A clinical pathway in daily practice improved implementation of evidence-based strategies for the management of androgen deprivation-induced side effects in men with prostate cancer. This study aimed to explore patients' expectations and reasons to start with the clinical pathway; explore patients' experiences and attitudes toward the pathway; and identify key pathway ingredients and examine patients' attitudes about a possible transition toward the home environment after a hospital-based pathway participation.
Focus group interviews were conducted through purposeful sampling, consisting of former and current participants of the clinical pathway at Ghent University Hospital. Data was audiotaped and transcribed verbatim, coded in NVivo12, and thematically and inductively analyzed through constant comparisons.
Men with prostate cancer have positive experiences toward the use of a holistic multidisciplinary approach (ie, clinical pathway) to combat androgen deprivation therapy-induced side effects in practice. Patients identified several key ingredients of the pathway, such as peer support, physiotherapist involvement, and availability of a multidisciplinary team. Patients were, however, reluctant to continue the exercise component at home because of negative attitudes toward a public gym, practical issues, absence of known facilitators, and other priorities.
Referral by a health care provider remains an important motivator for pathway participation. Peer support, physiotherapist involvement, and availability of a multidisciplinary team are crucial components of the clinical pathway and should be taken into account when developing and implementing similar pathways to increase program uptake in daily practice.
Seminars in oncology nursing. 2023 Mar 14 [Epub ahead of print]
Renée Bultijnck, Elke Rammant, Anneleen Raes, Nathalie Vandecasteele, Karel Decaestecker, Valérie Fonteyne, Nicolaas Lumen, Piet Ost, Benedicte Deforche
Department of Human Structure and Repair, Ghent University, Ghent, Belgium; Research Foundation - Flanders (FWO), Brussels, Belgium. Electronic address: ., Department of Human Structure and Repair, Ghent University, Ghent, Belgium., Cancer Center, University Hospital Ghent, Belgium., Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Brussels, Belgium.