A Church-based Intervention to Promote Informed Decision Making for Prostate Cancer Screening Among African American Men

Overview

Journal J Natl Med Assoc

Publisher Elsevier

Specialty General Medicine

Date 2010 Apr 2

PMID 20355345

Citations 42

Authors

Bettina F Drake

Rachel C Shelton

Timothy Gilligan

Jennifer D Allen

Affiliations

Soon will be listed here.

Abstract

Objectives: This feasibility study developed and pilot tested an intervention to: (1) increase knowledge about prostate cancer screening; and (2) promote self-efficacy to participate in the informed decision-making process.

Setting: African American men are a priority audience for prostate cancer screening interventions to promote informed decision making, and faith-based settings have been shown to be an effective venue to reach this population. Therefore we used predominantly African American churches to develop and test our intervention.

Participants: Participants (N = 73) were recruited, and the intervention was administered by an African American health educator.

Intervention: We developed and pretested a prostate cancer screening informed decision-making intervention based on the Ottawa Decision Support Framework and the health belief model. The intervention included a tool called the "road map," which depicts the potential consequences of a decision to undergo or forgo screening. A quasiexperimental design was used to test the intervention.

Main Outcome Measures: The main outcome measures were change in knowledge and self-efficacy post intervention.

Results: Prostate cancer knowledge (p < .0001) and self-efficacy (p = .025) significantly increased.

Conclusions: A church-based intervention delivered by an African American health educator is a promising strategy for promoting informed decision making among African American men.

Citing Articles

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The PROCAN-B study protocol: Early diagnosis of PROstate CANcer for Black men-a community-centred participatory approach in Scotland and the North-East of England.

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A pilot randomized clinical trial of a smartphone-based application to support at-home PSA screening and culturally tailored prostate cancer education for African American men: A study protocol.

Neil J, Mao B, Shao R, Ogunsanya M, Frank-Pearce S, Businelle M Contemp Clin Trials. 2024; 147:107737.

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Effect of Prostate Cancer Education on Saudi Men: Knowledge, Beliefs, and Screening Intentions.

Saleh A Asian Pac J Cancer Prev. 2024; 25(7):2439-2444.

PMID: 39068578 PMC: 11480616. DOI: 10.31557/APJCP.2024.25.7.2439.

References

Bunn H, OConnor A . Validation of client decision-making instruments in the context of psychiatry. Can J Nurs Res. 1996; 28(3):13-27. View

Andriole G, Crawford E, Grubb 3rd R, Buys S, Chia D, Church T . Mortality results from a randomized prostate-cancer screening trial. N Engl J Med. 2009; 360(13):1310-9. PMC: 2944770. DOI: 10.1056/NEJMoa0810696. View

Barber K, Shaw R, Folts M, Taylor D, Ryan A, Hughes M . Differences between African American and Caucasian men participating in a community-based prostate cancer screening program. J Community Health. 1998; 23(6):441-51. DOI: 10.1023/a:1018758124614. View

Griffith D, Mason M, Rodela M, Matthews D, Tran A, Royster M . A structural approach to examining prostate cancer risk for rural southern African American men. J Health Care Poor Underserved. 2007; 18(4 Suppl):73-101. DOI: 10.1353/hpu.2007.0121. View

Gattellari M, Ward J . Does evidence-based information about screening for prostate cancer enhance consumer decision-making? A randomised controlled trial. J Med Screen. 2003; 10(1):27-39. DOI: 10.1258/096914103321610789. View

Pronk N, Anderson L, Crain A, Martinson B, OConnor P, Sherwood N . Meeting recommendations for multiple healthy lifestyle factors. Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med. 2004; 27(2 Suppl):25-33. DOI: 10.1016/j.amepre.2004.04.022. View

Rosenstock I, Strecher V, BECKER M . Social learning theory and the Health Belief Model. Health Educ Q. 1988; 15(2):175-83. DOI: 10.1177/109019818801500203. View

Weinrich S, Holdford D, Boyd M, Creanga D, Cover K, Johnson A . Prostate cancer education in African American churches. Public Health Nurs. 1998; 15(3):188-95. DOI: 10.1111/j.1525-1446.1998.tb00338.x. View

Schapira M, VanRuiswyk J . The effect of an illustrated pamphlet decision-aid on the use of prostate cancer screening tests. J Fam Pract. 2000; 49(5):418-24. View

10.

OConnor A, Drake E, Fiset V, Graham I, Laupacis A, Tugwell P . The Ottawa patient decision aids. Eff Clin Pract. 1999; 2(4):163-70. View

11.

Chan E, Vernon S, ODonnell F, Ahn C, Greisinger A, Aga D . Informed consent for cancer screening with prostate-specific antigen: how well are men getting the message?. Am J Public Health. 2003; 93(5):779-85. PMC: 1447839. DOI: 10.2105/ajph.93.5.779. View

12.

Wilkinson S, List M, Sinner M, Dai L, Chodak G . Educating African-American men about prostate cancer: impact on awareness and knowledge. Urology. 2003; 61(2):308-13. DOI: 10.1016/s0090-4295(02)02144-1. View

13.

Allen J, Kennedy M, Wilson-Glover A, Gilligan T . African-American men's perceptions about prostate cancer: implications for designing educational interventions. Soc Sci Med. 2007; 64(11):2189-200. DOI: 10.1016/j.socscimed.2007.01.007. View

14.

Wilt T, Paul J, Murdoch M, Nelson D, Nugent S, Rubins H . Educating men about prostate cancer screening. A randomized trial of a mailed pamphlet. Eff Clin Pract. 2001; 4(3):112-20. View

15.

Husaini B, Reece M, Emerson J, Scales S, Hull P, Levine R . A church-based program on prostate cancer screening for African American men: reducing health disparities. Ethn Dis. 2008; 18(2 Suppl 2):S2-179-84. View

16.

Volk R, Hawley S, Kneuper S, Holden E, Stroud L, Cooper C . Trials of decision aids for prostate cancer screening: a systematic review. Am J Prev Med. 2007; 33(5):428-434. DOI: 10.1016/j.amepre.2007.07.030. View

17.

Williams-Piehota P, McCormack L, Treiman K, Bann C . Health information styles among participants in a prostate cancer screening informed decision-making intervention. Health Educ Res. 2008; 23(3):440-53. DOI: 10.1093/her/cyn011. View

18.

Degner L, Sloan J, Venkatesh P . The Control Preferences Scale. Can J Nurs Res. 1998; 29(3):21-43. View

19.

Flood A, WENNBERG J, Nease Jr R, Fowler Jr F, Ding J, HYNES L . The importance of patient preference in the decision to screen for prostate cancer. Prostate Patient Outcomes Research Team. J Gen Intern Med. 1996; 11(6):342-9. DOI: 10.1007/BF02600045. View

20.

Campbell M, Hudson M, Resnicow K, Blakeney N, Paxton A, Baskin M . Church-based health promotion interventions: evidence and lessons learned. Annu Rev Public Health. 2006; 28:213-34. DOI: 10.1146/annurev.publhealth.28.021406.144016. View