title: The self-management of uncertainty among men undertaking active surveillance for low-risk prostate cancer.
abstract: Asymptomatic men with low-risk, early-stage prostate cancer are eligible for active surveillance (AS), which offers a means to monitor the cancer while delaying treatment. However, AS operates within a unique set of circumstances that advocate monitoring, rather than immediate treatment, and men's health practices are central to coping with the inherent uncertainty of living with an untreated cancer. A qualitative study was completed to describe the range of men's self-management strategies used to overcome AS-related uncertainty. The study findings reveal two strategies. First, positioning prostate cancer as benign through stoicism and solitary discourses were common to men intent on "living a normal life." Second, men committed to "doing something extra" complemented AS protocols, and often collaborated with their wives to focus on diet as an adjunct therapy. Although most participants exhibited typical men's health practices, it is clear that tailored AS psychosocial interventions will benefit men and their families.
authors.affiliation: School of Nursing, Department of Urological Sciences, University of British Columbia, and Prostate Centre, Vancouver General Hospital, Vancouver, British Columbia, Canada.
authors.forename: John L
authors.initials: JL
authors.lastname: Oliffe
authors.forename: B Joyce
authors.initials: BJ
authors.lastname: Davison
authors.forename: Tom
authors.initials: T
authors.lastname: Pickles
authors.forename: Lawrence
authors.initials: L
authors.lastname: Mróz
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001294:Attitude to Health; D006801:Humans; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life; D012307:Risk Factors; D012648:Self Care; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires; D035501:Uncertainty