A randomized trial of internet-based versus traditional sexual counseling for couples after localized prostate cancer treatment

Schover, Leslie R.; Canada, Andrea L.; Yuan, Ying; Sui, Dawen; Neese, Leah; Jenkins, Rosell; Rhodes, Michelle M.

doi:10.1002/cncr.26308

Cited by 193Sexual function and dysfunction studiesCancer survivorship and careSexuality, Behavior, and Technology

A randomized trial of internet-based versus traditional sexual counseling for couples after localized prostate cancer treatment

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Schover, Leslie R., Canada, Andrea L., Yuan, Ying, Sui, Dawen, Neese, Leah, Jenkins, Rosell, Rhodes, Michelle M.·2012·Cancer

DOI 10.1002/cncr.26308PMC PMC4022136

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Abstract

BACKGROUND: After treatment for prostate cancer, multidisciplinary sexual rehabilitation involving couples appears more promising than traditional urologic treatment for erectile dysfunction (ED). The authors of this report conducted a randomized trial comparing traditional or internet-based sexual counseling with waitlist (WL) control. METHODS: Couples were randomized adaptively to a 3-month WL, a 3-session face-to-face format (FF), or an internet-based format (WEB1). A second internet-based group (WEB2) was added to examine the relation between web site use and outcomes. At baseline, post-WL, post-treatment, and 6-month, and 12-month follow-up assessments, participants completed the International Index of Erectile Function (IIEF), the Female Sexual Function Index (FSFI), the Brief Symptom Inventory-18 to measure emotional distress, and the abbreviated Dyadic Adjustment Scale. RESULTS: Outcomes did not change during the WL period. Of 115 couples that were randomized to FF or WEB1 and 71 couples in the WEB2 group, 34% dropped out. Neither drop-outs nor improvements in outcomes differed significantly between the 3 treatment groups. In a linear mixed-model analysis that included all participants, mean ± standard deviation IIEF scores improved significantly across time (baseline, 29.7 ± 17.9; 12 months, 36.2 ± 22.4; P < .001). FSFI scores also improved significantly (baseline, 15.4 ± 8.5; 12 months, 18.2 ± 10.7; P = .034). Better IIEF scores were associated with finding an effective medical treatment for ED and normal female sexual function at baseline. In the WEB2 group, IIEF scores improved significantly more in men who completed >75% of the intervention. CONCLUSIONS: An internet-based sexual counseling program for couples was as effective as a brief, traditional sex therapy format in producing enduring improvements in sexual outcomes after prostate cancer.

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The results of previous web-based interventions indicate some positive effects on sexual pleasure with less discomfort during sex, reduced erectile dysfunction, increased vaginal lubrication, and decreased vaginal discomfort.
“The results indicate some positive effects on sexual pleasure with less discomfort during sex (Hummel et al., 2017), reduced erectile dysfunction (Schover et al., 2012, Wootten et al., 2017), increased vaginal lubrication and decreased vaginal discomfort (Hummel et al., 2017, Schover et al., 2020).”
From Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial (2024) · cites this paper as Schover et al., 2012
The findings of low adherence are in line with some previous studies.
“Our findings of low adherence are in line with those of some previous studies (Micaux et al., 2022; Schover et al., 2012).”
From Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial (2024) · cites this paper as Schover et al., 2012
Previous web-based interventions that reported positive effects on sexual problems were based on samples who were partnered to a greater extent than this sample.
“Previous web-based interventions that have reported positive effects on sexual problems have been based on samples who were partnered to a greater extent (Hummel et al., 2017; Schover et al., 2012; Schover et al., 2020; Wootten et al., 2017) than our sample.”
From Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial (2024) · cites this paper as Schover et al., 2012
The finding of improvements in sexual function for those with greater sexual problems at baseline is in line with a previous study.
“In line with a previous study (Schover et al., 2012), we found improvements in sexual function for those who had greater sexual problems at baseline.”
From Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial (2024) · cites this paper as Schover et al., 2012

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Defining sexual outcomes after treatment for localized prostate carcinoma
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Erectile Function Outcome Reporting After Clinically Localized Prostate Cancer Treatment
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Method
The effect of dyadic intervention on self‐efficacy, social support, and depression for men with prostate cancer
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Facilitating research participation and improving quality of life for African American prostate cancer survivors and their intimate partners: A pilot study of telephone-based coping skills training
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“In an Australian study, prostate cancer survivors with less education had more unmet sexuality needs.(42) Low socioeconomic status has been associated with ED in general even after adjusting for age, comorbid diseases, health behaviors, and ethnicity.”
Background
Improving the quality of life of patients with prostate carcinoma
Giesler, R. B., Given, B. A., Given, C. W., Rawl, S. M., Monahan, P. O., Burns, D. S., Azzouz, F., Reuille, K. M., Weinrich, S., Koch, M. O., et al. (2005) · Cancer · doi:10.1002/cncr.21231 · Cited by 129 · see citing works
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BackgroundMethodInfluentialSelf-citation
TREATMENT OF ERECTILE DYSFUNCTION FOLLOWING THERAPY FOR CLINICALLY LOCALIZED PROSTATE CANCER: PATIENT REPORTED USE AND OUTCOMES FROM THE SURVEILLANCE, EPIDEMIOLOGY, AND END RESULTS PROSTATE CANCER OUTCOMES STUDY
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Integrated Sildenafil and Cognitive-Behavior Sex Therapy for Psychogenic Erectile Dysfunction: A Pilot Study
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“In a comparison of 111 men with ED and 109 age-matched controls (average age, 55 years), the mean total IIEF for sexually functional men was 53.4 compared with 31.2 for men with ED.38 Although the current sample was 10 years older, many men did not attain optimal sexual function at follow-up.”
BackgroundMethodInfluential
Sexual Counseling Improved Erectile Rehabilitation After Non-Nerve-Sparing Radical Retropubic Prostatectomy or Cystectomy—Results of a Randomized Prospective Study
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BackgroundInfluential
Socioeconomic Status, Not Race/Ethnicity, Contributes to Variation in the Prevalence of Erectile Dysfunction: Results from the Boston Area Community Health (BACH) Survey
Kupelian, V. A., Link, C. L., Rosen, R. C., & McKinlay, J. B. (2008) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2008.00822.x · Cited by 85 · cited 1× · see citing works
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Positive Effect of Counseling and Dose Adjustment in Patients with Erectile Dysfunction who Failed Treatment with Sildenafil
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“lost to follow-up (%) — 3/43 (7) 7/48 (17) 16/59 (27)”
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“can prostate cancer survivors report better sexual function than Caucasian men but perceive themselves as more impaired, reporting more distress about sexual problems and more disappointment with their cancer treatment modality.(44-47) African American men are likely to have serial relationships compared with men of o…”
Background
Sexuality and Health-Related Quality of Life After Prostate Cancer in African-American and White Men Treated for Localized Disease
Jenkins, R., Schover, L. R., Fouladi, R. T., Warneke, C. L., Neese, L. E., Klein, E. A., Zippe, C. D., & Kupelian, P. (2004) · Journal of Sex & Marital Therapy · doi:10.1080/00926230490258884 · Cited by 67 · cited 1× · see citing works
“can prostate cancer survivors report better sexual function than Caucasian men but perceive themselves as more impaired, reporting more distress about sexual problems and more disappointment with their cancer treatment modality.(44-47) African American men are likely to have serial relationships compared with men of o…”
Background
The PsychoedPlusMed Approach to Erectile Dysfunction Treatment: The Impact of Combining a Psychoeducational Intervention with Sildenafil
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The Underrepresentation of African Americans in Online Cancer Support Groups
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“lost to follow-up (%) — 3/43 (7) 7/48 (17) 16/59 (27)”
BackgroundMethodInfluential
What Is the Definition of a Satisfactory Erectile Function After Bilateral Nerve Sparing Radical Prostatectomy?
Briganti, A., Andrea Gallina, A., Suardi, N. R., Umberto Capitanio, A., Tutolo, M., Bianchi, M., Salonia, A., Colombo, R., Girolamo, V. D., Martínez‐Salamanca, J. I., et al. (2011) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.02179.x · Cited by 52 · cited 1× · see citing works
“A score of 25 has been used as a cutoff for normal function; however, in our work and that of others, scores 22 are associated with satisfaction with erections after prostate cancer.(8,39) Table 4 presents the percentage of men in each treatment group who attained this criterion over time.”
Method
Changes in specific domains of sexual function and sexual bother after radical prostatectomy
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“African American men are likely to have serial relationships compared with men of other ethnicities.(48) Even within committed relationships, African American men are highly concerned about sexual function, but women focus on survival from cancer.”
Background
Preferences for sexual information resources in patients treated for early‐stage prostate cancer with either radical prostatectomy or brachytherapy
Davison, B. J., Keyes, M., Elliott, S., Berkowitz, J., & Goldenberg, S. L. (2004) · British Journal of Urology · doi:10.1111/j.1464-410x.2003.04761.x · Cited by 41 · cited 1× · see citing works
“Not only do men routinely seek sexual content on the internet,(33,34) but patients with prostate cancer who desire information about the sexual impact of treatment view the internet as a preferred source.(35) Our hypotheses were that the 2 formats of the intervention would have equal efficacy and that outcomes would b…”
Background
Erectile Aid Use by Men Treated for Localized Prostate Cancer
Bergman, J., Gore, J. L., Penson, D. F., Kwan, L., & Litwin, M. S. (2009) · Journal of Urology · doi:10.1016/j.juro.2009.04.001 · Cited by 38 · cited 2× · see citing works
“Not only are rates of erectile dysfunction (ED) higher than estimates from more selected cohorts,(3,4,7) but medical treatments for ED after prostate cancer have had poor success rates and dismal adherence over time.(8-11) Men are far more likely to receive ED treatments after radical prostatectomy than after radiatio…”
Background
Penile rehabilitation protocol after robot‐assisted radical prostatectomy: assessment of compliance with phosphodiesterase type 5 inhibitor therapy and effect on early potency
Lee, D. J., Cheetham, P. J., & Badani, K. K. (2009) · British Journal of Urology · doi:10.1111/j.1464-410x.2009.08820.x · Cited by 29 · see citing works
The Female Factor: Predicting Compliance with a Post-Prostatectomy Erectile Preservation Program
Moskovic, D. J., Mohamed, O., Sathyamoorthy, K., Miles, B. J., Link, R. E., Lipshultz, L. I., & Khera, M. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.02014.x · Cited by 28 · see citing works
Early intervention with phosphodiesterase‐5 inhibitors after prostate brachytherapy improves subsequent erectile function
Pahlajani, G., Raina, R., Jones, J. S., Burdick, M. J., Ali, M., Li, J., Mahadevan, A., Ciezki, J. P., & Zippe, C. D. (2010) · British Journal of Urology · doi:10.1111/j.1464-410x.2010.09343.x · Cited by 26 · cited 1× · see citing works
“Growing evidence suggests that ‘‘penile rehabilitation,’’ ie, using medical therapies to promote penile blood flow several times a week, protects epithelial cells in the penis and prevents fibrosis in the cavernosal tissues, allowing a more complete recovery of erections after radical prostatectomy(13) or maintaining…”
Background
Development and evaluation of a prostate sexual rehabilitation clinic: a pilot project
Davison, B. J., Elliott, S., Ekland, M. B., Griffin, S., & Wiens, K. (2005) · British Journal of Urology · doi:10.1111/j.1464-410x.2005.05833.x · Cited by 26 · see citing works
Ethnic Variation in Localized Prostate Cancer: A Pilot Study of Preferences, Optimism, and Quality of Life Among Black and White Veterans
Knight, S. K., Siston, A. K., Chmiel, J. S., Slimack, N. P., Elstein, A. S., Chapman, G. B., Nadler, R. B., & Bennett, C. L. (2004) · Clinical Prostate Cancer · doi:10.3816/cgc.2004.n.010 · Cited by 22 · cited 1× · see citing works
“can prostate cancer survivors report better sexual function than Caucasian men but perceive themselves as more impaired, reporting more distress about sexual problems and more disappointment with their cancer treatment modality.(44-47) African American men are likely to have serial relationships compared with men of o…”
Background
Sexual Dysfunction After Radical Prostatectomy: Treatment Failure or Treatment Delay?
Bronner, G., Shefi, S., & Raviv, G. (2010) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2010.510777 · Cited by 20 · cited 1× · see citing works
“Pilot studies have suggested that combining medical management of ED with brief sexual counseling may improve adherence and increase men’s satisfaction with urologic ED treatment in men unselected for health(18-20) and in prostate cancer survivors.(21-23) In contrast, interventions for men with prostate cancer that fo…”
Background
REVIEW: Utilization of Pharmacotherapy for Erectile Dysfunction Following Treatment for Prostate Cancer
Prasad, M. M., Prasad, S. M., Hevelone, N. D., Gu, X., Weinberg, A. C., Lipsitz, S. R., Palapattu, G. S., & Hu, J. C. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2009.01644.x · Cited by 18 · cited 3× · see citing works
“In a population-based study of almost 39,000 prostate cancer survivors, only approximately 26% of men tried oral medication after radical prostatectomy, and 11% tried such medication after radiation therapy.(12) Growing evidence suggests that ‘‘penile rehabilitation,’’ ie, using medical therapies to promote penile blo…”
Background
HIV/AIDS and African American Men: Urban-Rural Differentials in Sexual Behavior, HIV Knowledge, and Attitude Towards Condoms Use
Williams, P. B., & Sallar, A. M. (2010) · Journal of the National Medical Association · doi:10.1016/s0027-9684(15)30768-9 · Cited by 17 · see citing works
Historical Perspective on Prostate Brachytherapy
Garzotto, M. G., & Fair, W. R. (2000) · Journal of Endourology · doi:10.1089/end.2000.14.315 · Cited by 9 · see citing works

Flagged first, then by citations

Sorted by citations

Breast Cancer, Version 4.2017, NCCN Clinical Practice Guidelines in Oncology
Gradishar, W. J., Anderson, B. O., Balassanian, R., Blair, S. L., Burstein, H. J., Cyr, A. E., ELIAS, A. D., Farrar, W. B., Forero, A., Giordano, S. H., et al. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.0012 · Cited by 1,607 · see citing works
Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis
Carlbring, P., Andersson, G., Cuijpers, P., Riper, H., & Hedman-Lagerlöf, E. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1401115 · Cited by 1,232 · see citing works
“The pooled between-group effect size for the study targeting male sexual dysfunction (Schover et al., 2012), which used a clinical sample of patients that had been treated for prostate cancer, was g = −.14 (95% CI, −.58 to .29).”
BackgroundMethodInfluential
Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis
Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014) · World Psychiatry · doi:10.1002/wps.20151 · Cited by 1,077 · see citing works
Cognitive behavior therapy via the Internet: a systematic review of applications, clinical efficacy and cost–effectiveness
Hedman, E., Ljótsson, B., & Lindefors, N. (2012) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/erp.12.67 · Cited by 672 · see citing works
Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: early outcomes from a randomised controlled phase 3 study
Yaxley, J. W., Coughlin, G. D., Chambers, S. K., Occhipinti, S., Samaratunga, H., Zajdlewicz, L., Dunglison, N., Carter, R., Williams, S., Payton, D. J., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)30592-x · Cited by 714 · see citing works
Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: 24-month outcomes from a randomised controlled study
Coughlin, G. D., Yaxley, J. W., Chambers, S. K., Occhipinti, S., Samaratunga, H., Zajdlewicz, L., Telöken, P., Dunglison, N., Williams, S., Lavin, M. F., et al. (2018) · The Lancet Oncology · doi:10.1016/s1470-2045(18)30357-7 · Cited by 468 · see citing works
Internet- and Mobile-Based Psychological Interventions: Applications, Efficacy, and Potential for Improving Mental Health: A Report of the EFPA E-Health Taskforce
Ebert, D. D., Van Daele, T., Nordgreen, T., Karekla, M., Compare, A., Zarbo, C., Brugnera, A., Øverland, S., Trebbi, G., Jensen, K. L., et al. (2018) · European Psychologist · doi:10.1027/1016-9040/a000318 · Cited by 437 · see citing works
“…al., 2016) or bipolar disorders (Hidalgo-Mazzei et al., 2015), male and female sexual dysfunction (E. Andersson et al., 2011; Jones & Mccabe, 2011; Schover et al., 2012; van Lankveld, Leusink, van Diest, Gijs, & Slob, 2009; Zarski, Berking, Fackiner, Rosenau, & Ebert, 2017), tinnitus (Abbott et…”
American Cancer Society prostate cancer survivorship care guidelines
Skolarus, T. A., Wolf, A. M. D., Erb, N. L., Brooks, D. D., Rivers, B. M., Underwood, W., Salner, A., Zeléfsky, M. J., Aragon‐Ching, J. B., Slovin, S. F., et al. (2014) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21234 · Cited by 398 · see citing works
“Interventions to enhance couples’ emotional intimacy and sexual function have had some success, particularly for couples with fewer psychological resources or lower sexual function.(192,193) A multidisciplinary approach is important and effective for sexual recovery.”
Background
Interventions to Address Sexual Problems in People With Cancer: American Society of Clinical Oncology Clinical Practice Guideline Adaptation of Cancer Care Ontario Guideline
Carter, J., Lacchetti, C., Andersen, B. L., Barton, D. L., Bolte, S., Damast, S., Diefenbach, M. A., DuHamel, K. N., Florendo, J., Ganz, P. A., et al. (2017) · Journal of Clinical Oncology · doi:10.1200/jco.2017.75.8995 · Cited by 369 · see citing works
Therapist-supported internet-based cognitive behaviour therapy yields similar effects as face-to-face therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis
Hedman‐Lagerlöf, E., Carlbring, P., Svärdman, F., Riper, H., Cuijpers, P., & Andersson, G. (2023) · World Psychiatry · doi:10.1002/wps.21088 · Cited by 259 · see citing works
Sexual dysfunction and infertility as late effects of cancer treatment
Schover, L. R., van der Kaaij, M. A. E., van Dorst, E. B. L., Creutzberg, C. L., Huyghe, É., & Kiserud, C. E. (2014) · European Journal of Cancer Supplements · doi:10.1016/j.ejcsup.2014.03.004 · Cited by 234 · see citing works
“Although a minority of men do try mechanical treatments for ED, satisfaction and adherence remain poor [90,97].”
BackgroundInfluential
Efficacy of internet-based cognitive behavioral therapy in improving sexual functioning of breast cancer survivors: results of a randomized controlled trial
Hummel, S. B., van Lankveld, J. J. D. M., Oldenburg, H. S. A., Hahn, D. E. E., Kieffer, J. M., Gerritsma, M. A., Kuenen, M. A., Bijker, N., Borgstein, P. J., Heuff, G., et al. (2017) · Journal of Clinical Oncology · doi:10.1200/jco.2016.69.6021 · Cited by 162 · see citing works
Survivorship, Version 2.2017, NCCN Clinical Practice Guidelines in Oncology
Denlinger, C. S., Sanft, T. B., Baker, K. S., Baxi, S. S., Broderick, G. A., Demark‐Wahnefried, W., Friedman, D. L., Goldman, M. E., Hudson, M. M., Khakpour, N., et al. (2017) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2017.0146 · Cited by 154 · see citing works
A Tailored Web-Based Psycho-Educational Intervention for Cancer Patients and Their Family Caregivers
Northouse, L., Schafenacker, A. M., Barr, K. L. C., Katapodi, M., Yoon, H., Brittain, K., Song, L.-X., Ronis, D., & An, L. C. (2014) · Cancer Nursing · doi:10.1097/ncc.0000000000000159 · Cited by 140 · see citing works
“The Internet has been used to deliver interventions to cancer patients alone, but it has seldom been used to deliver interventions to patients and their family caregivers as the unit of care.(11,12) Family caregivers often report as much emotional distress as do patients but receive little support from others.”
Method
Psychosocial interventions for informal caregivers of people living with cancer
Treanor, C. J., Santin, O., Prue, G., Coleman, H., Cardwell, C. R., O'Halloran, P., & Donnelly, M. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009912.pub2 · Cited by 145 · see citing works
Surviving and Thriving With Cancer Using a Web-Based Health Behavior Change Intervention: Randomized Controlled Trial
Bantum, E. O., Albright, C. L., White, K. K. L., Berenberg, J. L., Layi, G., Ritter, P. L., Laurent, D. D., Plant, K., & Lorig, K. R. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3020 · Cited by 123 · see citing works
“Some Web-based distress management interventions have been associated with benefit in terms of mood, perceived stress, and cancer-related trauma [13,18], while other interventions have similar results for both face-to-face and online interventions with the same content (eg, sexual counseling following prostate cancer…”
Influential
Erectile dysfunction after radical prostatectomy
Emanu, J. C., Avildsen, I. K., & Nelson, C. J. (2016) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000195 · Cited by 113 · see citing works
“Schover and colleagues [49] developed and tested the counseling about regaining erections and sexual satisfaction intervention, a psychosocial program designed to address sexual functioning following prostate cancer treatment.”
Background
Efficacy Trial of An Internet-Based Intervention for Cancer-Related Female Sexual Dysfunction
Schover, L. R., Yuan, Y., Fellman, B. M., Odensky, E., LEWIS, P. E., & Martinetti, P. (2013) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2013.0162 · Cited by 109 · see citing works
A randomised controlled trial of a couples‐based sexuality intervention for men with localised prostate cancer and their female partners
Chambers, S. K., Occhipinti, S., Schover, L. R., Nielsen, L., Zajdlewicz, L., Clutton, S., Halford, W. K., Gardiner, R. A., & Dunn, J. C. (2014) · Psycho-Oncology · doi:10.1002/pon.3726 · Cited by 104 · see citing works
“[16] compared traditional three session face-to-face sexual counselling with an Internet-based format using a wait list control.”
BackgroundMethod
Effects of web-based interventions on cancer patients’ symptoms: review of randomized trials
Fridriksdóttir, N., Gunnarsdóttir, S., Zoëga, S., Ingadóttir, B., & Hafsteinsdóttir, E. J. G. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3882-6 · Cited by 99 · see citing works
“Two studies included male patients only: both men with prostate cancer [57, 63].”
BackgroundMethodInfluential
Internet-based support programs to alleviate psychosocial and physical symptoms in cancer patients: a literature analysis.
Bouma, G., Admiraal, J. M., de Vries, E. G. E., Schröder, C. P., Walenkamp, A. M. E., & Reyners, A. K. L. (2015) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2015.01.011 · Cited by 90 · see citing works
Rehabilitation following cancer treatment
Egan, M. Y., McEwen, S. E., Sikora, L., Chasen, M. R., Fitch, M. I., & Eldred, S. (2013) · Disability and Rehabilitation · doi:10.3109/09638288.2013.774441 · Cited by 95 · see citing works
Sexual quality of life in men and women after cancer
Schover, L. R. (2018) · Climacteric · doi:10.1080/13697137.2018.1526893 · Cited by 84 · see citing works
Preliminary results of a randomised controlled trial of an online psychological intervention to reduce distress in men treated for localised prostate cancer
Wootten, A. C., Abbott, J.-A. M., Meyer, D., Chisholm, K., Austin, D. W., Klein, B., McCabe, M., Murphy, D. G., & Costello, A. J. (2015) · European Urology · doi:10.1016/j.eururo.2014.10.024 · Cited by 77 · see citing works
What Couples Say about Their Recovery of Sexual Intimacy after Prostatectomy: Toward the Development of a Conceptual Model of Couples' Sexual Recovery after Surgery for Prostate Cancer
Wittmann, D. A., Carolan, M., Given, B. A., Skolarus, T. A., Crossley, H. S., An, L. C., Palapattu, G. S., Clark, P. M., & Montie, J. E. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12732 · Cited by 81 · see citing works
“Schover and colleagues compared a web based intervention to a face-to-face intervention in a randomized trial and found that they were equally effective, with positive effects on sexual function for men who completed the intervention, men with female partners with higher sexual function and female partners with lower…”
Background
Psychosocial Interventions for Patients and Caregivers in the Age of New Communication Technologies: Opportunities and Challenges in Cancer Care
Badr, H., Carmack, C. L., & Diefenbach, M. A. (2015) · Journal of Health Communication · doi:10.1080/10810730.2014.965369 · Cited by 81 · see citing works
“…of the studies focused on prostate cancer (Diefenbach & Butz, 2004; Reis, McGinty, & Jones, 2003; Schover et al., 2012; Zulman et al., 2012) and half focused exclusively on survivors who were posttreatment (Carmack et al., 2013; Diefenbach & Butz, 2004; Schover et al., 2012; Zulman et al., 2012).”
BackgroundInfluential
Exploring the role of the partner in couples’ sexual recovery after surgery for prostate cancer
Wittmann, D. A., Carolan, M., Given, B. A., Skolarus, T. A., An, L. C., Palapattu, G. S., & Montie, J. E. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2244-x · Cited by 79 · see citing works
“In examining the partner’s sexual role in the couple’s sexual recovery, we found that our findings challenged previous research in which female partners’ higher sexual function had been described as a predictor of men’s successful erectile function recovery and sexual satisfaction [13–16].”
BackgroundResultInfluential
Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review
Hong, Y. A., Hossain, M. M., & Chou, W. S. (2019) · Psycho-Oncology · doi:10.1002/pon.5310 · Cited by 78 · see citing works
Digital Interventions for Mental Disorders: Key Features, Efficacy, and Potential for Artificial Intelligence Applications
Ebert, D. D., Harrer, M., Apolinário-Hagen, J., & Baumeister, H. (2019) · Advances in Experimental Medicine and Biology · doi:10.1007/978-981-32-9721-0_29 · Cited by 76 · see citing works
Intervening to improve psychological outcomes for men with prostate cancer
Chambers, S. K., Ferguson, M., Gardiner, R. A., Aitken, J. F., & Occhipinti, S. (2012) · Psycho-Oncology · doi:10.1002/pon.3095 · Cited by 73 · see citing works
New Challenges in Psycho-Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: clinical and research implications
Chambers, S. K., Hyde, M. K., Smith, D. P., Hughes, S., Yuill, S., Egger, S. J., O’Connell, D. L., Stein, K., Frydenberg, M., Wittert, G., et al. (2017) · Psycho-Oncology · doi:10.1002/pon.4431 · Cited by 72 · see citing works
Interventions to Address Sexual Problems in People with Cancer
Barbera, L. C., Zwaal, C., Elterman, D., McPherson, K., Wolfman, W., Katz, A., & Matthew, A. (2017) · Current Oncology · doi:10.3747/co.24.3583 · Cited by 71 · see citing works
Improving Couples’ Quality of Life Through a Web-Based Prostate Cancer Education Intervention
Song, L., Rini, C. K., Deal, A. M., Nielsen, M. E., Chang, H., Kinneer, P., Teal, R., Johnson, D. C., Dunn, M. W., Mark, B. A., et al. (2015) · Oncology nursing forum · doi:10.1188/15.onf.183-192 · Cited by 70 · see citing works
“…et al., 2011; Campbell et al., 2007; Canada, Neese, Sui, & Schover, 2005; Giarelli, McCorkle, & Monturo, 2003; Manne, Babb, Pinover, Horwitz, & Ebbert, 2004; Manne et al., 2011; McCorkle, Siefert, Dowd, Robinson, & Pickett, 2007; Northouse, Mood, Schafenacker, et al., 2007; Schover et al., 2012).”
A critical literature review of dyadic web‐based interventions to support cancer patients and their caregivers, and directions for future research
Luo, X., Gao, L., Li, J., Lin, Y., Zhao, J., & Li, Q. (2020) · Psycho-Oncology · doi:10.1002/pon.5278 · Cited by 67 · see citing works
Internet-based cognitive behavioral therapy for sexual dysfunctions in women treated for breast cancer: design of a multicenter, randomized controlled trial
Hummel, S. B., van Lankveld, J. J., Oldenburg, H. S., Hahn, D. E., Broomans, E., & Aaronson, N. K. (2015) · BMC Cancer · doi:10.1186/s12885-015-1320-z · Cited by 64 · see citing works
Dyadic Psychosocial eHealth Interventions: Systematic Scoping Review
Shaffer, K. M., Tigershtrom, A., Badr, H., Benvengo, S., Hernandez, M., & Ritterband, L. M. (2019) · Journal of Medical Internet Research · doi:10.2196/15509 · Cited by 63 · see citing works
“Indeed, it appears that dyads may vote with their feet toward increasing automation—Schover et al [91] reported that their recruitment rate tripled when dyads were guaranteed access to a Web-based intervention as opposed to being randomized between the Web-based intervention or to the same intervention content deliver…”
BackgroundMethod
Telemedicine Use Among Caregivers of Cancer Patients: Systematic Review
Marzorati, C., Renzi, C., Russell‐Edu, W., & Pravettoni, G. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9812 · Cited by 64 · see citing works
“Only 1 study [53] used both an eHealth system and telephone sessions, even though they were not compared, but formed part of the same intervention.”
Influential
The sexual health of female rectal and anal cancer survivors: results of a pilot randomized psycho-educational intervention trial
DuHamel, K. N., Schuler, T. A., Nelson, C. J., Philip, E. J., Temple, L. K. F., Schover, L. R., Baser, R. E., Starr, T. D., Cannon, K., Jennings, S., et al. (2015) · Journal of Cancer Survivorship · doi:10.1007/s11764-015-0501-8 · Cited by 56 · see citing works
“This four-session education-focused intervention was conducted primarily via telephone and developed based on the input of survivors (via one focus group and seven individual interviews), clinical expertise, and prior research (most notably a sexual counseling intervention for couples after treatment for localized pro…”
Gonadal Functioning and Perceptions of Infertility Risk Among Adult Survivors of Childhood Cancer: A Report From the St Jude Lifetime Cohort Study
Lehmann, V., Chemaitilly, W., Lu, L., Green, D. M., Kutteh, W. H., Brinkman, T. M., Srivastava, D. K., Robison, L. L., Hudson, M. M., & Klosky, J. L. (2019) · Journal of Clinical Oncology · doi:10.1200/jco.18.00965 · Cited by 56 · see citing works
Online-based interventions for sexual health among individuals with cancer: a systematic review
Kang, H. S., Kim, H. K., Park, S. M., & Kim, J. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-2972-6 · Cited by 55 · see citing works
“Regarding the description of the intervention, three of the four studies [20, 30, 31] implemented the 12 weeks, and one study [32] provided 6 weeks online intervention.”
BackgroundInfluential
The Challenges of Enrollment and Retention: A Systematic Review of Psychosocial Behavioral Interventions for Patients With Cancer and Their Family Caregivers
Song, L., Qan'ir, Y., Guan, T., Guo, P., Xu, S., Jung, A., Idiagbonya, E., Song, F., & Kent, E. E. (2021) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2021.04.019 · Cited by 54 · see citing works
Sexual Health Concerns Among Cancer Survivors: Testing a Novel Information-Need Measure Among Breast and Prostate Cancer Patients
Crowley, S. A., Foley, S., Wittmann, D. A., Jagielski, C. H., Dunn, R. L., Clark, P. M., Griggs, J. J., Peterson, C. C., Leonard, M., An, L. C., et al. (2015) · Journal of Cancer Education · doi:10.1007/s13187-015-0865-5 · Cited by 54 · see citing works
“, face-to-face counseling, for couples after localized prostate cancer treatment [14].”
Background
Effectiveness of Family and Caregiver Interventions on Patient Outcomes in Adults with Cancer: A Systematic Review
Griffin, J. M., Meis, L. A., MacDonald, R. H., Greer, N. L., Jensen, A., Rutks, I. R., & Wilt, T. J. (2014) · Journal of General Internal Medicine · doi:10.1007/s11606-014-2873-2 · Cited by 52 · see citing works
“Race, % non-white patients 21 (2-100) 21 Stage of diagnosis (groups are not mutually exclusive) Early (stage 0-1) 16 Mid (stage 2-3) 16 Late (stage 4-5) 10 End of life 3 Intervention with manual or protocol Yes 23 Not reported 4 Family intervention with: Wife/female intimate partner 3”
Background
A systematic review of the feasibility, acceptability, and efficacy of online supportive care interventions targeting men with a history of prostate cancer
Forbes, C. C., Finlay, A., McIntosh, M., Siddiquee, S., & Short, C. E. (2019) · Journal of Cancer Survivorship · doi:10.1007/s11764-018-0729-1 · Cited by 51 · see citing works
Feasibility of a social media/online community support group intervention among chronic pain patients on opioid therapy
Young, S. D., Koussa, M., Lee, S.-J., Perez, H., Gill, N., Gelberg, L., & Heinzerling, K. (2018) · Journal of Addictive Diseases · doi:10.1080/10550887.2018.1557992 · Cited by 45 · see citing works
“Online behavior change communities for patients on chronic opioid therapy might be particularly effective as a behavioral intervention tool to reduce opioid-related complications.(4,5)”
Background
Prostate cancer and the impact on couples: a qualitative metasynthesis
Collaço, N., Rivas, C. A., Matheson, L., Nayoan, J., Wagland, R., Alexis, O., Gavin, A., Glaser, A., & Watson, E. K. (2018) · Supportive Care in Cancer · doi:10.1007/s00520-018-4134-0 · Cited by 49 · see citing works
Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials
Zandieh, S., Abdollahzadeh, S. M., Sadeghirad, B., Wang, L., McCabe, R. E., Yao, L., Inness, B. E., Pathak, A., Couban, R., Crandon, H. N., et al. (2024) · Canadian Medical Association Journal · doi:10.1503/cmaj.230274 · Cited by 47 · see citing works
Cognitive existential couple therapy ( CECT ) in men and partners facing localised prostate cancer: a randomised controlled trial
Couper, J. W., Collins, A., Bloch, S., Street, A. F., Duchesne, G. M., Jones, T. M., Olver, J. S., & Love, A. W. (2015) · British Journal of Urology · doi:10.1111/bju.12991 · Cited by 46 · see citing works
Internet- and mobile-based psychological interventions for sexual dysfunctions: a systematic review and meta-analysis
Zarski, A., Velten, J., Knauer, J., Berking, M., & Ebert, D. D. (2022) · npj Digital Medicine · doi:10.1038/s41746-022-00670-1 · Cited by 47 · see citing works
An online psychological intervention can improve the sexual satisfaction of men following treatment for localized prostate cancer: outcomes of a randomised controlled trial evaluating my road ahead
Wootten, A. C., Meyer, D., Abbott, J.-A. M., Chisholm, K., Austin, D. W., Klein, B., McCabe, M., Murphy, D. G., & Costello, A. J. (2017) · Psycho-Oncology · doi:10.1002/pon.4244 · Cited by 47 · see citing works
Sexual Values as the Key to Maintaining Satisfying Sex After Prostate Cancer Treatment: The Physical Pleasure–Relational Intimacy Model of Sexual Motivation
Beck, A. M., Robinson, J. W., & Carlson, L. E. (2013) · Archives of Sexual Behavior · doi:10.1007/s10508-013-0168-z · Cited by 45 · see citing works
Androgen Deprivation Therapy and maintenance of intimacy: A randomized controlled pilot study of an educational intervention for patients and their partners
Walker, L. M., Hampton, A. J. D., Wassersug, R. J., Thomas, B. C., & Robinson, J. W. (2012) · Contemporary Clinical Trials · doi:10.1016/j.cct.2012.11.007 · Cited by 45 · see citing works
“The DAS demonstrates strong reliability and utility in similarly designed studies [11,16,17].”
Guidelines for Sexual Health Care for Prostate Cancer Patients: Recommendations of an International Panel
Wittmann, D. A., Mehta, A., McCaughan, E., Faraday, M. M., Duby, A. A., Matthew, A., Incrocci, L., Burnett, A. L. “., Nelson, C. J., Elliott, S., et al. (2022) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2022.08.197 · Cited by 44 · see citing works
Digital technologies in cancer care: a review from the clinician's perspective
Briggs, L. G., Labban, M., Alkhatib, K. Y., Nguyen, D., Cole, A. P., & Trinh, Q. (2022) · Journal of Comparative Effectiveness Research · doi:10.2217/cer-2021-0263 · Cited by 41 · see citing works
NCCN Guidelines® Insights: Survivorship, Version 2.2024
Sanft, T. B., Day, A. T., Goldman, M. E., Ansbaugh, S. M., Armenian, S. H., Baker, K. S., Ballinger, T. J., Demark‐Wahnefried, W., Fairman, N. P., Feliciano, J. L., et al. (2024) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2024.0062 · Cited by 41 · see citing works
What Patients and Partners Want in Interventions That Support Sexual Recovery After Prostate Cancer Treatment: An Exploratory Convergent Mixed Methods Study
Mehta, A., Pollack, C. E., Gillespie, T. W., Duby, A. A., Carter, C., Thelen-Perry, S., & Wittman, D. (2019) · Sexual Medicine · doi:10.1016/j.esxm.2019.01.002 · Cited by 41 · see citing works
Treatment regret and quality of life following radical prostatectomy
Ratcliff, C. G., Cohen, L. G., Pettaway, C. A., & Parker, P. A. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1906-4 · Cited by 40 · see citing works
“, sexual counseling, urinary treatments) to further improve patient's physical and psychological outcomes [31].”
Incorporating Internet-based Interventions into Couple Therapy: Available Resources and Recommended Uses
Cicila, L. N., Georgia, E. J., & Doss, B. D. (2014) · Australian and New Zealand Journal of Family Therapy · doi:10.1002/anzf.1077 · Cited by 38 · see citing works
Couplelinks online intervention for young couples facing breast cancer: A randomised controlled trial
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Authors: Schover, L. R., Canada, A. L., Yuan, Y., Sui, D., Neese, L., Jenkins, R., & Rhodes, M. M.
Affiliations: The University of Texas MD Anderson Cancer Center (US)
Rush University Medical Center (US)
Prairie View A&M University (US)
Corresponding author: Schover, Leslie R.
ORCID: Schover, Leslie R.
Canada, Andrea L.
Yuan, Ying
Sui, Dawen
Venue: Cancer
Publisher: Wiley
Published: 2011-09-26
Volume: 118
Issue: 2
Pages: 500-509
ISSN: 0008-543X (ISSN-L)
1097-0142
DOI: 10.1002/cncr.26308
PMC: PMC4022136
OpenAlex: W1544685649
Cited by: 193
References: 57
Citations by year: 2026: 7 · 2025: 10 · 2024: 13 · 2023: 6 · 2022: 13 · 2021: 10 · 2020: 10 · 2019: 14 · 2018: 17 · 2017: 19 · 2016: 13 · 2015: 19 · 2014: 22 · 2013: 15 · 2012: 4
FWCI: 9.19
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Cancer (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: American Cancer Society
National Cancer Institute (P30CA016672)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords: prostate cancer, erectile dysfunction, sexual rehabilitation, couples, online counseling, sex therapy, female sexual function, dyadic adjustment, emotional distress, medication adherence, waitlist control
MeSH terms: Adult, Aged, Female, Humans, Erectile Dysfunction, Male, Middle Aged, Prostatectomy, Prostatic Neoplasms, Sex Counseling, Treatment Outcome, Patient Satisfaction, Couples Therapy, Internet

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A randomized trial of internet-based versus traditional sexual counseling for couples after localized prostate cancer treatment

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