Education and informed decision making for prostate cancer screening in a high risk African American community

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.

Download Full-text

Abstract A33: African American men's perceptions of the informed decision-making process for prostate cancer screening: Implications for design and development

10.1158/1055-9965.disp-11-a33 ◽

2011 ◽

Author(s):

Brian M. Rivers ◽

Euna M. August ◽

April Schenck ◽

Myron Jackson ◽

Joanna Scian ◽

...

Keyword(s):

Prostate Cancer ◽

Decision Making ◽

African American ◽

Cancer Screening ◽

Prostate Cancer Screening ◽

Informed Decision ◽

Decision Making Process ◽

Informed Decision Making ◽

Design And Development

Download Full-text

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.

Download Full-text

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

Journal of the National Medical Association ◽

10.1016/s0027-9684(15)30521-6 ◽

2010 ◽

Vol 102 (3) ◽

pp. 164-173 ◽

Cited By ~ 49

Author(s):

Bettina F. Drake ◽

Rachel C. Shelton ◽

Timothy Gilligan ◽

ScD Jennifer D. Allen

Keyword(s):

Prostate Cancer ◽

Decision Making ◽

African American ◽

Cancer Screening ◽

African American Men ◽

Prostate Cancer Screening ◽

Informed Decision ◽

Informed Decision Making

Download Full-text

Development of a Spiritually Based Educational Intervention to Increase Informed Decision Making for Prostate Cancer Screening Among Church-Attending African American Men

Journal of Health Communication ◽

10.1080/10810730903120534 ◽

2009 ◽

Vol 14 (6) ◽

pp. 590-604 ◽

Cited By ~ 30

Author(s):

Cheryl L. Holt ◽

Theresa A. Wynn ◽

Penny Southward ◽

Mark S. Litaker ◽

Sanford Jeames ◽

...

Keyword(s):

Prostate Cancer ◽

Decision Making ◽

African American ◽

Cancer Screening ◽

Educational Intervention ◽

African American Men ◽

Prostate Cancer Screening ◽

Informed Decision ◽

Informed Decision Making

Download Full-text

Prostate Cancer Education in African American Barbershops

American Journal of Men s Health ◽

10.1177/1557988316630952 ◽

2016 ◽

Vol 10 (6) ◽

pp. 533-536 ◽

Cited By ~ 1

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.

Download Full-text

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.

Download Full-text