title: Development and pilot testing of an online screening decision aid for men with a family history of prostate cancer.
abstract: OBJECTIVE
  This study aimed to develop and pilot test an online screening decision aid (DA) for men with a family history of prostate cancer.
  
  
  METHODS
  Eligible men (with no previous prostate cancer diagnosis) were recruited through relatives attending a urology outpatient clinic. Men evaluated the DA in two stages. First, they appraised a paper-based version using a questionnaire (n=22). Second, the same men were asked to reflect on an interactive web-based version via a semi-structured telephone interview (n=20).
  
  
  RESULTS
  Men evaluated both forms of the DA positively. Of the paper-based version, the majority of participants found the DA useful (91%), and that it contained enough information to make a screening decision (73%). All participants reported that the online DA was easy to use and navigate. Most participants reported that a website was their preferred mode of receiving prostate cancer screening information (70%).
  
  
  CONCLUSIONS
  The developed DA may represent the first online decision-making tool designed specifically for men with a family history prostate cancer that presents age and risk specific information to the user.
  
  
  CONCLUSIONS
  Comprehensive evaluations of the efficacy and impact of educational interventions such as this are crucial to improve services for individuals making informed screening decisions.
authors.affiliation: Psychosocial Research Group, Department of Medical Oncology, Prince of Wales Hospital, Randwick, NSW, Australia. c.wakefield@unsw.edu.au
authors.forename: Claire E
authors.initials: CE
authors.lastname: Wakefield
authors.forename: Kaaren J
authors.initials: KJ
authors.lastname: Watts
authors.forename: Bettina
authors.initials: B
authors.lastname: Meiser
authors.forename: Ursula
authors.initials: U
authors.lastname: Sansom-Daly
authors.forename: Alex
authors.initials: A
authors.lastname: Barratt
authors.forename: Graham J
authors.initials: GJ
authors.lastname: Mann
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Lobb
authors.forename: Clara L
authors.initials: CL
authors.lastname: Gaff
authors.forename: Kirsten
authors.initials: K
authors.lastname: Howard
authors.forename: Manish I
authors.initials: MI
authors.lastname: Patel
mesh_terms: D000328:Adult; D000368:Aged; D003657:Decision Making; D003661:Decision Support Techniques; D020022:Genetic Predisposition to Disease; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D008390:Markov Chains; D008403:Mass Screening; D008875:Middle Aged; D010865:Pilot Projects; D017430:Prostate-Specific Antigen / Q000097:blood; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D011795:Surveys and Questionnaires
chemical_list: D017430:Prostate-Specific Antigen