Measuring patients' perceptions of the outcomes of treatment for early prostate cancer

Jack A. Clark, Barbara G. Bokhour, Thomas Inui, Rebecca A. Silliman, James A. Talcott

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

BACKGROUND. Compared with careful attention to the physical (eg, urinary, bowel, sexual) dysfunction that may follow treatment, little attention has been given to the behavioral, emotional, and interpersonal changes that the diagnosis of early prostate cancer and subsequent physical dysfunction may bring. OBJECTIVE. To construct patient-centered measures of the outcomes of treatment for early prostate cancer. RESEARCH DESIGN. Qualitative study followed by survey of early prostate cancer patients and group of comparable patients with no history of prostate cancer. Analysis of focus groups identified relevant domains of quality of life, which were represented by Likert scale items included in survey questionnaires. Psychometric analyses of survey data defined scales evaluated with respect to internal consistency and validity.RESULTS. Qualitative analysis identified three domains: urinary control, sexuality, and uncertainty about the cancer and its treatment. Psychometric analysis defined 11 scales. Seven were generically relevant to most older men: urinary control (eg, embarrassment with leakage), sexual intimacy (eg, anxiety about completing intercourse), sexual confidence (eg, comfort with sexuality), marital affection (eg, emotional distance from spouse/partner), masculine self esteem (eg, feeling oneself a whole man), health worry (eg, apprehensiveness about health changes), and PSA concern (eg, closely attending to one's PSA). Four scales were specific to the treatment experience: perceived cancer control, quality of treatment decision making, regret of treatment choice, and cancer-related outlook. CONCLUSION. The scales provide definition and metrics for patient-centered research in this area. They complement measures of physical dysfunction and bring into resolution out-comes of treatment that have gone unnoticed in previous studies.

Original languageEnglish
Pages (from-to)923-936
Number of pages14
JournalMedical Care
Volume41
Issue number8
DOIs
StatePublished - Aug 2003

Fingerprint

Prostatic Neoplasms
cancer
Sexuality
Psychometrics
Emotions
psychometrics
Men's Health
Therapeutics
sexuality
Second Primary Neoplasms
Coitus
Focus Groups
Spouses
Self Concept
Quality Control
Uncertainty
Neoplasms
Decision Making
Anxiety
quality control

Keywords

  • Prostate cancer
  • Quality of life
  • Treatment outcomes

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Measuring patients' perceptions of the outcomes of treatment for early prostate cancer. / Clark, Jack A.; Bokhour, Barbara G.; Inui, Thomas; Silliman, Rebecca A.; Talcott, James A.

In: Medical Care, Vol. 41, No. 8, 08.2003, p. 923-936.

Research output: Contribution to journalArticle

Clark, Jack A. ; Bokhour, Barbara G. ; Inui, Thomas ; Silliman, Rebecca A. ; Talcott, James A. / Measuring patients' perceptions of the outcomes of treatment for early prostate cancer. In: Medical Care. 2003 ; Vol. 41, No. 8. pp. 923-936.
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