Predicting and promoting improved long term adjustment for men with localised prostate cancer: ProsCan

Funded Activity Summary

In the western world prostate cancer is the most common male cancer and the second most common cause of cancer death. Currently, the most contentious public health issue regarding prostate cancer is uncertainty about the benefits of diagnosing and treating prostate cancer at a localised stage. Prostate cancer is heterogeneous and the risk of morbidity and mortality from localised disease is difficult to quantify owing to the cancer's relatively slow growth rate. Thus, after the diagnosis of localised prostate cancer it is recommended that all men be advised of three possible treatment options at a minimum: watchful waiting, radiation therapy, or radical prostatectomy. Most men prefer active involvement in the treatment decision, however many find this difficult due to uncertainty about the likely survival gain; significant treatment side effects and ambiguous risk probabilities for these effects. While prostate cancer is common, mortality is low with most men surviving 10 years. This means quality of life after prostate cancer is a critical issue. Survivorship concerns for this patient group include fears about cancer recurrence; managing physical effects of treatments; and social effects such as disruption to daily living. Men seek help less for psychological difficulties than do women. Accessible and well targeted support services for men are critical. This project aims to identify men who after the diagnosis of localised prostate cancer are at risk of poorer psychosocial adjustment over the long term and to assess the effectiveness of a psychosocial and decision support intervention in improving their long term outcomes. Identification of predictors of men's adjustment over time and of effective ways to promote optimal long term outcomes are important research questions that are as yet unanswered. The present research will be the first of its kind internationally to address these questions.

Funded Activity Details

Start Date: 01-01-2007

End Date: 01-01-2011

Funding Scheme: NHMRC Project Grants

Funding Amount: $307,407.00

Funder: National Health and Medical Research Council

Research Topics

ANZSRC Field of Research (FoR)

Health Counselling

ANZSRC Socio-Economic Objective (SEO)

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Other Keywords

Decision support techniques | Early stage prostate cancer | Health outcomes | Informed decision making in cancer care | Prostate cancer | Psychological and psycho-social adjustment | Randomised controlled trial | Telephone counselling

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