title: A computer-tailored intervention to promote informed decision making for prostate cancer screening among African American men.
abstract: 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.
authors.affiliation: Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA 02115, USA. jennifer_allen@dfci.harvard.edu
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Allen
authors.forename: Anshu P
authors.initials: AP
authors.lastname: Mohllajee
authors.forename: Rachel C
authors.initials: RC
authors.lastname: Shelton
authors.forename: Bettina F
authors.initials: BF
authors.lastname: Drake
authors.forename: Dana R
authors.initials: DR
authors.lastname: Mars
mesh_terms: D000328:Adult; D001741:Black or African American; D001900:Boston; D003658:Decision Making, Computer-Assisted; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D011471:Prostatic Neoplasms / Q000175:diagnosis*