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Identifying Preferences for Prostate Cancer Screening Among American Indian Men (Project AIMEPCCo): Protocol for a
Chris Gillette1, Ronny Bell2, Tony Locklear3
1Department of Physician Assistant Studies, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157, United States, 1 3367130820.
JMIR Research Protocols
|May 19, 2026
Summary
This study explores prostate cancer (PC) screening preferences among American Indian men to reduce health disparities. Findings will inform culturally sensitive screening strategies for this underserved population.
Area of Science:
- Oncology
- Health Disparities Research
- Behavioral Science
Background:
- American Indian men face disproportionately high prostate cancer (PC) incidence and mortality rates.
- Understanding PC screening preferences is crucial for addressing these health disparities.
- Existing research lacks culturally tailored approaches for PC screening in indigenous populations.
Purpose of the Study:
- To conduct a literature review and qualitative research with American Indian men to understand PC screening preferences.
- To develop and implement a discrete choice experiment (DCE) survey to elicit these preferences.
- To identify culturally appropriate and preference-concordant PC screening strategies for American Indian men.
Main Methods:
- A scoping literature review of PC DCEs was performed.
- Qualitative formative research with Lumbee Tribe men in North Carolina identified DCE attributes.
- A DCE survey was piloted and administered to 100 Lumbee men (ages 40-69) and analyzed using mixed logit models.
Main Results:
- Formative qualitative research is ongoing.
- DCE data collection is scheduled for April-June 2026.
- Analysis will involve mixed logit models to determine preference trade-offs.
Conclusions:
- This study pioneers a culturally responsive DCE approach for indigenous populations.
- Findings will guide the development of interventions to enhance PC screening adherence.
- Results will inform providers on culturally sensitive PC screening practices for American Indian men.
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Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
Study Designs in Epidemiology
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and case-control studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and case-control studies.

