title: Randomized trial of print messaging: the role of the partner and monitoring style in promoting provider discussions about prostate cancer screening among African American men.
abstract: OBJECTIVE
  Although African American (AA) men are at elevated risk for prostate cancer, medical guidelines do not present consistent screening recommendations for this group. However, all guidelines stress the need for screening decision making with a provider. This study evaluated the effectiveness of a brochure for the female partners of AA men, designed to help promote such discussion on the part of their mates. We also explored the effect of the partner's monitoring style (i.e., the extent to which the partner typically attends to health threats) on promoting discussion.
  
  
  METHODS
  Female partners of AA men (N = 231) were randomized to receive either a prostate cancer screening Centers for Disease Control brochure for AA men, combined with a 'partner' brochure containing strategies to promote men's initiation of a provider visit to discuss screening, or the Centers for Disease Control brochure only and completed preintervention and post-intervention surveys online.
  
  
  RESULTS
  The message groups did not differ on taking active steps to engage in provider discussion: relative risk ratio (RRR) = 0.99, p = .98; thinking about it: RRR = 1.13, p = .74. However, among partners who received the partner brochure, monitoring style was associated with 'thinking about initiating a provider visit' on the part of the mate (RRR = 1.74, p < .01). Across conditions, monitoring style was also associated with 'taking active steps to initiate a provider visit' on the part of the mate (RRR = 1.38, p < .05).
  
  
  CONCLUSIONS
  High monitoring partners may be effective in influencing their AA mates to initiate provider discussion, particularly when tailored messaging is provided.
authors.affiliation: Department of Psychosocial and Behavioral Medicine, Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Miller
authors.forename: Pagona
authors.initials: P
authors.lastname: Roussi
authors.forename: John
authors.initials: J
authors.lastname: Scarpato
authors.forename: Kuang-Yi
authors.initials: KY
authors.lastname: Wen
authors.forename: Fang
authors.initials: F
authors.lastname: Zhu
authors.forename: Gem
authors.initials: G
authors.lastname: Roy
mesh_terms: D000328:Adult; D001741:Black or African American; D000367:Age Factors; D003657:Decision Making; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D018454:Spouses / Q000193:education*
keywords: AA men; communication messages; monitoring style; partner; prostate cancer