Annals of Behavioral Medicine
Volume 44, Issue 3, 2012, Pages 320-330

Informed decision making about prostate cancer testing in predominantly immigrant black men: A randomized controlled trial (Article)

Lepore S.J.* , Wolf R.L. , Basch C.E. , Godfrey M. , McGinty E. , Shmukler C. , Ullman R. , Thomas N. , Weinrich S.
  • a Department of Public Health, Temple University, Ritter Annex, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, United States
  • b Columbia University, New York, NY, United States
  • c Columbia University, New York, NY, United States
  • d Department of Public Health, Temple University, Ritter Annex, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, United States
  • e Johns Hopkins University, Baltimore, MD, United States
  • f 1199SEIU Benefit and Pension Funds, New York, NY, United States
  • g 1199SEIU Benefit and Pension Funds, New York, NY, United States
  • h 1199SEIU Benefit and Pension Funds, New York, NY, United States
  • i Medical College of Georgia (Emeritus), Augusta, GA, United States

Abstract

Background: Decision support interventions have been developed to help men clarify their values and make informed decisions about prostate cancer testing, but they seldom target high-risk black and immigrant men. Purpose: This study evaluated the efficacy of a decision support intervention focused on prostate cancer testing in a sample of predominantly immigrant black men. Methods: Black men (N = 490) were randomized to tailored telephone education about prostate cancer testing or a control condition. Results: Post-intervention, the intervention group had significantly greater knowledge, lower decision conflict, and greater likelihood of talking with their physician about prostate cancer testing than the control group. There were no significant intervention effects on prostate specific antigen testing, congruence between testing intention and behavior, or anxiety. Conclusions: A tailored telephone decision support intervention can promote informed decision making about prostate cancer testing in black and predominantly immigrant men without increasing testing or anxiety. © The Society of Behavioral Medicine 2012.

Author Keywords

Screening Behavioral intervention Prostate cancer screening Randomized controlled trial Informed decision making Immigrant African-Americans patient education

Index Keywords

Prostatic Neoplasms controlled clinical trial psychological aspect human middle aged controlled study randomized controlled trial Early Detection of Cancer African American Patient Education as Topic informed consent Humans male Emigrants and Immigrants Health Knowledge, Attitudes, Practice patient education Article migration decision making prostate tumor attitude to health African Americans early diagnosis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84872269555&doi=10.1007%2fs12160-012-9392-3&partnerID=40&md5=07c9f993ef4fa2ba63924633b7be76a9
DOI: 10.1007/s12160-012-9392-3
ISSN: 08836612
Cited by: 31
Original Language: English