PEP Talk: Prostate Education Program, “Cutting Through the Uncertainty of Prostate Cancer for Black Men Using Decision Support Instruments in Barbershops”

The objective of this study was to investigate the effectiveness of using decision support instruments (DSI) to assist African-American (AA) men in making a prostate cancer (CaP) screening decision. This nonrandomized pretest-posttest comparison study assessed two DSI that were either culturally tai...

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Bibliographic Details
Published in:Journal of cancer education 2016-09, Vol.31 (3), p.506-513
Main Authors: Frencher, Stanley K, Sharma, Arun K., Teklehaimanot, Senait, Wadzani, Dennis, Ike, Ijeoma E., Hart, Alton, Norris, Keith
Format: Article
Language:English
Subjects:
Adult
African Americans
African Americans - psychology
Aged
At Risk Persons
Attrition (Research Studies)
Barbering
Biomedical and Life Sciences
Biomedicine
Cancer
Cancer Research
Community Relations
Decision Making
Decision Support Techniques
Departments
Early Detection of Cancer
Ethnic Groups
Focus Groups
Health behavior
Health disparities
Health Education - methods
Health Knowledge, Attitudes, Practice
Health Promotion
Humans
Intention
Male
Males
Medical screening
Middle Aged
Outreach Programs
Pharmacology/Toxicology
Preferences
Pretests Posttests
Prostate cancer
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - prevention & control
Prostatic Neoplasms - psychology
Uncertainty
Video Technology
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Summary:The objective of this study was to investigate the effectiveness of using decision support instruments (DSI) to assist African-American (AA) men in making a prostate cancer (CaP) screening decision. This nonrandomized pretest-posttest comparison study assessed two DSI that were either culturally tailored or culturally nonspecific. CaP knowledge, intention to screen, and preferences were assessed before and after exposure to DSI using a convenience sample of 120 AA men aged 40 years and above. Participants interested in screening were referred to healthcare providers through a community-based patient navigator to obtain prostate-specific antigen (PSA) testing. We followed up 3 months after to determine if participants screened for CaP. CaP knowledge increased following exposure to both DSI in equivalent proportions. While similar proportions of men ultimately intended on having a PSA test following both DSI, bivariate analysis revealed that the culturally tailored DSI demonstrated a statistically significant increase in intention to screen. Participants’ degree of certainty in their decision-making process with regard to CaP screening increased following the culturally tailored DSI ( p  
ISSN:0885-8195
1543-0154
DOI:10.1007/s13187-015-0871-7