Prostate Cancer Clinical Trial
Official title:
A Phase II RCT of Strategies to Improve Bone Health in Men on ADT
This is a phase II randomized controlled trial (RCT) of 2 strategies to improve bone health in men receiving androgen deprivation therapy (ADT).
In this RCT the investigators are comparing 2 strategies to improve bone health to usual
care. Strategy 1 - Patient and physician-specific written educational material. Pilot-tested
customized written educational material about bone health for men on ADT will be used for
this study. A customized letter will be prepared for the patient's primary care physician,
with specific advice and recommendations for the targeted strategies. Both pamphlet and
letter will include a list of additional resources. Strategy 2 - patient written material and
a bone health care coordinator (BHCC). The same written patient material as in strategy 1
will be used, along with a BHCC who will follow the approach of successful studies and
contact the patient by phone or arrange an in-person visit at the hospital if preferred by
the patient. The BHCC will also encourage the patient to pursue a bone mineral density test
(BMD) with their physician and adopt bone-appropriate diet, lifestyle, and supplement intake
recommendations, and will follow up with the patient at least twice over the next 3 months to
facilitate behavioural changes and BMD ordering. Counselling sessions are short, typically
<15 min. The BHCC will also contact the patient's physician to help facilitate BMD testing.
Time points in the study are baseline, 3-month follow up, and 6-month follow up.
Control group The control group consists of a wait-list control for 6 months, during which no
specific recommendations or interventions will be made by the study team. Prostate Cancer
(PC) clinicians can still provide usual care. At the end of 6 months, control group
participants will be referred to the Osteoporosis Clinic at the University Health Network.
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