Evidence map›Paper›PMID 34286350›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Patient activation and patient-reported outcomes of men from a community pharmacy lifestyle intervention after prostate cancer treatment.

Agnieszka Lemanska, Karen Poole, Ralph Manders, John Marshall, Zachariah Nazar, Kevin Noble, John M Saxton, Lauren Turner, Gary Warner, Bruce A Griffin and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The minimal clinically important difference for the patient activation measure in a culturally and linguistically diverse cohort with chronic conditions.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  7. The role of community pharmacists in cancer survivorship care - a scoping review.Journal of cancer survivorship : research and practice · 2025
    Review
  8. Review
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  13. Review
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  16. Evaluating the relationship between patient activation and health-related quality of life (HRQOL) in patients with pancreatic cancer (PwPC).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Agnieszka LemanskaSchool of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK. a.lemanska@surrey.ac.uk.ORCID http://orcid.org/0000-0003-4849-2430
Karen PooleSchool of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Ralph MandersDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
John MarshallPatient and Public Involvement, Prostate Cancer UK, London, UK.
Zachariah NazarClinical Pharmacy and Practice Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar.
Kevin NoblePinnacle Health Partnership LLP, East Cowes, Isle of Wight, UK.
John M SaxtonDepartment of Sport, Health and Exercise Science, Faculty of Health Sciences, University of Hull, Hull, UK.
Lauren TurnerFrimley Health NHS Foundation Trust, Frimley, Surrey, UK.
Gary WarnerPinnacle Health Partnership LLP, East Cowes, Isle of Wight, UK.
Bruce A GriffinDepartment of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Sara FaithfullSchool of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
University of Surrey · GBFrimley Health NHS Foundation Trust · GBProstate Cancer UK · GBQatar University · QAUniversity of Hull · GB

Funding

Movember Foundation 250-20
6 · The paper itself

Abstract

purposeTo report patient activation, which is the knowledge, skills, and confidence in self-managing health conditions, and patient-reported outcomes of men after prostate cancer treatment from a community pharmacy lifestyle intervention.

methodsThe 3-month lifestyle intervention was delivered to 116 men in nine community pharmacies in the UK. Patient Activation Measure (PAM) was assessed at baseline, 3 and 6 months. Prostate cancer-related function and quality of life were assessed using the European Prostate Cancer Index Composite (EPIC-26) and EuroQOL 5-dimension 5-level (EQ5D-5L) questionnaires at baseline and 6 months. Lifestyle assessments included Mediterranean Diet Adherence Screener (MEDAS) at baseline, 3 and 6 months and Godin Leisure Time Exercise Questionnaire (GLTEQ) at baseline and 3 months.

resultsPAM score increased from 62 [95% CI 59-65] at baseline to 66 [64-69] after the intervention (p = 0.001) and remained higher at 6 months (p = 0.008). Scores for all the EPIC-26 domains (urinary, bowel and hormonal) were high at both assessments, indicating good function (between 74 [70-78] and 89 [86-91]), except sexual domain, where scores were much lower (21 [17-25] at baseline, increasing to 24 [20-28] at 6 months (p = 0.012)). In EQ5D-5L, 3% of men [1-9] reported self-care problems, while 50% [41-60] reported pain and discomfort, and no significant changes over time. Men who received androgen deprivation therapy, compared with those who did not, reported higher (better) urinary incontinence scores (p < 0.001), but lower (worse) scores in the urinary irritative/obstructive (p = 0.003), bowel (p < 0.001) and hormonal (p < 0.001) domains. Poor sexual function was common across all age groups irrespective of prostate cancer treatment.

conclusionsThe intervention led to significant improvements in patient activation, exercise and diet. Community pharmacy could deliver effective services to address sexual dysfunction, pain and discomfort which are common after prostate cancer.

Indexed as

PharmaciesProstatic NeoplasmsAndrogen AntagonistsHumansLife StyleMalePatient ParticipationPatient Reported Outcome MeasuresQuality of LifeAndrogen AntagonistsCommunity pharmacyLifestyle interventionsPatient-reported outcomes (PROs)Prostate cancer

Identifiers

PMID34286350
PMCPMC8636444
OpenAlexW3185508549

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.