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Abstract
Few studies have explored the feasibility and efficacy of a multimedia information intervention for patients with prostate cancer who are undergoing hormone therapy. Thus, the purpose of the study was to assess the feasibility, acceptability, and the preliminary results of a multimedia-based hormone therapy information program (HTIP) on positive thinking and quality of life (QOL; primary outcomes) as well as social support and self-efficacy (secondary outcomes) of patients with prostate cancer. Patients with prostate cancer who were receiving hormone therapy were recruited from hospitals. After completing the pre-test questionnaire, patients were randomly divided into the multimedia information group (MIG; n = 40) and the control group (CG; n = 40). Patients in the MIG received a multimedia-based HTIP once a week for 6 weeks. Data were collected at 8 and 12 weeks after the pre-test. Measurement variables included positive thinking, QOL, social support, self-efficacy, and satisfaction with the program. The recruitment rate and retention rate were calculated for assessment of feasibility. The study had a 96.3% retention rate, and patients in the MIG were satisfied with the program. Preliminary results showed that, compared with those in the CG, patients in the MIG tended to exhibit higher positive thinking, prostate cancer-specific QOL, and social support at 8 weeks and 12 weeks after pre-test; however, the effect did not reach a statistically significant level. A multimedia-based HTIP is considered feasible and acceptable in patients with prostate cancer who underwent hormone therapy. Further research with a larger sample size, patients with high homogeneity in early-stage disease and long-term follow-up is needed to assess the efficacy of the intervention program.
Trial registration: ClinicalTrials.gov (NCT04693910); Registered 05/01/2021.
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1 National Taipei University of Nursing and Health Sciences, School of Nursing, Taipei City, Taiwan (GRID:grid.412146.4) (ISNI:0000 0004 0573 0416)
2 Chang Gung Memorial Hospital at Keelung, Division of Urology, Department of Surgery, Keelung City, Taiwan (GRID:grid.454209.e) (ISNI:0000 0004 0639 2551)
3 Chang Gung Memorial Hospital at Linkou, Division of Urology, Department of Surgery, Tao-Yuan City, Taiwan (GRID:grid.454210.6) (ISNI:0000 0004 1756 1461); Chang Gung University, College of Medicine, Tao-Yuan City, Taiwan (GRID:grid.145695.a) (ISNI:0000 0004 1798 0922)
4 Chang Gung University, College of Medicine, Tao-Yuan City, Taiwan (GRID:grid.145695.a) (ISNI:0000 0004 1798 0922); New Taipei City Municipal TuCheng Hospital, Division of Urology, Department of Surgery, New Taipei City, Taiwan (GRID:grid.145695.a)