Trial Outcomes & Findings for Prostate Cancer - Patient Empowerment Program (NCT NCT03660085)

NCT ID: NCT03660085

Last Updated: 2026-04-03

Results Overview

Proportion of participants scoring ≥20 on the Kessler Psychological Distress Scale-10 (K10) at 6 months after randomization. The K10 is a validated 10-item measure of psychological distress with scores ranging from 10-50, where higher scores indicate worse distress.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

140 participants

Primary outcome timeframe

From baseline until 6 month follow-up time-point.

Results posted on

2026-04-03

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A - Early Intervention
For 180 days participants in this arm will be exposed to the intervention and 180 days afterwards they will be exposed to the standard of care. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Arm B - Late Intervention
For 180 days participants in this arm will be exposed to the standard of care and 180 days afterwards they will be exposed to the intervention. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Overall Study
STARTED
72
68
Overall Study
COMPLETED
66
62
Overall Study
NOT COMPLETED
6
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm A - Early Intervention
For 180 days participants in this arm will be exposed to the intervention and 180 days afterwards they will be exposed to the standard of care. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Arm B - Late Intervention
For 180 days participants in this arm will be exposed to the standard of care and 180 days afterwards they will be exposed to the intervention. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Overall Study
Did not receive PC treatment within 6 months of enrolment (post-randomization exclusion criteria)
5
6
Overall Study
Withdrawal consent by subject shortly after randomization
1
0

Baseline Characteristics

Prostate Cancer - Patient Empowerment Program

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A - Early Intervention
n=66 Participants
For 180 days participants in this arm will be exposed to the intervention and 180 days afterwards they will be exposed to the standard of care. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Arm B - Late Intervention
n=62 Participants
For 180 days participants in this arm will be exposed to the standard of care and 180 days afterwards they will be exposed to the intervention. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Total
n=128 Participants
Total of all reporting groups
Age, Continuous
66 years
n=5 Participants
68 years
n=5 Participants
66 years
n=10 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=5 Participants
0 Participants
n=10 Participants
Sex: Female, Male
Male
66 Participants
n=5 Participants
62 Participants
n=5 Participants
128 Participants
n=10 Participants
Race/Ethnicity, Customized
Race · White
60 Participants
n=5 Participants
61 Participants
n=5 Participants
121 Participants
n=10 Participants
Race/Ethnicity, Customized
Race · Black
4 Participants
n=5 Participants
0 Participants
n=5 Participants
4 Participants
n=10 Participants
Race/Ethnicity, Customized
Race · Latino
1 Participants
n=5 Participants
0 Participants
n=5 Participants
1 Participants
n=10 Participants
Race/Ethnicity, Customized
Race · Middle Eastern
1 Participants
n=5 Participants
0 Participants
n=5 Participants
1 Participants
n=10 Participants
Race/Ethnicity, Customized
Race · Other
0 Participants
n=5 Participants
1 Participants
n=5 Participants
1 Participants
n=10 Participants
Region of Enrollment
Canada
66 participants
n=5 Participants
62 participants
n=5 Participants
128 participants
n=10 Participants
Body Mass Index (BMI)
30.8 kg/m2
STANDARD_DEVIATION 6.8 • n=5 Participants
29.0 kg/m2
STANDARD_DEVIATION 5.7 • n=5 Participants
29.9 kg/m2
STANDARD_DEVIATION 6.36 • n=10 Participants

PRIMARY outcome

Timeframe: From baseline until 6 month follow-up time-point.

Proportion of participants scoring ≥20 on the Kessler Psychological Distress Scale-10 (K10) at 6 months after randomization. The K10 is a validated 10-item measure of psychological distress with scores ranging from 10-50, where higher scores indicate worse distress.

Outcome measures

Outcome measures
Measure
Arm A - Early Intervention
n=66 Participants
For 180 days participants in this arm will be exposed to the intervention and 180 days afterwards they will be exposed to the standard of care. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Arm B - Late Intervention
n=62 Participants
For 180 days participants in this arm will be exposed to the standard of care and 180 days afterwards they will be exposed to the intervention. PC-PEP: The 6 months "at home" program focuses on aerobic and strength training, pelvic floor muscle exercises, meditation, social connection, and overall healthy lifestyle practices supported with daily text message/email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily and will be individualized to each participant. Pelvic floor muscle training will include three, 10-minute sessions and mediation for 10 minutes daily. Intimacy and Connection component of PC-PEP consists of engaging in at least one form of intimacy practice prescribed, per day. Social connection will be fostered by pairing participants up with peers from the study. To encourage program compliance, study participants will receive 3 daily reminders to do their pelvic floor muscle exercises per day plus an additional motivational email daily containing helpful tips.
Proportion of Participants With Clinically Significant Psychological Distress (Kessler Psychological Distress Scale-10 ≥20)
Presence of Psychological Distress at 6 months (K10≥20)
9 Participants
14 Participants
Proportion of Participants With Clinically Significant Psychological Distress (Kessler Psychological Distress Scale-10 ≥20)
Absence of Psychological Distress at 6 months (K10<20)
57 Participants
48 Participants

SECONDARY outcome

Timeframe: 12 months

The Short Form (SF-12) Health Survey will be used to assess views about general health (physical and mental) quality of life. Change score will be calculated by taking the difference between measures taken at baseline (day 0) and post intervention (day 180).Assessment of these measures will also be completed at the end of the study (day 360). Assessed via on-line survey.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 month

The Functional Assessment of Cancer Therapy-Prostate (FACT-P) will be used to measure psychosocial factors. Changes will be calculated by taking the difference between measures taken at baseline (day 0) and post intervention (day 180).Assessment of these measures will also be completed at the end of the study (day 360). Assessed via on-line survey.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 month

The Expanded Prostate Index Composite (EPIC) (urinary, bowel, hormonal and sexual) and I-PSS (urinary) will be used to measure urinary function pre and post intervention. Change score will be calculated by taking the difference between measures taken at baseline (day 0) and post intervention (day 180). This will be assessed via on-line survey. Assessment of these measures will also be completed at the end of the study (day 360).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 month

Electroencephalography (EEG) assessment of stress state will be measured using the Muse (IntraXon, Inc. Toronto, Ontario, Canada) neurofeedback device. Averages in relaxation brainwaves activity measurements (e.g. alpha, beta, delta, theta, and gamma) will be taken over listening to 10 minutes of relaxation music and instructions. The difference between scores at baseline (day 0) and post intervention (day 180) will be assessed. Assessment of these measures will also be completed at the end of the study (day 360). Assessment will be performed during study visits.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Heart rate variability (HRV) will be assessed through a HRV monitor produced by HeartMath institute. participants will be given home the device for biofeedback purposes with regards to practicing the meditation training received. The device produces scores of HRV and those at pre- (day 0) will be compared to scores at post intervention (day 180), and also at the end of the study (day 360). This will be assessed via on-line survey.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Dyadic Assessment Scale will be used to assess relationship satisfaction at pre- (day 0) will be compared to scores at post intervention (day 180), and also at the end of the study (day 360).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Starting the conversation diet questionnaire will be used (developed by CHPDP). It will be assessed on-line via a survey (day 0, day 180 and day 360)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

This will be assessed online through two questions assessing number of visits to see a health care practitioner, and hospital admissions one year prior to the study and then during the year when the study was conducted.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Pre and post intervention assessment of physical fitness assessed to see how many meters the p\[participant can walk during a timed six-minute walk test. Pre and Post scores will be taken at baseline (day 0 - pre) and post intervention (day 180 post). Assessment of these measures will also be completed at the end of the study (day 360) during study visits. Differences between the assessments will be assessed to see if the intervention had an effect.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

The length of time (in seconds) of static postural and balance control will be assessed at pre and post intervention, measured in minutes. Change score will be calculated by taking the difference between each of the pre and post measures taken at baseline (day 0) and post intervention (day 180). Assessment of these measures will also be completed at the end of the study (day 360) during study visits. Differences between the assessments will be assessed to see if the intervention had an effect.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Pre and post intervention participants will be timed for 30 seconds to measure the amount of time they can go from sitting to standing in the allocated 30 seconds. The test will be used to test for lower limb strength. Change score will be calculated by taking the difference between each of the measures taken at baseline (day 0) and post intervention (day 180). Assessment of these measures will also be completed at the end of the study (day 360) during study visits.Differences between the assessments will be assessed to see if the intervention had an effect.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Flexibility of shoulder and hamstring will be assessed recording the distance (in cm) rather than the degrees of the reach. Change score will be calculated by taking the difference between each of the measures taken at baseline (day 0) and post intervention (day 180). Assessment of these measures will also be completed at the end of the study (day 360) during study visits.Differences between the assessments will be assessed to see if the intervention had an effect.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Pre and Post measurements of grip strength using a dynamometer will be used to test the strength of the arm and and hand forearm muscles. Change score will be calculated by taking the difference between each of the measures taken at baseline (day 0) and post intervention (day 180). Assessment of these measures will also be completed at the end of the study (day 360) during study visits.Differences between the assessments will be assessed to see if the intervention had an effect.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day one of the study

The height of the individual will be measured in cm at the start of the program.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

The weight of the individual participants will be measured in kg using a manual scale, in kg, at pre and post intervention. Change score will be calculated by taking the difference between each of the measures taken at baseline (day 0) and post intervention (day 180). Assessment of these measures will also be completed at the end of the study (day 360) during study visits.Differences between the assessments will be assessed to see if the intervention had an effect.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Body mass index will be calculated at pre and post intervention using the height and weight scores obtained. The BMI formula we will use is: Kg/m2 where kg is a person's weight in kilograms and m2 is their height in metres squared. Change score will be calculated by taking the difference between each of the measures taken at baseline (day 0) and post intervention (day 180). Assessment of these measures will also be completed at the end of the study (day 360) during study visits. Differences between the assessments will be assessed to see if the intervention had an effect.

Outcome measures

Outcome data not reported

Adverse Events

Arm A - Early Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm B - Late Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Gabriela Ilie, PhD

Dalhousie University

Phone: 902-989-4114

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place