title: Informed decision making about prostate cancer testing in predominantly immigrant black men: a randomized controlled trial.
abstract: BACKGROUND
  Decision support interventions have been developed to help men clarify their values and make informed decisions about prostate cancer testing, but they seldom target high-risk black and immigrant men.
  
  
  OBJECTIVE
  This study evaluated the efficacy of a decision support intervention focused on prostate cancer testing in a sample of predominantly immigrant black men.
  
  
  METHODS
  Black men (N = 490) were randomized to tailored telephone education about prostate cancer testing or a control condition.
  
  
  RESULTS
  Post-intervention, the intervention group had significantly greater knowledge, lower decision conflict, and greater likelihood of talking with their physician about prostate cancer testing than the control group. There were no significant intervention effects on prostate specific antigen testing, congruence between testing intention and behavior, or anxiety.
  
  
  CONCLUSIONS
  A tailored telephone decision support intervention can promote informed decision making about prostate cancer testing in black and predominantly immigrant men without increasing testing or anxiety.
authors: Department of Public Health, Temple University, Philadelphia, PA 19122, USA. slepore@temple.edu
authors: Stephen J
authors: SJ
authors: Lepore
authors: Randi L
authors: RL
authors: Wolf
authors: Charles E
authors: CE
authors: Basch
authors: Melissa
authors: M
authors: Godfrey
authors: Emma
authors: E
authors: McGinty
authors: Celia
authors: C
authors: Shmukler
authors: Ralph
authors: R
authors: Ullman
authors: Nigel
authors: N
authors: Thomas
authors: Sally
authors: S
authors: Weinrich
mesh_terms: D001741:Black or African American / Q000523:psychology*; D003657:Decision Making; D055088:Early Detection of Cancer / Q000523:psychology*; D054242:Emigrants and Immigrants / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007258:Informed Consent; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000517:prevention & control