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A Computer-Tailored Intervention to Promote Informed Decision Making for Prostate Cancer Screening Among African American Men
Jennifer D. Allen*,
Anshu P. Mohllajee,
Rachel C. Shelton,
Bettina F. Drake,
and
Dana R. Mars
* To whom correspondence should be addressed. E-mail: jennifer_allen{at}dfci.harvard.edu.
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Abstract |
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African-American men experience a disproportionate burden of prostate cancer (CaP) morbidity and mortality. National screening guidelines advise men to make individualized screening decisions through a process termed ?informed decision making? (IDM). In this pilot study, a computer-tailored decision-aid designed to promote IDM was evaluated using a pre/post test design. African-American men aged 40+ recruited from a variety of community settings (n=108). At pre-test, 43% of men reported having made a screening decision; at post-test 47% reported this to be the case (p=0.39). Significant improvements were observed on scores (0-100%) of knowledge (54% vs 72%; p<0.001), decision self-efficacy (87% vs 89%; p<0.01), and decisional conflict (21% vs 13%; p<0.001). Men were also more likely to want an active role in decision-making after using the tool (67% vs 75%; p=0.03). These results suggest that use of a computer-tailored decision-aid is a promising strategy to promote IDM for CaP screening among African-American men.
First published on October 20, 2008, doi:10.1177/1557988308325460
American Journal of Men's Health 2009;3:340.
A more recent version of this article appeared on December 1, 2009
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