- A personally tailored, automated telephone symptom management intervention to improve self-management in long-term survivors of prostate cancer fails to improve overall Expanded Prostate Cancer Index Composite-26 (EPIC) scores vs usual care.
- Intervention tailored to symptom area of choice showed improvement in urinary, sexual, and bowel health scores from 5 to 12 months.
Why this matters
- Interventions focused on long-term survivors who deal with symptoms after treatment is lacking.
- Study of 556 prostate cancer survivors (age, 40-80 years) experiencing symptom burden were randomly assigned to personally tailored, automated telephone symptom management intervention or usual care.
- Funding: Veterans Affairs Health Services Research and Development.
- At 5 months, mean EPIC scores were not significantly different in the intervention group vs usual care.
- At 12 months, confidence in symptom self-management scores improved with intervention (mean difference [MD], 0.5; P=.03).
- At 5 months, the mean appraisal of coping score was higher in the intervention group (MD, 0.2; P=.02).
- In subgroup analysis, significant improvement in symptom focus area domains was noted with intervention from 5 to 12 months:
- Urinary health: incontinence (MD, 3.0; P=.02) and irritative/obstructive (MD, 5.6; P<.001>
- Bowel health (MD, 10.1; P<.001>
- Sexual health (MD, 7.2; P<.001>
- May not be generalizable.