A 12-week Supervised Physical Activity And Behavioural Counselling Program On Prostate Cancer Survivor's Sexual Health
Bibliographic record
Abstract
PURPOSE: Sexual dysfunction is one of the most common, distressing, and persistent long-term effects of prostate cancer treatment. However, physical activity (PA) interventions may improve sexual health (SH), particularly if incorporating social (spousal) support. This secondary analysis examines changes in SH after a supervised PA program plus standard exercise counseling (SPA+EC) versus a SPA plus motivationally-enhanced behavioral counseling (SPA+BC) in prostate cancer survivors (PCS). METHODS: This study was a pilot two-armed, randomized controlled trial (RCT). Twenty-three PCS were randomized to a 12-week SPA+EC group (n = 12) or a SPA+BC group (n = 11). The goal of both arms was to gradually meet the guidelines of 150 min/wk of moderate-to-vigorous PA. All PCS had supervised PA sessions that tapered to a home-based program. The SPA+BC group received additional behavioral counseling based on the Multi-Process Action Control Framework including social support (e.g., PA goal setting and action planning with their spouse). The SPA+EC group received PA training counseling (i.e., intensity, safety). PCS completed a battery of questionnaires including the International Index of Erectile Function at baseline and post-intervention (i.e., 12 weeks). Five domains of sexual health were computed: erectile function (EF), orgasmic function (OF), sexual desire (SD), intercourse satisfaction (IS), and overall satisfaction (OS). Separate ANCOVAs examined changes in domains between groups. RESULTS: PCS (N=23; Mage = 66.1 ± 6.8, Myears = 8.3±5.8 since diagnosis; 91% localized cancer). Adherence to the supervised PA sessions were 100% for both groups (12 sessions). Adherence to the home-based sessions was 70% and 92% in the SPA + EC and SPA + BC groups, respectively. Across all five domains, only OS (Mdiff= 0.28, p=0.73, ηp2=0.01) favoured the SPA+BC group. EF (Mdiff= -0.23, p=0.91, ηp2= 0.00), OF (Mdiff= -0.58, p= 0.58, ηp2= 0.02), SD (Mdiff= -0.39, p=0.049, ηp2=0.03), and IS (Mdiff= -1.11, p=0.45, ηp2=0.03) did not result in additional improvements between groups. CONCLUSIONS: Preliminary evidence suggests that eliciting social support with spousal support increases PA and positively impacts overall satisfaction. Larger RCTs powered to examine the role of spousal support on sexual function in PCS are needed. Campus Research Board Award [#RB16051] from the University of Illinois
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.008 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".