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

William Connell School of Nursing, Boston College, Chestnut Hill, jennifer_allen{at}dfci.harvard.edu, Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Center for Community-Based Research, Dana-Farber Cancer Institute, Boston

Anshu P. Mohllajee, MPH, ScD

Department of Epidemiology, Harvard School of Public Health, Boston Massachusetts

Rachel C. Shelton, MPH, ScD

Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Department of Society, Human Development and Health, Harvard School of Public Health, Boston

Bettina F. Drake, MPH, PhD

Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Department of Society, Human Development and Health, Harvard School of Public Health, Boston

Dana R. Mars, BA

Center for Community-Based Research, Dana-Farber Cancer Institute, Boston

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-/posttest design. African American men aged 40 years and older were recruited from a variety of community settings ( n = 108). At pretest, 43% of men reported having made a screening decision; at posttest 47% reported this to be the case (p = .39). Significant improvements were observed between pre- and posttest on scores of knowledge, decision self-efficacy, and decisional conflict. Men were also more likely to want an active role in decision making after using the tool. 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.

Key Words: health screening • digital rectal exam • PSA testing • prostate cancer • oncology/cancer

This version was published on December 1, 2009

American Journal of Men's Health, Vol. 3, No. 4, 340-351 (2009)
DOI: 10.1177/1557988308325460


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