Therapy for Erectile Dysfunction Adaptation of ACT for Compliance With an Erectile Rehabilitation Program (ACT-ED)
Prostate Cancer
About this trial
This is an interventional treatment trial for Prostate Cancer focused on measuring Erectile Dysfunction, focus group, Quality of Life, 10-204
Eligibility Criteria
Inclusion Criteria:
Part A
- Men who are 1 to 3 years post radical prostatectomy for early stage prostate cancer
- Participated in penile injection program
- Are able to speak, read, write and understand English well enough to complete study assessment and communicate with an English speaking therapist
Part B
- Men who are up to 9 months post radical prostatectomy.
- Had good erectile functioning pre-surgery (i.e., 24 or greater on the IIEF Erectile Function Domain (EFD) score), graded their erections as a 1 or 2 on the standard 5 point Urology Erectile Function scale) or have a score of 7 or greater on the 1-10 pre-surgery erectile function scale on the SMRP assessment)
- Seen at MSKCC"s Sexual Medicine Rehabilitation Program (SMRP)
- Advised by the clinical staff of the SMRP to start penile injections.
Exclusion Criteria:
Part A
- Recurrence or progression of disease,
- Specific injection phobia (self report)
- A history of bipolar disorder or psychotic disorder (determined from self-report and/or chart review)
- Current major depression (determined by self report and/or clinician observation and assessment) that would preclude from giving informed consent or being an active participant in a focus group
Part B
- Specific injection phobia (self report)
- A history of bipolar disorder or psychotic disorder (determined from self-report and/or chart review)
- Current major depression (determined by self report and/or clinician observation and assessment) that would preclude from giving informed consent or being an active participant in a therapeutic session.
Sites / Locations
- Memorial Sloan Kettering Cancer Center
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
(SMRP) + nurse practitioner information phone calls
SMRP+ACT-ED
Part A will use focus groups to gain feedback and refine the intervention. Part B will consist of a randomized pilot study where 70 men will be randomly assigned to one of two conditions: Sexual Medicine Rehabilitation (SMRP) plus nurse practitioner information phone calls and monitoring (SMRP+I), or SMRP plus the novel psychological intervention of Acceptance and Commitment Therapy for ED (SMRP+ACT-ED).
Part A will use focus groups to gain feedback and refine the intervention. Part B will consist of a randomized pilot study where 70 men will be randomly assigned to one of two conditions: Sexual Medicine Rehabilitation (SMRP) plus nurse practitioner information phone calls and monitoring (SMRP+I), or SMRP plus the novel psychological intervention of Acceptance and Commitment Therapy for ED (SMRP+ACT-ED).