Poster Presentation Clinical Oncology Society of Australia Annual Scientific Meeting 2019

A psychosexual intervention for couples within the first year post-allogeneic haematopoietic stem cell transplantation: A pilot study (#286)

Brindha Pillay 1 , Maria Ftanou 1 , David Ritchie 2 3 , Yvonne Panek-Hudson 3 4 , Michael Jefford 5 , Teresa Garcia 3 4 , Cassandra Shields 6 7 , Jo Gniel 8 , Steve Ellen 9 , Jo Phipps-Nelson 10 , Allison Drosdowsky 10 , Sarah Blaschke 10
  1. Clinical Psychology, Peter MacCallum Cancer Centre, Melbourne
  2. Allogeneic Transplantation Unit, Royal Melbourne Hospital, Melbourne
  3. Peter MacCallum Cancer Centre, Melbourne
  4. Allograft and long-term follow-up service, Royal Melbourne Hospital, Melbourne
  5. Australian Survivorship Cancer Centre, Melbourne
  6. Australian Centre for Emotionally Focused Therapy, Brisbane
  7. University of Queensland, Brisbane
  8. Landscape of Life, Melbourne
  9. Psychosocial Oncology Program, Peter MacCallum Cancer Centre, Melbourne
  10. Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne

Aims: Sexual dysfunction is one of the most common issues experienced following allogeneic haematopoietic stem cell transplantation (HSCT) for haematological cancers, affecting approximately 47% of men and 60% of women. There are few intervention studies tailored to improving the sexual dysfunction of patients post-HSCT. This study aims to examine the feasibility and acceptability of implementing a psychosexual intervention for HSCT survivors and their partners, as well as to gain preliminary data about efficacy.

Methods: Fifteen allogeneic HSCT survivors and their partners will be recruited into this study. Patients will be eligible to participate if they are 6-12 months post-transplantation and have a current partner who consents to participating in the intervention. Patients who verbally report experiencing sexual and relationship issues during their follow-up post-allogeneic HSCT will be offered the psychosexual intervention. The intervention will comprise two components: 1. Psychosexual education about medical and behavioural treatments for sexual dysfunction delivered by an oncology nurse; 2. Modified Emotionally Focused Therapy-based relationship and psychosexual education program for couples (four sessions; 1.5 hours each) delivered face-to-face or via telehealth by a clinical psychologist.

Outcomes assessed: Patients and partners will be administered a series of measures assessing mood, relationship satisfaction and sexual dysfunction prior to and following the intervention. Patient and partner satisfaction will be assessed post-intervention to determine acceptability of intervention. Feasibility will be examined via recording enrolment rate, adherence, compliance with completing measures and fidelity of intervention delivery.

Conclusion: An intervention that combines medical management of sexual dysfunction with an EFT-informed relationship education program will be piloted in an HSCT population. Recruitment will commence shortly. If this intervention is feasible, acceptable, and appears effective, its impact will be examined in a future RCT. It is hoped that this intervention will positively impact the quality of life of HSCT patients and their partners.