Randomized trial of print messaging: the role of the partner and monitoring style in promoting provider discussions about prostate cancer screening among African American men

Objective Although African American (AA) men are at elevated risk for prostate cancer, medical guidelines do not present consistent screening recommendations for this group. However, all guidelines stress the need for screening decision making with a provider. This study evaluated the effectiveness...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2014-04, Vol.23 (4), p.404-411
Main Authors: Miller, Suzanne M., Roussi, Pagona, Scarpato, John, Wen, Kuang-Yi, Zhu, Fang, Roy, Gem
Format: Article
Language:English
Subjects:
AA men
Adult
African Americans
Age Factors
Black American people
Black or African American
Clinical trials
communication messages
Decision Making
Early Detection of Cancer
Female
Humans
Internet
Male
Medical screening
Men
Menstruation
Middle Aged
monitoring style
Odds Ratio
partner
Patient Education as Topic - methods
Patient Participation
Prostate cancer
Prostatic cancer
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - ethnology
Relative risks
Screening
Spouses - education
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Summary:Objective Although African American (AA) men are at elevated risk for prostate cancer, medical guidelines do not present consistent screening recommendations for this group. However, all guidelines stress the need for screening decision making with a provider. This study evaluated the effectiveness of a brochure for the female partners of AA men, designed to help promote such discussion on the part of their mates. We also explored the effect of the partner's monitoring style (i.e., the extent to which the partner typically attends to health threats) on promoting discussion. Methods Female partners of AA men (N = 231) were randomized to receive either a prostate cancer screening Centers for Disease Control brochure for AA men, combined with a ‘partner’ brochure containing strategies to promote men's initiation of a provider visit to discuss screening, or the Centers for Disease Control brochure only and completed preintervention and post‐intervention surveys online. Results The message groups did not differ on taking active steps to engage in provider discussion: relative risk ratio (RRR) = 0.99, p = .98; thinking about it: RRR = 1.13, p = .74. However, among partners who received the partner brochure, monitoring style was associated with ‘thinking about initiating a provider visit’ on the part of the mate (RRR = 1.74, p 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.3437