title: A randomized trial of a computer-tailored decision aid to improve prostate cancer screening decisions: results from the Take the Wheel trial.
abstract: OBJECTIVE
  To evaluate a decision aid (DA) designed to promote informed decision making for prostate cancer screening.
  
  
  METHODS
  Twelve work sites were randomly assigned to an intervention or nonintervention comparison condition. Intervention sites received access to a computer-tailored DA at the workplace. Male employees age 45 years and above (n = 625) completed surveys at baseline and at 3-month follow-up, documenting aspects of informed decision making.
  
  
  RESULTS
  Using an intention-to-treat analysis, men in the intervention group were significantly more likely to have made a screening decision and to have improved knowledge without increased decisional conflict, relative to men in the comparison group. These changes were observed despite the fact that only 30% of men in intervention sites used the DA. Among DA users, similar improvements were observed, although the magnitudes of changes were substantially greater, and significant improvements in decision self-efficacy were observed.
  
  
  CONCLUSIONS
  A DA offered in the workplace promoted decision making, improved knowledge, and increased decision self-efficacy among users, without increasing decisional conflict. However, participation was suboptimal, suggesting that better methods for engaging men in workplace interventions are needed. IMPACT STATEMENT: This trial shows the efficacy of a computer-tailored DA in promoting informed decisions about prostate cancer screening. The DA was delivered through work sites, thereby providing access to resources required to participate in informed decision making without requiring a medical appointment. However, participation rates were suboptimal, and additional strategies for engaging men are needed.
authors: Dana-Farber Cancer Institute, Harvard MedicalSchool, School of Public Health, Boston, Massachusetts, USA. jennifer_allen@dfci.harvard.edu
authors: Jennifer D
authors: JD
authors: Allen
authors: Megan K D
authors: MK
authors: Othus
authors: Alton
authors: A
authors: Hart
authors: Laura
authors: L
authors: Tom
authors: Yi
authors: Y
authors: Li
authors: Donna
authors: D
authors: Berry
authors: Deborah
authors: D
authors: Bowen
mesh_terms: D015331:Cohort Studies; D003658:Decision Making, Computer-Assisted; D055088:Early Detection of Cancer / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods; D011471:Prostatic Neoplasms / Q000175:diagnosis*