Journal article
Educating african american men about the prostate cancer screening dilemma : A randomized intervention
Cancer epidemiology, biomarkers & prevention, Vol.15(11), pp.2179-2188
11/01/2006
DOI: 10.1158/1055-9965.EPI-05-0417
PMID: 17119044
Abstract
Background: Until there is a definitive demonstration that early diagnosis and treatment of prostate cancer reduces disease-related mortality, it is imperative to promote informed screening decisions by providing balanced information about the potential benefits and risks of prostate cancer screening. Within a community/academic collaboration, we conducted a randomized trial of a printed booklet and a videotape that were designed for African American (AA) men. The purpose of the trial was to determine the effect of the interventions on knowledge, decisional conflict, satisfaction with the screening decision, and self-reported screening.
Methods: Participants were 238 AA men, ages 40 to 70 years, who were members of the Prince Hall Masons in Washington, DC. Men were randomly assigned to the (a) video-based information study arm, (b) print-based information study arm, or (c) wait list control study arm. Intervention materials were mailed to men at home. Assessments were conducted at baseline, 1 month, and 12 months postintervention. Multivariate analyses, including ANCOVA and logistic regression, were used to analyze group differences.
Results: The booklet and video resulted in a significant improvement in knowledge and a reduction in decisional conflict about prostate cancer screening, relative to the wait list control. Satisfaction with the screening decision was not affected by the interventions. Self-reported screening rates increased between the baseline and the 1-year assessment, although screening was not differentially associated with either of the interventions. In exploratory analyses, prostate-specific antigen testing at 1 year was more likely among previously screened men and was associated with having low baseline decisional conflict.
Conclusions: This study represents one of the first randomized intervention trials specifically designed to address AA men's informed decision making about prostate cancer screening. We have developed and evaluated culturally sensitive, balanced, and disseminable materials that improved knowledge and reduced decisional conflict about prostate cancer screening among AA men. Due to the high incidence and mortality rates among AA men, there is a need for targeted educational materials, particularly materials that are balanced in terms of the benefits and risks of screening.
Details
- Title: Subtitle
- Educating african american men about the prostate cancer screening dilemma : A randomized intervention
- Creators
- Kathryn L Taylor - Georgetown UniversityJackson L Davis - Most Worshipful Prince Hall Grand Lodge of the District of Columbia, Washington, District of Columbia, United StatesRalph O Turner - Most Worshipful Prince Hall Grand Lodge of the District of Columbia, Washington, District of Columbia, United StatesLenora Johnson - Office of EducationMarc D Schwartz - Georgetown University Medical CenterJon F Kerner - National Cancer InstituteRichard M Hoffman - University of Iowa, General Internal MedicineChikarlo Leak - Georgetown University Medical Center
- Resource Type
- Journal article
- Publication Details
- Cancer epidemiology, biomarkers & prevention, Vol.15(11), pp.2179-2188
- DOI
- 10.1158/1055-9965.EPI-05-0417
- PMID
- 17119044
- NLM abbreviation
- Cancer Epidemiol Biomarkers Prev
- ISSN
- 1055-9965
- eISSN
- 1538-7755
- Publisher
- American Association for Cancer Research
- Number of pages
- 10
- Comment
- Test development: Knowledge of Low-risk Prostate Cancer Treatment Options Survey
- Language
- English
- Date published
- 11/01/2006
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984831114002771
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