Psychosexual Support Following Prostate Cancer Surgery: Feasibility and Outcomes of a Couple-based Intervention
Evidence shows significant unmet psychosexual needs for couples affected by prostate cancer.
Studies have identified the contribution that psychosocial interventions could have for
couples, e.g. strengthening healthy adaptation and better communication, developing coping
skills for distressed couples, and facilitating healthy spousal communication to address the
sexual rehabilitation needs.
This is a feasibility study with a built-in pilot, which will examine the acceptability,
feasibility and outcomes of a psychosexual intervention to support couples, drawing on the
MRC complex intervention framework.
The intervention will be developed from the extant and our pilot work. Men in outpatient
surgical follow-up clinics will be screened using EPIC, and recruited if scoring under the
clinical threshold for potency. 68 couples will be randomised to two arms, one receiving six
sessions of couple-support from specially trained counsellors and the others receiving
standard care. The primary outcome measure is health-related quality-of-life. Pre, post and
6-month follow-up outcomes will be measured in both individual (quality of life;
anxiety/depression) and in relational terms (relationship between couples). An economic
analysis will identify population costs.
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
EPIC (Expanded Prostate cancer Index Composite)
EPIC is a quality of life tool used in prostate cancer studies, focused on physical and sexual outcomes. It is validated with population norms
Liz Forbat, PhD
University of Stirling
United Kingdom: Research Ethics Committee