title: A church-based intervention to promote informed decision making for prostate cancer screening among African American men.
abstract: 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.
authors.affiliation: Washington University School of Medicine, Department of Surgery, 660 S Euclid, Campus, Box 8100, St Louis, MO 63110, USA. drakeb@wudosis.wustl.edu
authors.forename: Bettina F
authors.initials: BF
authors.lastname: Drake
authors.forename: Rachel C
authors.initials: RC
authors.lastname: Shelton
authors.forename: Timothy
authors.initials: T
authors.lastname: Gilligan
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Allen
mesh_terms: 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