Table 6 The intervention
Week | Delivery mode | Session title | Content | Why was this included? | Target behaviour(s) |
|---|---|---|---|---|---|
1 | Web-based | Introduction and physical activity | Introduction to the website Information about active surveillance, Prostate Specific Antigen (PSA) testing, prostate cancer in general and prostate cancer statistics with printable information sheets Section on physical activity providing information about the benefits of increasing physical activity and ways to go about it | Target audience in qualitative study requested: • Reliable information • Self-management tools/advice | • Engagement with the programme • Increased PCa knowledge • Motivation to increase physical activity |
1 | Face-to-face group session | Information, reassurance and introduction to lifestyle information | Provision of information to ensure patients are fully informed about their condition and treatment plan. Time for patients to ask questions included Provision of reassurance and comfort by identifying areas of concern related to active surveillance, targeting possible frustration related to inadequate information Introduction to lifestyle (diet and exercise) information | Target audience in qualitative study requested: • Reliable information • Self-management tools/advice • Social support from other men on the AS pathway | • Engagement with the programme • Increased PCa knowledge • Motivation to improve lifestyle |
2 | Web-based | Foods to eat | Advice about foods to eat. General healthy eating advice, with some specific prostate cancer diet information | Target audience in qualitative study requested self-management tools/advice | • Improved nutrition knowledge Motivation to improve diet |
3 | Web-based | Relaxation & Resilience techniques | Two relaxation techniques described with step-by-step instructions | Target audience reported: • Emotional distress • Desire for self-management tools/advice Relaxation techniques aim to provide men with self-management tools to address high levels of self-reported emotional distress | • Improved confidence in the self-management of emotional distress • Improved self-management of emotional distress |
3 | Face-to-face group session | Introduction to stress management and relaxation / resilience techniques | • Identifying forms of coping • Presentation of 2 relaxation and resilience techniques Discussion of issues and concerns related to lifestyle and active surveillance related information | Target audience reported: • Emotional distress • Desire for self-management tools/advice • Social support from other men on the AS pathway | • Improved confidence in the self-management of emotional distress • Improved self-management of emotional distress • Improved confidence in improving lifestyle |
4 | Web-based | Talking to family/friends/professionalsa | Advice and ideas about how to approach the subject of PCa and/or AS with friends and family How to get the most out of specialist consultations | Target audience reported: • Emotional distress • Lack of reliable information Improved PCa/AS related communication with friends and family may reduce emotional distress Improved communication in specialist consultations may help fill any gaps in knowledge or understanding | • Improved PCa related communication with family and friends • Improved communication in specialist consultations to ensure patient questions are answered adequately |
5 | Web-based | Thoughts and feelingsa | Addresses distressing thoughts and feelings the men may be experiencing. Provides advice about how to manage and/or reduce these thoughts and feelings | Target audience reported: • Emotional distress • Desire for self-management tools/advice | • Improved confidence in the self-management of emotional distress • Improved self-management of emotional distress |
5 | Face-to-face group session Partners invited to the first 20 min of this session | Adapting stress management and relaxation techniques | • Opportunity for the partners of the participants to ask questions and share experiences. Partners to leave the session after 20 min • Reinforcing and adapting relaxation and resilience techniques for future use • Discussion/feedback about the PROACTIVE programme • Opportunity for participants to gain clarity about anything covered in the programme | Partners included to: • Promote PCa/AS related communication • To ensure gaps in knowledge and understanding are filled for both the men and their partners Reinforcement of all that has been learnt over the programme to provide confidence in moving forward with self-management tools Provision of social support from other men on the AS pathway | • Confidence in implementing self-management tools moving forward • Confidence in PCA and AS knowledge and understanding |
6 | Web-based | Daily life; money and worka | Covers advice about practical issues (for example, paying for hospital parking) and provides information about dealing with work after receiving a diagnosis | Practical advice to aid self-management | • Improved confidence in managing diagnosis in work |
1–6 |  | Goal and plan setting / Goal and plan reviewing | 1–3 weekly goals, with a plan to go with each one. Goals and plans reviewed on a weekly basis | Goal setting provides a way of self-monitoring progress and provides some accountability |  |
1–6 |  | Web links | Website links to useful resources related to each session | Target audience reported a lack of reliable information. Links provide further information from credible sources |  |