Nuyens, Alexandra2024-12-192024-12-192024-12-18https://hdl.handle.net/10222/84821Prostate cancer is the most prevalent cancer among Canadian males, causing adverse effects and increasing healthcare costs. The Prostate Cancer Patient Empowerment Program (PC-PEP) is a home-based intervention aimed at reducing mental distress, improving physical/urinary functions, and enhancing quality of life. This study evaluated PC-PEP’s cost-effectiveness, hypothesizing that early implementation reduces healthcare spending and improves patient outcomes. In a six-month cross-over randomized trial, participants were assigned to PC-PEP or a waitlist control group. PC-PEP included daily stress reduction, fitness routines, pelvic floor exercises, healthy habits, intimacy training, social support and dietary recommendations. Results demonstrated PC-PEP’s cost-effectiveness. At six months, the intervention saved 411.53 CAD per patient and prevented 30% of psychological distress cases while gaining 0.0134 QALYs. At 12 months, savings increased to 660.89 CAD, preventing 31% of psychological distress cases and gaining 0.0344 QALYs. These findings support integrating PC-PEP into clinical practice to reduce costs and improve outcomes.enProstate cancerHealth economicsCost-effectiveness analysis