A church-based intervention to promote informed decision making for prostate cancer screening among African American men.
OBJECTIVE
This feasibility study developed and pilot tested an intervention to: (1) increase knowledge about prostate cancer screening; and (2) promote self-efficacy to participate in the informed decision-making process.


METHODS
African American men are a priority audience for prostate cancer screening interventions to promote informed decision making, and faith-based settings have been shown to be an effective venue to reach this population. Therefore we used predominantly African American churches to develop and test our intervention.


METHODS
Participants (N = 73) were recruited, and the intervention was administered by an African American health educator.


METHODS
We developed and pretested a prostate cancer screening informed decision-making intervention based on the Ottawa Decision Support Framework and the health belief model. The intervention included a tool called the "road map," which depicts the potential consequences of a decision to undergo or forgo screening. A quasiexperimental design was used to test the intervention.


METHODS
The main outcome measures were change in knowledge and self-efficacy post intervention.


RESULTS
Prostate cancer knowledge (p < .0001) and self-efficacy (p = .025) significantly increased.


CONCLUSIONS
A church-based intervention delivered by an African American health educator is a promising strategy for promoting informed decision making among African American men.
Drake
Bettina F
BF
Washington University School of Medicine, Department of Surgery, 660 S Euclid, Campus, Box 8100, St Louis, MO 63110, USA. drakeb@wudosis.wustl.edu
Shelton
Rachel C
RC
Gilligan
Timothy
T
Allen
Jennifer D
JD
D001741:Black or African American / Q000523:psychology*; D002835:Christianity; D003657:Decision Making; D005240:Feasibility Studies; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology*; D008875:Middle Aged; D010865:Pilot Projects; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires