A community-based intervention to promote informed decision making for prostate cancer screening among Hispanic American men changed knowledge and role preferences: A cluster RCT

Abstract Objective We assessed the short-term effects of a community-based intervention for Hispanic men to encourage informed decision making (IDM) about prostate cancer screening with prostate specific antigen (PSA). Methods All senior social and housing centers in El Paso, TX were randomized to i...

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Bibliographic Details
Published in:Patient education and counseling 2011-08, Vol.84 (2), p.e44-e51
Main Authors: Chan, Evelyn C.Y., M.D., M.S, McFall, Stephanie L., Ph.D, Byrd, Theresa L., Dr.P.H., R.N, Mullen, Patricia Dolan, Dr.P.H, Volk, Robert J., Ph.D, Ureda, John, Dr.P.H., M.P.H, Calderon-Mora, Jessica, M.P.H., C.H.E.S, Morales, Pat, Valdes, Adriana, Kay Bartholomew, L., Ed.D., M.P.H
Format: Article
Language:English
Subjects:
Adult
Aged
Community based programmes
Community-Based Participatory Research
Decision Making
Early Detection of Cancer
Educational programmes
Health Knowledge, Attitudes, Practice
Health Promotion - methods
Hispanic Americans
Hispanics
Humans
Informed Consent
Informed decision making
Internal Medicine
Logistic Models
Male
Mass Screening
Men
Middle Aged
Nursing
Prostate cancer screening
Prostate specific antigen
Prostate-Specific Antigen - blood
Prostatic cancer
Prostatic Neoplasms - diagnosis
Screening
Socioeconomic Factors
Texas
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Summary:Abstract Objective We assessed the short-term effects of a community-based intervention for Hispanic men to encourage informed decision making (IDM) about prostate cancer screening with prostate specific antigen (PSA). Methods All senior social and housing centers in El Paso, TX were randomized to intervention, a group-based Spanish language educational program facilitated by promotores (12 centers; 161 men) [I's], or to control, promotores- facilitated diabetes video and discussion (13 centers; 160 men) [C's]. Results Participants had low levels of schooling and baseline knowledge; 44% reported previous PSA testing. At post-test, the I's made large knowledge gains, increased their understanding that experts disagree about testing, shifted toward more active decision making roles, were more likely to believe that it is important to weigh the advantages and disadvantages of screening and to anticipate potential screening outcomes in making a decision, and were less likely to consider the screening decision easy. The I's did not change in their screening intention or the belief that choosing not to be screened could be a responsible choice. Conclusions A community-based intervention to support IDM for prostate cancer screening can increase knowledge and may promote more active involvement in decision making about prostate cancer screening. Such an approach can increase knowledge and may promote more active involvement in decision making about prostate cancer screening. Practice implications It is feasible to develop and implement a community-based intervention program to promote IDM for prostate cancer screening.
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2010.07.033