An Educational Program to Help Patients Manage Androgen Deprivation Therapy Side Effects

Feasibility, Acceptability, and Preliminary Outcomes

Bibliographic Data

ID21748290
AuthorsErik Wibowo (0000-0002-5309-1490, University of Otago), Richard J Wassersug (0000-0001-7028-7615, University of British Columbia), Jerry W Robinson (0000-0002-7371-2901, University of Calgary), John W Robinson (0000-0002-8185-2699, University of Calgary), Pablo Santos‐iglesia (0000-0003-1291-1015, University of Calgary), Pablo Santos-Iglesias (University of Calgary, Alberta, Canada), Andrew Matthew (Princess Margaret Cancer Centre), Deborah Mcleod (Dalhousie University), Deborah L Mcleod (Nova Scotia Health Authority, Halifax, Canada), Lauren M Walker (0000-0001-7704-3197, University of Calgary, corresponding author)
Year2020
Volume14
Issue1
Pages1557988319898991-1557988319898991
Publication date2020-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Men s Health (JOURNAL)
Journal identifiersISSN: 1557-9883 • E-ISSN: 1557-9891
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/1557988319898991
PMID32024430
OpenAlexW3005318484
LanguageEN
Citations received2
References cited46

Androgen deprivation therapy (ADT), a common treatment for prostate cancer, is associated with physical, psychological, and sexual side effects that reduce patients’ quality of life. The authors designed an educational program to prepare patients for managing these side effects. This paper describes an implementation model for national dissemination of the program, testing its feasibility and acceptability at the institutional and patient level. Postprogram changes in patients’ self-efficacy to manage side effects and side effect bother are also explored. Patients on or anticipating ADT enrolled in the educational program. Pre and post intervention questionnaires measured patient satisfaction with the program, side effect bother, and self-efficacy to manage ADT side effects. The ADT Educational Program was deemed feasible and acceptable. Five of six targeted sites successfully launched the program with sufficient patient enrolment. Patient attendees were highly satisfied. Self-efficacy, bother, and use of management strategies were interrelated. Lower bother was associated with increased self-efficacy and more use of management strategies, and increased bother was associated with lower self-efficacy and less use of management strategies. Based on pre–post scores, improvements in patients’ self-efficacy to manage ADT side effects were also observed. Results demonstrate that this brief educational program is feasible and acceptable to patients and cancer care institutions. The program appears to promote self-efficacy and the uptake of ADT management strategies for ADT side effects. The results of this study support the program implementation and suggest that improvements in self-efficacy after program participation may help patients adapt to ADT side effects

Androgen · Androgen deprivation therapy · Cancer · Hormone · Prostate cancer · Cancer survivorship and care · Hormonal and reproductive studies · Medicine · Prostate Cancer Treatment and Research · Internal Medicine

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