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Assessing the information and support needs of radical prostate cancer patients and acceptability of a group-based treatment review: a questionnaire and qualitative interview study

Published online by Cambridge University Press:  08 January 2018

Munisha Chauhan
Affiliation:
Leeds Teaching Hospitals NHS Trust, St James’s Institute of Oncology, Bexley Wing, St James’s Hospital, Leeds, UK
Patricia Holch*
Affiliation:
Psychology Group, Leeds Beckett University, Leeds, UK Patient Centered Outcomes Research Group, Leeds Institute of Cancer Studies and Pathology, University of Leeds, Bexley Wing, St James’s Hospital, UK
Catherine Holborn
Affiliation:
Allied Health Department, Faculty of Health & Wellbeing, Sheffield Hallam University, Sheffield, UK
*
Correspondence to: Patricia Holch, Leeds Beckett University Faculty of Health and Social Sciences, Room 815 Calverley Building, City Campus, West Yorkshire, LS1 3HE, UK. Tel: +004407506751960. E-mail: t.holch@leedsbeckett.ac.uk

Abstract

Aims

Current literature suggests the information and support needs of oncology patients undergoing radical radiotherapy to the prostate often remain unmet and can impact quality of life. We aimed to explore the effectiveness of delivery and opportunities for service improvement, including a group-based treatment review.

Methods

A total of 60 prostate patients completing radical radiotherapy (mean age 70, range 47–79) in a UK cancer-centre completed a self-designed questionnaire assessing information and support. To explore views on a group-based treatment review, 11% took part in a semi-structured interview. Descriptive data were computed and interviews transcribed and analysed thematically.

Results

In all, 87% were satisfied with information and support when delivered by radiographers. However, 26% were only ‘sometimes’ able to complete bladder-filling, suggesting information regarding treatment delays would improve this. In total, 49% preferred both Doctor and Urology nurse reviews whereas 26% preferred nurse only; 70% stated their ‘concerns were always addressed’ by a nurse and 49% by a Doctor. Interviews revealed that a group review was generally acceptable with peer support an influencing factor.

Findings

Overall patients felt their needs were being met. Suggestions for improvement (more information on preparation, side effects and delays) will be implemented locally. Future work will explore the feasibility of group reviews in patients undergoing radical radiotherapy to the prostate.

Type
Original Article
Copyright
© Cambridge University Press 2018 

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