Treatment as usual and guided self-help CBT
Evgenia, prostate cancer
PROSTATE CANCER
The MANCAN2 intervention consists of a 4-week self-help CBT intervention with virtual, face-to-face or hybrid (a mix of virtual and face-to-face delivery) pre- and post-intervention workshops (in groups of 6 to 8 men) delivered by the prostate cancer CNS team in addition to TAU. The intervention for this trial was developed and written by the trial management group (TMG): professor Myra Hunter and Dr. Evgenia Stefanopoulou, with contributions from professor Simon Crabb and Mr. Roger Bacon. The intervention content comprises an instructional booklet (electronic and paper copies available) and guided paced breathing and relaxation exercises audio (downloadable MP3/and CD). The approach is psycho-educational with individual treatment goals and an active focus upon cognitive and behavioural changes. The treatment includes:Information about causes of and factors affecting HF/NSMonitoring and modifying precipitants, e.g. spicy food, alcoholRelaxation and paced breathing, to reduce stress and apply at onset of HF/NSCognitive therapy for unhelpful thoughts and beliefs about HF/NSBehavioural strategies to reduce stress and deal with HF/NS in social situationsManaging sleep and NS, drawing upon CBT for insomniaManaging HF/NS and maintaining changes in the context of having prostate cancer.Participants that do not attend their scheduled group workshop will be offered a short (10-min) 1 to 1 telephone session with an appropriately trained member of the CNS team. The CNS will provide a brief overview of the workshop content. Where CNS teams are unable to offer the 1-to-1 telephone call, or where participants do not respond to the 1-to-1 telephone call, the site research team will send a motivational (missed workshop 1) or maintenance (missed workshop 2) text message to the participant.