Planning and developing a web-based intervention for active surveillance in prostate cancer: an integrated self-care programme for managing psychological distress
Journal
Pilot and Feasibility Studies
Date Issued
August 9, 2022
DOI
10.1186/s40814-022-01124-x
Abstract
Objectives: To outline the planning, development and optimisation of a psycho-educational behavioural intervention for patients on active surveillance for prostate cancer. The intervention aimed to support men manage active
surveillance-related psychological distress.
Methods: The person-based approach (PBA) was used as the overarching guiding methodological framework for
intervention development. Evidence-based methods were incorporated to improve robustness. The process commenced with data gathering activities comprising the following four components:
• A systematic review and meta-analysis of depression and anxiety in prostate cancer
• A cross-sectional survey on depression and anxiety in active surveillance
• A review of existing interventions in the feld
• A qualitative study with the target audience
The purpose of this paper is to bring these components together and describe how they facilitated the establishment
of key guiding principles and a logic model, which underpinned the frst draft of the intervention.
Results: The prototype intervention, named PROACTIVE, consists of six Internet-based sessions run concurrently
with three group support sessions. The sessions cover the following topics: lifestyle (diet and exercise), relaxation and
resilience techniques, talking to friends and family, thoughts and feelings, daily life (money and work) and information
about prostate cancer and active surveillance. The resulting intervention has been trialled in a feasibility study, the
results of which are published elsewhere.
Conclusions: The planning and development process is key to successful delivery of an appropriate, accessible and
acceptable intervention. The PBA strengthened the intervention by drawing on target-user experiences to maximise
acceptability and user engagement. This meticulous description in a clinical setting using this rigorous but fexible
method is a useful demonstration for others developing similar interventions.
surveillance-related psychological distress.
Methods: The person-based approach (PBA) was used as the overarching guiding methodological framework for
intervention development. Evidence-based methods were incorporated to improve robustness. The process commenced with data gathering activities comprising the following four components:
• A systematic review and meta-analysis of depression and anxiety in prostate cancer
• A cross-sectional survey on depression and anxiety in active surveillance
• A review of existing interventions in the feld
• A qualitative study with the target audience
The purpose of this paper is to bring these components together and describe how they facilitated the establishment
of key guiding principles and a logic model, which underpinned the frst draft of the intervention.
Results: The prototype intervention, named PROACTIVE, consists of six Internet-based sessions run concurrently
with three group support sessions. The sessions cover the following topics: lifestyle (diet and exercise), relaxation and
resilience techniques, talking to friends and family, thoughts and feelings, daily life (money and work) and information
about prostate cancer and active surveillance. The resulting intervention has been trialled in a feasibility study, the
results of which are published elsewhere.
Conclusions: The planning and development process is key to successful delivery of an appropriate, accessible and
acceptable intervention. The PBA strengthened the intervention by drawing on target-user experiences to maximise
acceptability and user engagement. This meticulous description in a clinical setting using this rigorous but fexible
method is a useful demonstration for others developing similar interventions.
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