Project Overview +

The over-arching goal of the study is to determine whether an intervention using highly personalized automated telephone monitoring and self-management support calls paired with tailored print material can effectively improve Veteran-centered outcomes for prostate cancer survivors.

Related Media +

Related Media:

Aims +

To address the need to improve patient-centered survivorship care management for Veterans with prostate cancer, this study has two aims: 1) to conduct a randomized controlled trial to compare a personally tailored automated telephone symptom management intervention for improving symptoms and symptom self-management to usual care. We expect that those in the intervention group will have more confidence in symptom self-management and better symptom self-management and prostate cancer quality of life following the intervention, and that these outcomes will translate to more efficient use of services for these Veterans. 2) to compare utilization of services among those in the intervention group to those in the control group.

Participants +

n=~650 Veteran prostate cancer survivors

Intervention +

The intervention will consist of two components, both with content design based on established theories for self-management support: 

1) automated telephone monitoring of prostate cancer survivor symptoms and goals for symptom reduction, based on a patient empowerment approach. 

2) personally tailored newsletters that incorporate elements of CBT to improve survivorsí identification with the material, confidence/self-efficacy in symptom management, and to reduce common cognitive distortions related to successful implementation of behavior change.

Intervention-group participants will receive four automated assessment and self-management support calls over a 3-month period (at baseline, 1-month, 2-month, 3-months). Information collected during automated phone assessments will be used to construct tailored newsletters, which will be sent by AAVA study staff following each automated call. At each call, the participant will be offered the chance to continue to focus on the initially chosen priority symptom, or to choose a new symptom to focus on. Depending on his choice, subsequent newsletters will provide more detail regarding the initial symptom and approaches to self-management and/or will focus on that new symptom.