Follow-up care after treatment for prostate cancer: protocol for an evaluation of a nurse-led supported self-management and remote surveillance programme

BMC Cancer. 2017 Sep 19;17(1):656. doi: 10.1186/s12885-017-3643-4.

Abstract

Background: As more men survive a diagnosis of prostate cancer, alternative models of follow-up care that address men's enduring unmet needs and are economical to deliver are needed. This paper describes the protocol for an ongoing evaluation of a nurse-led supported self-management and remote surveillance programme implemented within the secondary care setting.

Methods/design: The evaluation is taking place within a real clinical setting, comparing the outcomes of men enrolled in the Programme with the outcomes of a pre-service change cohort of men, using a repeated measures design. Men are followed up at four and 8 months post recruitment on a number of outcomes, including quality of life, unmet need, psychological wellbeing and activation for self-management. An embedded health economic analysis and qualitative evaluation of implementation processes are being undertaken.

Discussion: The evaluation will provide important information regarding the effectiveness, cost effectiveness and implementation of an integrated supported self-management follow-up care pathway within secondary care.

Keywords: Follow-up care; Nurse-led; Prostate cancer; Remote surveillance; Self-management support; Survivorship.

MeSH terms

  • Aftercare*
  • Clinical Protocols
  • Evaluation Studies as Topic
  • Humans
  • Male
  • Nurses
  • Prostatic Neoplasms / therapy*
  • Quality of Life
  • Secondary Care Centers
  • Self Care