care program delivered via teleconference by a specialist nurse, using a pre-existing connected care platform. The program was tailored to the post-operative recovery journey targeting post-operative care, psychoeducation, problem-solving and goal setting. MAIN OUTCOME MEASURES: Primary outcome: program acceptability. SECONDARY OUTCOMES: quality of life; prostate cancer-related distress; insomnia severity; fatigue severity; measured at baseline (T1); immediately post-intervention (T2); and 12 weeks post-intervention (T3). RESULTS: Seventeen participants completed the program. The program intervention showed very high levels (≥4/5) of acceptability, appropriateness and feasibility. At T1, 47% (n = 8) of men reported clinically significant psychological distress, which had significantly decreased by T3 (p = 0.020). There was a significant improvement in urinary irritative/obstructive symptoms (p = 0.030) and a corresponding decrease in urinary function burden (p = 0.005) from T1 to T3. CONCLUSIONS: This pilot has shown that a tailored nurse-led virtual care program, incorporating post-surgical follow-up and integrated low-intensity psychosocial care, is both acceptable to rural participants and feasible in terms of implementation and impact on patient outcomes.

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http://hdl.handle.net/10453/180919