Current initiatives

In 2017, the centre continues to conduct foundational work; consolidate existing and newly developed research streams that address disparities and support development of evidence-based accessible tools for use in clinical and community in prostate cancer survivorship research. The following initiatives commenced in 2016 and are ongoing:

  • Reviews of Prostate Cancer Survivorship

    Systematic reviews are a key part of our work to support evidence-based prostate cancer survivorship care.

    In 2016 we commenced a systematic review to identify psychosocial and psychosexual interventions for men with prostate cancer and the components of these interventions that are most effective.  We have reviewed the research up to January 2017 and will integrate expert opinion to develop clear guidelines for care.

    In 2016 we undertook an invited systematic review of the relationship between masculinity, erectile dysfunction and psychosocial or quality of life outcomes after prostate cancer was completed and published in 2016.

    Chambers SK, Chung E, Wittert GA, Hyde MK. Erectile dysfunction, masculinity, and psychosocial outcomes: a review of the experiences of men after prostate cancer treatment. Transl Androl Urol (TAU). 2016. doi:10.21037/tau.2016.08.12 

    A systematic review of the impact of masculinity on men’s quality of life, emotional well-being and adjustment across the prostate cancer continuum, from diagnosis to end-of-life is in progress.

    A critical review of the psychosocial and psychosexual outcomes of partners and caregivers of men diagnosed with prostate cancer is in planning and will commence in 2017. Results of the review will underpin a PhD and inform development of an individually-focused intervention for partners.

  • Help-Seeking for Psychological and Sexual Concerns and Support Use in Men with Prostate Cancer 

    Following on from prior Centre work, three studies commenced in 2016 which explore men’s support needs and their decisions to seek support for their concerns. Results of these studies will inform resource development and help to direct future service provision.

    • An online international four-country study was developed in response to pilot work on the impact of masculinity on men’s sexual help-seeking decisions after prostate cancer. The Men and Sexual Health – Prostate Cancer study, explores men’s concerns about their sexual health, what contributes to their decisions to seek support, and from whom they prefer to receive this support. The study has support from partners in Australia, New Zealand, Ireland and Canada. The development phase for this study was completed in June 2016, and the survey went live on 8 July 2016. Baseline recruitment is continuing until July 2017, with 6 and 12 month follow-up assessments planned. As of February 2017, 617 men have joined the study.
    • 226 men from a population-based sample were contacted in 2016 to investigate men’s support needs, use of support services, attitudes to help-seeking, and masculine beliefs. Men will continue to be tracked for 12 months survey to examine changes in their support needs and support use over time.
    • In 2016 a qualitative survey of 39 men with advanced prostate cancer about their support needs, support use, and preferred support providers commenced with 28 men then interviewed to obtain more in-depth information. Data is currently being analysed and a paper is in preparation.
  • Long-term Trajectories of Psychosocial and Psychosexual Wellbeing for Men with Prostate Cancer and their Partners  

    Four studies commenced in 2016 to support Centre work examining psychosocial and psychosexual adjustment over time of men and their partners after prostate cancer diagnosis and/or treatment. These studies drew from existing cohort data (collection of 10-year data is nearing completion in 2017) and will inform service provision in the future.

    • A longitudinal study reported on a cohort of 1,064 men with prostate cancer over a 6-year period examined their health-related and disease specific QoL, life satisfaction, cancer-specific distress, and PSA anxiety. Results show distinct trajectories in the variables of interest for these men and highlight the importance of considering men’s life-course and treatment side-effects when planning survivorship care.

    Chambers SK, Ng SK, Baade P, Aitken JF, Hyde MK, Wittert GA, Frydenberg M, Dunn J. Trajectories of quality of life, life satisfaction and psychological adjustment after prostate cancer. Psycho-Oncol. 2017. doi:10.1002/pon.4342

    • A longitudinal study which describes changes in the health-related QoL of 81 men with advanced or locally advanced prostate cancer over a 5-year period was accepted for publication in 2016. Results reinforce the need for ongoing long-term assessment of the health-related QoL of these men and particularly their sexual adjustment.

     

    Research impacts

    Zajdlewicz L, Hyde MK, Lepore SJ, Gardiner RA, Chambers SK. Health-related quality of life after the diagnosis of locally-advanced or advanced prostate cancer: a longitudinal study. Cancer Nursing. Accepted July 2016

    • Data from a longitudinal study on distress and quality of life of female partners of men diagnosed with prostate cancer is currently being analysed and a report is in progress.
    • Longitudinal data from couples where the man was diagnosed with prostate cancer is currently undergoing analysis to examine the psychosocial and psychosexual wellbeing 6-years post-treatment.
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