A community-based randomised controlled trial of three different educational resources for men about prostate cancer screening.
Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evidence-based booklet, developed by the authors (n = 140). Men in all three groups demonstrated significant increases in knowledge scores from pre to post-test. Scores were significantly higher at post-test amongst those who had received our evidence-based booklet compared with men who received the leaflet or video (P < 0.001). Scores were significantly modified by men's preferences for decisional control (P = 0.002). Decisional conflict was significantly lower amongst men receiving the evidence-based booklet (P = 0.038). Men receiving the evidence-based booklet also were less likely to accept a recommendation by a GP to undergo prostate-specific-antigen (PSA) screening (P = 0.003). Men require detailed information about the pros and cons of PSA screening in order to make an informed decision. Resources are not equivalent in achieving these outcomes.
Gattellari
Melina
M
Department of General Practice, School of Public Health and Community Medicine, University of New South Wales, Liverpool, NSW 1871, Australia. melina.gattellari@swsahs.nsw.gov.au
Ward
Jeanette E
JE
D000368:Aged; D001294:Attitude to Health; D002755:Choice Behavior; D003220:Conflict, Psychological; D003661:Decision Support Techniques; D004311:Double-Blind Method; D004522:Educational Status; D019317:Evidence-Based Medicine; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007258:Informed Consent; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards; D008571:Men / Q000193:education / Q000523:psychology; D008875:Middle Aged; D009517:New South Wales; D010174:Pamphlets; D017430:Prostate-Specific Antigen / Q000097:blood; D011471:Prostatic Neoplasms / Q000097:blood / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D013664:Teaching Materials / Q000592:standards*; D014743:Videotape Recording / Q000592:standards
D017430:Prostate-Specific Antigen