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Web-Based Peer Navigation for Men With Prostate Cancer and Their Family Caregivers: A Pilot Feasibility Study Publisher Pubmed



Bender JL1, 2, 3 ; Flora PK1 ; Soheilipour S4, 5 ; Dirlea M1 ; Maharaj N4 ; Parvin L4 ; Matthew A6 ; Catton C7 ; Jamnicky L6 ; Pollock P8 ; Kwan W9 ; Finelli A6 ; Kazanjian A4
Authors
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Authors Affiliations
  1. 1. Cancer Rehabilitation and Survivorship, Department of Supportive Care, Princess Margaret Cancer Centre, Toronto, M5G 2C4, ON, Canada
  2. 2. Dalla Lana School of Public Health, University of Toronto, Toronto, M5T 3M7, ON, Canada
  3. 3. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, M5T 3M7, ON, Canada
  4. 4. Division of Health Services and Policy, School of Population and Public Health, University of British Columbia, Vancouver, V6T 1Z3, BC, Canada
  5. 5. Department of Oral Public Health, Torabinejad Dental Research Center, Isfahan University of Medical Sciences, Isfahan, 8174673461, Iran
  6. 6. Department of Surgery, Division of Urology, Princess Margaret Cancer Centre, Toronto, M5G 2M9, ON, Canada
  7. 7. Department of Radiation Oncology, Division of Urology, Princess Margaret Cancer Centre, Toronto, M5G 2M9, ON, Canada
  8. 8. Clinical Trials and Clinical Research, BC Cancer, Victoria, V8R 6V5, BC, Canada
  9. 9. Department of Radiation Oncology, BC Cancer, Fraser Valley, V3V 1Z2, BC, Canada

Source: Current Oncology Published:2022


Abstract

This study assessed the feasibility, acceptability and potential effects of True North Peer Navigation (PN)—a web-based peer navigation program for men with prostate cancer (PC) and their family caregivers. A one-arm, pre-post pilot feasibility study was conducted at two cancer centres in Canada. Participants were matched through a web-app with a specially trained peer navigator who assessed needs and barriers to care, provided support and encouraged a proactive approach to health for 3 months. Descriptive statistics were calculated, along with paired t-tests. True North PN was feasible, with 57.9% (84/145) recruitment, 84.5% (71/84) pre-questionnaire, 77.5% (55/71) app registration, 92.7% (51/55) match and 66.7% (34/51) post-questionnaire completion rates. Mean satisfaction with Peer Navigators was 8.4/10 (SD 2.15), mean program satisfaction was 6.8/10 (SD 2.9) and mean app usability was 60/100 (SD 14.8). At 3 months, mean ± SE patient/caregiver activation had improved by 11.5 ± 3.4 points (p = 0.002), patient quality of life by 1.1 ± 0.2 points (p < 0.0001), informational support by 0.4 ± 0.17 points (p = 0.03), practical support by 0.5 ± 0.25 points (p = 0.04) and less need for support related to fear of recurrence among patients by 0.4 ± 19 points (p = 0.03). The True North web-based peer navigation program is highly feasible and acceptable among PC patients and caregivers, and the associated improvements in patient and caregiver activation are promising. A randomized controlled trial is warranted to determine effectiveness. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
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