Prostate Cancer Clinical Trial
Official title:
Evaluating a Group Therapy Intervention to Alleviate Psychological Distress in Men With Prostate Cancer: An Assessment of a Group Therapy Program From Vancouver's Prostate Cancer Supportive Care (PCSC) Program
This is a prospective evaluation to determine the effectiveness of the Prostate Cancer Supportive Care (PCSC) Program's group therapy program, Living with Prostate Cancer (LPC). LPC is an intervention which utilizes a small group format (5-7 participants with 2 leaders and a paraprofessional counselling student) to understand and learn how to manage emotional responses, depressive symptoms, and life stressors associated with prostate cancer. Data for this evaluation will be derived from a focus group (at 3 months) and self-report questionnaires that participants will complete immediately prior to the intervention, immediately following the intervention and at 3, 6, and 12-months post-intervention.
The Vancouver Prostate Centre's (VPCs) PCSC Program is designed to address the gap in
supportive care for men with prostate cancer (PC), their partners and their families. The
evaluation protocol described here is specific to the program called "Living with Prostate
Cancer" (LPC) from the Psychooncology module of the PCSC Program. The specific rationale for
this module is that many cancer patients will experience significant anxiety or depression at
some point along their cancer journey. The module includes private, confidential clinic
appointments for PC patients and their spouses/partners, either separately or together, with
our registered clinical counsellor, to explore how to cope with difficult emotions such as
fear, anxiety, sadness, helplessness, and other signs of emotional distress. The module is
now being expanded to include small group discussions. LPC is a group therapy program in
which men participate in a guided autobiographical life review through a process that focuses
on developing a cohesive working group, learning strategic communication skills, and
understanding and learning how to manage difficult emotions and transitional life stressors
associated with PC. It also focuses on the processing and integrating of critical events that
contribute to the men's present day identity and psychological function and involves the
consolidation of the personal learning that occurs. It shifts the focus on transitioning into
the future by developing specific individual, family and/or career goals that are reinforced
by ongoing support from peers in the group. Finally, post-group referral plans are developed
on an individual basis as needed.
The group therapy program includes men with a diagnosis of PC Stages 1 to 3. We will
administer validated quantitative tools to assess depression and anxiety, general
psychological functioning, and male role norms (masculinity) before, after, and at 3, 6, and
12-months following the program. The meeting 3 months after the program will include a focus
group process.
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