Social and medical risk factors associated with supportive needs in the first year following localized prostate cancer treatment

E. K. Tagai
S. V. Hudson
M. A. Diefenbach, Zucker School of Medicine at Hofstra/Northwell
J. Xu
A. Bator
A. Marziliano, Northwell Health
S. M. Miller

Abstract

© 2020, Springer Science+Business Media, LLC, part of Springer Nature. Purpose: Individuals who completed treatment for prostate cancer (PCa) often report poor coping and practical concerns when adapting to new roles in their lives—and strong patient–provider communication is critical for this period. However, there is limited research identifying factors associated with supportive needs after the completion of PCa treatment. This study aimed to identify the social and medical risk factors associated with supportive needs for adapting among individuals who completed treatment for localized PCa. Methods: Using baseline data from a study evaluating a web-based support system for patients in the first year following treatment for localized PCa, self-efficacy for re-entry (e.g., maintaining relationships, symptom management), medical interactions, and practical concerns (e.g., insurance, exercise) were assessed. Multivariable regression analyses were completed to identify risk factors for low readiness. Results: Participants (N = 431) with lower health literacy or income or with depressive symptoms had lower self-efficacy for re-entry, more negative interactions with medical providers, and more practical concerns (ps <.05). Lastly, non-Hispanic White participants reported greater readiness compared with all other races (ps <.05). Conclusions: Multiple social and medical risk factors are associated with greater supportive needs when adapting to new roles after PCa treatment. Understanding the risk factors for supportive needs in this period is critical. Future research is needed to help providers identify and support individuals at risk for poorer coping and greater practical concerns after treatment completion. Implications for Cancer Survivors: Identifying individuals with greater supportive needs following treatment for localized PCa treatment will help ensure successful adaptation to new roles.