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

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-a...

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Bibliographic Details
Published in:American journal of men's health 2009-12, Vol.3 (4), p.340-351
Main Authors: Allen, Jennifer D., Mohllajee, Anshu P., Shelton, Rachel C., Drake, Bettina F., Mars, Dana R.
Format: Article
Language:English
Subjects:
Adult
African Americans
Boston
Decision making
Decision Making, Computer-Assisted
Humans
Male
Mass Screening - methods
Mass Screening - utilization
Medical screening
Patient Acceptance of Health Care
Pilot Projects
Prostate cancer
Prostatic Neoplasms - diagnosis
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Summary: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.
ISSN:1557-9883
1557-9891
DOI:10.1177/1557988308325460