From active surveillance to active survivor: A pilot study

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Abstract

Introduction and objectives
Prostate cancer is the most common cancer in Denmark and the second most common cause of cancer death among the male population. The treatment for prostate cancer often leads to a number of side effects such as voiding and erectile dysfunction.
Epidemiological research has proven that lifestyle factors play an essential role in the initiation and progression of prostate cancer. In addition, healthy lifestyle has proven to increase quality of life and well-being among men with prostate cancer. Therefore, we found it interesting to explore how to support the prostate cancer patients in improving their lifestyle.
Health communication research suggests that coaching can motivate lifestyle changes, but often the patients indicate that they do not find lifestyle changes relevant. The first step thus seemed to be improving the patients’ consciousness about own lifestyle. For this step, we found self-tracking useful.
Self-tracking is “the practice of systematically recording information about one’s diet, health, or activities, typically by means of a mobile phone, so as to discover behavioral patterns that may then be adjusted to help improve one’s physical or mental well-being”. Hence, self-tracking has the potential to produce reliable data about the patients’ lifestyle and to improve the patients’ consciousness about own lifestyle.
The aim of this pilot case study was to investigate if active involvement through self-tracking and health-coaching can support prostate cancer patients on Active Surveillance in changing relevant lifestyle factors.
Materials and Methods
This abstract presents the first findings from a pilot study of an intervention.
The intervention consisted of a self-tracking app in addition to 8 health coaching sessions conducted by a nurse in a period of 6 months.
Results
The first coaching session focused on supporting the patients’ choice of what to track with an open and holistic approach. Accordingly, the patients’ choice reflected what was most important for his wellbeing; in this case it was restless legs.
When assessing the self-tracked data in the following consultation with the coaching nurse, it appeared that the patients’ restless legs disturbed his sleep extensively. Accordingly, the coaching focused on importance of sleep and revealed the patients’ reluctance to the medication against restless legs. This resulted in a decrease of the restless legs symptoms and an improved quality of sleep. The subsequent coaching sessions were based on the self-tracked data but with a holistic approach to the patient.
Original languageEnglish
Article number63
JournalEuropean Urology Supplements
Volume17
Issue number2
Pages (from-to)E91
Number of pages1
ISSN1569-9056
DOIs
Publication statusPublished - 2018
Event33rd Annual EAU Congress - Copenhagen, Denmark
Duration: 16. Mar 201820. Mar 2018

Conference

Conference33rd Annual EAU Congress
Country/TerritoryDenmark
CityCopenhagen
Period16/03/201820/03/2018

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