Delivering the unexpected-Information needs for PSA screening from Men's perspective: A qualitative study.
Katrin Kuss1, Charles Christian Adarkwah1,2, Miriam Becker1
1Department of General Practice/Family Medicine, Philipps-University Marburg, Marburg, Germany.
Summary
Men need comprehensive information on prostate-specific antigen (PSA) screening, including test accuracy and benefit-harm balance, to make informed decisions. Understanding these details empowers them to choose based on personal values.
Area of Science:
- Urology
- Public Health
- Decision Science
Background:
- Prostate-specific antigen (PSA) screening decisions involve complex trade-offs between potential benefits and harms.
- Men's understanding of PSA screening is crucial for informed decision-making.
Purpose of the Study:
- To explore the information needs of men regarding prostate cancer screening decisions.
- To understand what information men perceive as necessary for making informed PSA testing choices.
Main Methods:
- Qualitative interview study involving 32 men (aged 55-69) in Germany.
- Interviews were conducted after counselling with a Decision Aid.
- Data were transcribed verbatim and analyzed using framework analysis.
Main Results:
- Men require comprehensive information on test accuracy, benefit-harm balance, and consequences.
- Needs include interpretation support, take-home summaries, and time for deliberation.
- Physician's attitude was also a point of interest for some participants.
Conclusions:
- A core set of information on PSA screening should be provided before the initial decision.
- Detailed information on biopsy and side-effects can be offered upon request.
- Pre-screening knowledge, especially regarding false positives, aids in managing test results.
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