scholarly journals Mobile Audio Recording Technology to Promote Informed Decision Making in Advanced Prostate Cancer

2021 ◽  
Author(s):  
Daniel H. Kwon ◽  
Sneha Karthikeyan ◽  
Alison Chang ◽  
Hala T. Borno ◽  
Vadim S. Koshkin ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Treatment Decision ◽  
Decisional Conflict ◽  
Informed Decision ◽  
Informed Decision Making ◽  
Castration Resistant Prostate Cancer ◽  
Software Application ◽  
Castration Resistant ◽  
Patient Reported

PURPOSE Men with metastatic castration-resistant prostate cancer increasingly encounter complex treatment decisions. Consultation audio recordings and summaries promote patient informed decision making but are underutilized. Mobile recording software applications may increase access. Little is known regarding the feasibility of implementation in clinical encounters. METHODS We conducted a mixed-methods pilot study in men with progressive metastatic castration-resistant prostate cancer. We instructed patients to use a mobile software application to record an oncology visit. Patients could share the recording with our patient scribing program to receive a written summary. We assessed feasibility and acceptability with postvisit surveys. We measured patient-reported helpfulness of the intervention in decision making and change in Decisional Conflict Scale–informed subscale. We conducted semistructured interviews to explore implementation and analyzed transcripts using thematic analysis. RESULTS Across 20 patients, 18 (90%) recorded their visits. Thirteen of 18 (72%) listened to the recording, and 14 of 18 (78%) received a summary. Eighteen of 20 (90%) visits were telehealth. Fourteen patients (70% of all 20; 78% of 18 question respondents) found the application easy to use. Nine patients (50% of 18 recording patients; 90% of 10 question respondents) reported that the recording helped treatment decision making. Decisional conflict decreased from baseline to 1-week postvisit (47.4-28.5, P < .001). Interviews revealed benefits, facilitators, contextual factors, and technology and patient-related barriers to recordings and summaries. CONCLUSION In this single-institution academic setting, a mobile application for patients to record consultations was a feasible, acceptable, and potentially valued intervention that improved decision making in the telehealth setting. Studies in larger, diverse populations are needed.

Prognostic, Predictive, and Surrogate Factors for Individualizing Treatment for Men with Castration-Resistant Prostate Cancer

2012 ◽  
pp. 292-297
Author(s):  
Rhonda L. Bitting ◽  
Andrew J. Armstrong
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Treatment Decision ◽  
Therapeutic Options ◽  
Castration Resistant Prostate Cancer ◽  
Disease Response ◽  
Treatment Decision Making ◽  
Castration Resistant

Overview: With the surge in therapeutic options for castration-resistant prostate cancer (CRPC) comes increasingly complicated treatment decision making, highlighting the need for biomarkers that can identify appropriate patients for specific treatments and accurately assess disease response. Here we discuss existing and potential prognostic, predictive, and surrogate biomarkers in CRPC.

scholarly journals Prostate Cancer Education in African American Barbershops

2016 ◽  
Vol 10 (6) ◽  
pp. 533-536 ◽  
Author(s):  
John S. Luque ◽  
Levi Ross ◽  
Clement K. Gwede
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
African American ◽  
Cancer Screening ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Decisional Conflict ◽  
Informed Decision ◽  
Informed Decision Making ◽  
Psa Test

There have been very few studies to rigorously evaluate the potential of African American barbers to educate men about prostate cancer in the barbershop setting. This research brief presents baseline data from a cross-sectional survey identifying differences in decisional conflict and stage of decision making by screening status from an efficacy trial to educate African American men about informed decision making for prostate cancer screening. Those men who had already received the prostate-specific antigen (PSA) test were more advanced in their stage of decision making and had less decisional conflict about the PSA test than those men who had never received a PSA test. Educational interventions to increase informed decision making with prostate cancer screening must consider previous PSA test history as a mediating variable affecting decision self-efficacy.

scholarly journals African American Women’s Involvement in Promoting Informed Decision-Making for Prostate Cancer Screening Among Their Partners/Spouses

2018 ◽  
Vol 12 (4) ◽  
pp. 884-893 ◽  
Author(s):  
Jennifer D. Allen ◽  
Ifedayo C. Akinyemi ◽  
Amanda Reich ◽  
Sasha Fleary ◽  
Shalini Tendulkar ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Decision Making ◽  
African American ◽  
Cancer Screening ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Informed Decision ◽  
Informed Decision Making ◽  
Care Providers

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.

scholarly journals Management of Enzalutamide Related Adverse Events for Castration Resistant Prostate Cancer by Patient Reported Outcomes

2016 ◽  
Vol 27 ◽  
pp. vii78-vii79
Author(s):  
Taro Iguchi ◽  
Sayaka Yasuda ◽  
Minoru Kato ◽  
Takeshi Yamazaki ◽  
Satoshi Tamada ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Adverse Events ◽  
Patient Reported Outcomes ◽  
Castration Resistant Prostate Cancer ◽  
Castration Resistant ◽  
Patient Reported

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

2008 ◽  
Vol 3 (4) ◽  
pp. 340-351 ◽  
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.

scholarly journals Prostate Cancer Screening in a Low-Literacy Population: Does Informed Decision Making Occur?

2005 ◽  
Vol 12 (4_suppl) ◽  
pp. 116-117 ◽  
Author(s):  
Sunil Kripalani ◽  
Jyoti Sharma ◽  
Elizabeth Justice ◽  
Jeb Justice ◽  
Cynthia Spiker ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Informed Decision ◽  
Informed Decision Making ◽  
Low Literacy
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