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A pilot study examining the feasibility of a follow-up intervention for men following a radical prostatectomy Currie, Alison Margaret

Abstract

The overall aim of this pilot study was to determine the feasibility of conducting a largescale randomized clinical trial of an expanded discharge follow-up intervention following radical prostatectomy (RP). A pretest-posttest 3-group experimental design was chosen as the research method. From a sample of convenience, 15 men who had a RP were randomly assigned to 1 of 3 groups who received a telephone call at 48 hours using the standard form; at 48 hours using an expanded form; or two telephone calls, at 48 hours and 10 days, using the expanded form. The men’s level of satisfaction with information and care received were measured pre-intervention and 30 days post-intervention. No significant results were found. The men’s symptom distress was measured using the Symptom Distress Scale (SDS) at 48 hours, 10 days, and 30 days postdischarge. No significant results were found as the men’s system distress lessened over time and a ceiling effect was observed. Recommendations for revising selected instruments and using other instruments are discussed. Field notes were maintained that described aspects of the study’s methodology pertaining to accessing a population of men. Findings suggest that to generate an adequate sample size for a full-scale study a sample of men will need to be recruited from other hospitals in the Lower Mainland and the eligibility criteria will need to be expanded. The major information need found at 48 hours post-discharge was how to care for the Foley catheter. The main support need identified was emotional support while the men waited for their pathology report. At 10 days post-discharge the major information need described by the men was managing urinary incontinence and performing Kegel exercises. The major support need at this time involved providing emotional support as the men coped with urinary incontinence.

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