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Published on: October 10, 2019
Informed decision making about prostate cancer testing in predominantly immigrant black men: a randomized controlled
Stephen J Lepore1, Randi L Wolf, Charles E Basch
1Department of Public Health, Temple University, Philadelphia, PA 19122, USA. slepore@temple.edu
Summary
A tailored telephone intervention improved prostate cancer testing knowledge and decision-making for Black and immigrant men. It increased physician discussions without raising anxiety or testing rates.
Area of Science:
- Urology
- Public Health
- Health Disparities
Background:
- Decision support interventions (DSIs) aim to aid informed choices regarding prostate cancer testing.
- Existing DSIs rarely focus on high-risk populations, including Black and immigrant men.
Purpose of the Study:
- To assess the effectiveness of a DSI for prostate cancer testing.
- The intervention specifically targeted a population of predominantly immigrant Black men.
Main Methods:
- A randomized controlled trial involved 490 Black men.
- Participants were assigned to either a tailored telephone education group or a control group.
Main Results:
- The intervention group showed significantly improved knowledge about prostate cancer testing.
- Participants in the intervention group experienced reduced decision conflict and increased physician discussions.
- No significant differences were observed in prostate-specific antigen (PSA) testing, intention-behavior congruence, or anxiety levels.
Conclusions:
- A tailored telephone DSI effectively supports informed decision-making for Black and immigrant men regarding prostate cancer testing.
- The intervention promotes informed choices without increasing prostate cancer testing rates or anxiety.
