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.
COMPLETED
NA
140 participants
From baseline until 6 month follow-up time-point.
2026-04-03
Participant Flow
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
| 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
| 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
| 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 monthsThe 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 monthThe 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 monthThe 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 monthElectroencephalography (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 monthsHeart 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 monthsDyadic 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 monthsStarting 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 monthsThis 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 monthsPre 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 monthsThe 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 monthsPre 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 monthsFlexibility 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 monthsPre 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 studyThe 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 monthsThe 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 monthsBody 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
Arm B - Late Intervention
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place