Social Epidemiology: A Tool for Examining Prostate Cancer Early-Detection Decision Making among Older African American Men

Routine prostate cancer screening is not recommended but African American men who are at higher risk for the disease should be offered the opportunity for shared decision-making with their health-care providers. This qualitative study sought to better understand the potential role of women in educating their male spouses/partners about prostate cancer screening. Nine focus groups were conducted ( n = 52). Women were recruited from a variety of community venues. Those eligible were African American and married to or in a partnership with an African American male age ≥ 45. Women provide numerous types of support to their male partners in an effort to facilitate participation in preventive health care. While women agreed that they would like to educate their partners about prostate cancer screening, they had little information about screening guidelines or the potential harms and limitations. The current findings suggest that women are eager information-seekers and can disseminate information to men and facilitate their efforts to make more informed decisions about prostate cancer screening. Women should be included in educational interventions for to promote informed decision-making for prostate cancer screening.

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Population Screening for Prostate Cancer and Early Detection in High-risk African American Men**The opinion and assertions contained herein are the private views of the author and are not to be considered as reflecting the views of the US Army or the Department of Defense.

Prostate Cancer ◽

10.1016/b978-012286981-5/50003-3 ◽

2003 ◽

pp. 3-10

Author(s):

Judd W. Moul

Keyword(s):

Prostate Cancer ◽

African American ◽

High Risk ◽

Early Detection ◽

Department Of Defense ◽

African American Men ◽

Population Screening ◽

Us Army ◽

The Us

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A Computer-Tailored Intervention to Promote Informed Decision Making for Prostate Cancer Screening Among African American Men

American Journal of Men s Health ◽

10.1177/1557988308325460 ◽

2008 ◽

Vol 3 (4) ◽

pp. 340-351 ◽

Cited By ~ 24

Author(s):

Jennifer D. Allen ◽

Anshu P. Mohllajee ◽

Rachel C. Shelton ◽

Bettina F. Drake ◽

Dana R. Mars

Keyword(s):

Prostate Cancer ◽

Decision Making ◽

African American ◽

Decision Aid ◽

African American Men ◽

Prostate Cancer Screening ◽

Active Role ◽

Informed Decision ◽

Informed Decision Making ◽

Screening Guidelines

African American men experience a disproportionate burden of prostate cancer (CaP) morbidity and mortality. National screening guidelines advise men to make individualized screening decisions through a process termed informed decision making (IDM). In this pilot study, a computer-tailored decision-aid designed to promote IDM was evaluated using a pre-/posttest design. African American men aged 40 years and older were recruited from a variety of community settings ( n = 108). At pretest, 43% of men reported having made a screening decision; at posttest 47% reported this to be the case ( p = .39). Significant improvements were observed between pre- and posttest on scores of knowledge, decision self-efficacy, and decisional conflict. Men were also more likely to want an active role in decision making after using the tool. These results suggest that use of a computer-tailored decision aid is a promising strategy to promote IDM for CaP screening among African American men.

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Educating African American men on prostate health and informed decision making: Initial report from a peer-education program in Louisiana.

Journal of Clinical Oncology ◽

10.1200/jco.2011.29.7_suppl.211 ◽

2011 ◽

Vol 29 (7_suppl) ◽

pp. 211-211

Author(s):

M. M. Robinson ◽

A. O. Sartor ◽

L. Jack

Keyword(s):

Prostate Cancer ◽

Health Care ◽

Decision Making ◽

African American ◽

African American Men ◽

Peer Education ◽

Cancer Control ◽

Informed Decision ◽

Informed Decision Making

211 Background: Informed decision making for prostate cancer health is widely endorsed but systematic programs to address this need are sparse. Herein we report initial progress in a statewide effort targeting African American men. Methods: The Louisiana Cancer and Lung Trust Fund Board (LCLTFB) Prostate Cancer Program is funded via a “check box” on the state income tax form, in which a portion of refunds could be allocated for prostate cancer efforts. The LCLTFB partnered with the statewide comprehensive cancer control program to develop a pilot lay program to educate men on prostate informed decision. The program was developed and modeled after “My Brother's Keeper,” a CDC funded program and implemented in five regions of the state. African American men active in the cancer community and regional cancer coalitions were identified as possible trainers for the program. Staff members from “My Brother's Keeper” trained the Cancer Control regional staff, as well as the community trainers in a two day session. Upon completion, the community trainers were charged to go into their community and convene three education sessions. Educational sessions were conducted in local churches, head start centers, men social club meeting, Greek organizational meetings, and labor union meetings. Men attending the session received a short pre- and post-test assessing whether or not they had discussed prostate informed decision making with a health care provider, if they had made an appointment with a health care provider, or was any follow up from the educational session initiated. Results: A total of 250 African American men in Louisiana were educated by the program. Upon followup phone calls, 172 men self-reported that they had initiated some form of follow up as a consequence of the participation. 35 men were unable to be contacted for follow up (number no longer in service or no phone number listed) 43 men (messages left but no returned call). Conclusions: Peer education can engage African American men regarding informed decision making on prostate cancer health issues. More data are needed to verify and determine the type of followup that was initiated after the educational sessions. [Table: see text]

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Abstract 4741: Application of nanotechnology for enhanced early detection of prostate cancer in African-American men

10.1158/1538-7445.am2008-4741 ◽

2008 ◽

Author(s):

Catherine M Phelan ◽

Sergei Ostapenko ◽

Anna Chornokur ◽

Richard Tanner ◽

jin zhang ◽

...

Keyword(s):

Prostate Cancer ◽

African American ◽

Early Detection ◽

African American Men

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Outcome of African American Men Screened for Prostate Cancer: The Detroit Education and Early Detection Study

The Journal of Urology ◽

10.1097/00005392-199707000-00045 ◽

1997 ◽

Vol 158 (1) ◽

pp. 146-149 ◽

Cited By ~ 40

Author(s):

Isaac J. Powell ◽

Lance Heilbrun ◽

Peter L. Littrup ◽

Archilind Franklin ◽

Jean Parzuchowski ◽

...

Keyword(s):

Prostate Cancer ◽

African American ◽

Early Detection ◽

African American Men

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Evaluation of a Computer-Based Decision Aid for Promoting Informed Prostate Cancer Screening Decisions Among African American Men: iDecide

American Journal of Health Promotion ◽

10.1177/0890117118786866 ◽

2018 ◽

Vol 33 (2) ◽

pp. 267-278 ◽

Cited By ~ 10

Author(s):

Otis L. Owens ◽

Tisha Felder ◽

Abbas S. Tavakoli ◽

Asa A. Revels ◽

Daniela B. Friedman ◽

...

Keyword(s):

Prostate Cancer ◽

Decision Making ◽

African American ◽

Cancer Screening ◽

Technology Use ◽

Self Efficacy ◽

African American Men ◽

Prostate Cancer Screening ◽

Informed Decision ◽

Informed Decision Making

Purpose: To evaluate the effects of iDecide on prostate cancer knowledge, informed decision-making self-efficacy, technology use self-efficacy, and intention to engage in informed decision-making among African American men. Design: One-group, pretest/posttest. Setting: Community settings in South Carolina. Participants: African American men, ages 40 years +, without a prior prostate cancer diagnosis (n = 354). Intervention: iDecide, an embodied conversational agent-led, computer-based prostate cancer screening decision aid. Measures: Prostate cancer knowledge, informed decision-making self-efficacy, technology use self-efficacy, and intention to engage in informed decision-making. Analysis: Descriptive statistics, paired t tests, general linear modeling, Spearman correlations. Results: On average, participants experienced significant improvements in their prostate cancer knowledge ( P ≤ .001), informed decision-making self-efficacy ( P ≤ .001), and technology use self-efficacy ( P ≤ .001), postintervention. Additionally, 67% of participants reported an intention to engage in informed decision-making. Conclusion: Given the significant improvements across all measures, this research demonstrates that embodied conversational agent-led decision aids can be used to enhance the capacity for making informed prostate cancer screening decisions among African American men and increase their technology use self-efficacy. One critical limitation of this study is that most men had received prostate cancer screening prior to engaging in our intervention, so the implications of this intervention may be different for men who do not have a history of screening. Additionally, actual engagement in informed decision-making postintervention was not assessed.

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