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EXPLORING THE COMPLEXITY OF MENTAL HEALTH OUTCOMES: A REALIST EVALUATION OF QUALITATIVE INTERVIEWS WITH PROSTATE CANCER PATIENTS IN THE PHASE 3 RANDOMIZED CLINICAL TRIAL OF THE PROSTATE CANCER-PATIENT EMPOWERMENT PROGRAM (PC-PEP)

dc.contributor.authorMassoeurs, Lia
dc.contributor.copyright-releaseNo
dc.contributor.degreeMaster of Science
dc.contributor.departmentDepartment of Community Health & Epidemiology
dc.contributor.ethics-approvalReceived
dc.contributor.external-examinern/a
dc.contributor.manuscriptsNo
dc.contributor.thesis-readerDr. George Kephart
dc.contributor.thesis-readerDr. Rob Rutledge
dc.contributor.thesis-supervisorDr. Gabriela Ilie
dc.date.accessioned2024-12-09T15:11:40Z
dc.date.available2024-12-09T15:11:40Z
dc.date.defence2024-11-01
dc.date.issued2024-12-06
dc.description.abstractThis thesis presents a realist evaluation of the Prostate Cancer-Patient Empowerment Program (PC-PEP), examining the contextual factors and mechanisms influencing mental health outcomes among participants in the Phase 3 PC-PEP Randomized Clinical Trial (RCT). The study investigates what patient-related contexts and mechanisms explain differences in mental health outcomes between intervention (early) and control (delayed) groups at six months post-randomization. Out of 128 men in the full RCT, 43 participants (33%), 25 from the early intervention group and 18 from the delayed group, participated in semi-structured qualitative interviews. Key findings highlight individual psychological contexts, partner and family involvement, employment status, cultural beliefs, social support, the COVID-19 pandemic, early intervention, and the involvement of clinical experts. These findings suggest that integrating psychosocial support programs like PC-PEP into standard prostate cancer care, particularly early in the treatment process, can significantly enhance mental health outcomes.
dc.identifier.urihttps://hdl.handle.net/10222/84740
dc.language.isoen
dc.subjectProstate Cancer
dc.subjectQualitative Interviews
dc.subjectMental Health
dc.subjectPsychological Distress
dc.subjectPatient Empowerment
dc.subjectRealist Evaluation
dc.titleEXPLORING THE COMPLEXITY OF MENTAL HEALTH OUTCOMES: A REALIST EVALUATION OF QUALITATIVE INTERVIEWS WITH PROSTATE CANCER PATIENTS IN THE PHASE 3 RANDOMIZED CLINICAL TRIAL OF THE PROSTATE CANCER-PATIENT EMPOWERMENT PROGRAM (PC-PEP)

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