Development of a pre-habilitation multimodal supportive care interventions for men and their partners prior to radical prostatectomy for localized prostate cancer.
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PATERSON, C., PRIMEAU, C., PULLAR, I. and NABI, G. . Development of a pre-habilitation multimodal supportive care interventions for men and their partners prior to radical prostatectomy for localized prostate cancer. Cancer nursing [online], (accepted).
Background: An important question revolves around when the most opportune time is to introduce recovery-optimizing behaviors for men opting for radical prostatectomy (RP) for localized prostate cancer (PCa). An emerging field of research describes the role of pre-operative strategies to improve treatment tolerance, and overall physical and psychological recovery. Objective: To explore the perceptions of a multimodal pre-habilitation intervention for men and their partners prior to RP for localized PCa. Intervention/Methods: Thirty-four patients who opted for RP for localized PCa and their partners (19) were identified and recruited into the study. The multimodal intervention comprised of educational materials, physiotherapy instruction and a self-management group-based seminar. Results: The multimodal pre-habilitation intervention was perceived as overall helpful with demonstrated acceptability (91.9%). Beneficial themes related to the quality of the information provided to support self-management, open forum questions with multidisciplinary healthcare professionals, and increased knowledge among partners to help with their understanding of how to look after their husbands. Conclusion: The intervention was feasible and beneficial for the prostate cancer dyad. A future pilot RCT study is needed to provide sufficient evidence on the long-term physical and psychological outcomes and cost-effectiveness. Implications for Practice: Oncology nurses play a key role in the development of pre-habilitation care delivery. Pre-habilitation interventions can have a positive effect on improving health outcomes for cancer patients and their partners after surgery and into survivorship.