Promoting informed prostate cancer screening decision-making for African American men in a community-based setting

Purpose Current screening guidelines for prostate cancer (PCa) encourage men to make individual screening decisions after consulting with their primary care provider to weigh the risks and benefits of undergoing prostate specific antigen (PSA) testing, but many men at high risk of PCa diagnosis (not...

Full description

Saved in:
Bibliographic Details
Published in:Cancer causes & control 2022-04, Vol.33 (4), p.503-514
Main Authors: Wray, Ricardo J., Nicks, Shannon E., Adsul, Prajakta, Elliot, Michael, Enard, Kimberly, Jupka, Keri, Trainer, Anna K., Hansen, Natasha, Shahid, Mellve, Wright-Jones, Robin, Siddiqui, Sameer
Format: Article
Language:English
Subjects:
African Americans
Antigens
Biomedical and Life Sciences
Biomedicine
Cancer Research
Cancer screening
Decision Making
Early Detection of Cancer
Epidemiology
Evaluation
Guidelines
Health Knowledge, Attitudes, Practice
Hematology
Humans
Male
Mass Screening
Medical screening
Oncology
Original Paper
Outreach programs
Participatory research
Primary care
Prostate cancer
Prostate-Specific Antigen
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - therapy
Public Health
Statistical analysis
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Current screening guidelines for prostate cancer (PCa) encourage men to make individual screening decisions after consulting with their primary care provider to weigh the risks and benefits of undergoing prostate specific antigen (PSA) testing, but many men at high risk of PCa diagnosis (notably African American men) are more likely to be uninsured and lack a primary care provider. An academic-community partnership redesigned its community-based screening program to ensure access to services for African American men, incorporating a session with a trained clinical educator in community settings, designed to increase knowledge and promote informed decision-making regarding PSA testing. This study evaluated effects of the intervention on decision-making outcomes. Methods To evaluate program efficacy, 88 men completed pre- and post-test surveys assessing outcomes of interest. Results Participants’ knowledge, beliefs, attitudes, anxiety levels, and self-efficacy all improved from pre- to post-test at a statistically significant level. Most notably participants’ awareness that PCa is often not life-threatening, and watchful waiting is a reasonable treatment option increased after the encounter. More than half of the study sample felt they had received enough knowledge to make an informed decision about whether the PSA test was right for them. Conclusion Our findings show the program had positive effects on men’s ability to make informed decisions about PCa screening and demonstrate that educational outreach programs with an emphasis on informed decision-making can effectively balance screening guidelines with the needs of underserved populations in community settings to improve outcomes.
ISSN:0957-5243
1573-7225
DOI:10.1007/s10552-021-01544-9