Abstract
Background
Prostate cancer treatment often results in significant psycho-sexual challenges for men following treatment, however many men report difficulty in accessing appropriate care.
Methods
A randomised controlled trial was undertaken to assess the efficacy of a 10-week self-guided online psychological intervention called My Road Ahead (MRA) for men with localised prostate cancer in improving sexual satisfaction. Participants were randomised to one of three conditions My Road Ahead alone or My Road Ahead plus online forum, or forum access alone. Pre, post and follow-up assessments of overall sexual satisfaction were conducted. Mixed models and structural equation modelling were used to analyse the data.
Results
142 participants (mean age 61 years; SD = 7) participated. The majority of participants had undergone radical prostatectomy (88%) and all men had received treatment for localised prostate cancer. Significant differences were obtained for the three groups (p = .026) and a significant improvement in total sexual satisfaction was observed only for participants who were allocated to MRA + Forum with a large effect size (p = .004, partial η2 = .256). Structural equation modelling indicated that increases in sexual function, masculine self esteem and sexual confidence contributed significantly to overall sexual satisfaction for the MRA + Forum plus forum condition.
Conclusions
This study is the first, to our knowledge, that has evaluated a self-guided online psychological intervention tailored to the specific needs of men with prostate cancer. The findings indicate the potential for MRA to deliver support that men may not otherwise receive and also highlight the importance of psychological intervention to facilitate improved sexual outcomes.
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