title: Informed Decision-Making and Satisfaction with a Church-Based Men's Health Workshop Series for African-American Men: Men-Only vs. Mixed-Gender Format.
abstract: Prostate cancer incidence and mortality are highest among African-American men, and coupled with the controversy around routine prostate cancer screening, reaching African-American men with interventions to help them make an informed decision about whether or not to be screened is critical. This study compares two approaches to delivering a church-based peer community health advisor intervention consisting of a series of four men's health workshops on informed decision-making for prostate cancer screening. In the men-only group, male community health advisors teach group workshops consisting only of men. In the health partner group, male-female pairs of community health advisors teach workshops in a mixed-gender format in which enrolled men are asked to invite a significant woman in their lives (e.g., wife/partner, sister, daughter, friend) with them to the workshops. Eighteen African-American churches were randomized to receive one of the two approaches, and 283 eligible men enrolled in the intervention. Main findings suggested that the workshops had an impact on stage of decision-making, and this increased significantly over time in the health partner group only. The intervention was highly rated by men in both groups, and these ratings increased over time, with some study group differences. Within-workshop study group differences favored the health partner group in some instances; however, men in the men-only groups reported greater increases in their ratings of trust in the workshops over time. The health partner intervention strategy appears to be promising for reaching men of color with health information.
authors.affiliation: Department of Behavioral and Community Health, School of Public Health, University of Maryland, 2369 School of Public Health Building (255), College Park, MD, 20742, USA, cholt14@umd.edu.
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: Holt
authors.forename: Daisy
authors.initials: D
authors.lastname: Le
authors.forename: Darlene R
authors.initials: DR
authors.lastname: Saunders
authors.forename: Min Qi
authors.initials: MQ
authors.lastname: Wang
authors.forename: Jimmie L
authors.initials: JL
authors.lastname: Slade
authors.forename: Bettye
authors.initials: B
authors.lastname: Muwwakkil
authors.forename: Ralph
authors.initials: R
authors.lastname: Williams
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Atkinson
authors.forename: Tony L
authors.initials: TL
authors.lastname: Whitehead
authors.forename: Michael
authors.initials: M
authors.lastname: Naslund
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D003657:Decision Making; D055088:Early Detection of Cancer; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D054526:Men's Health; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010549:Personal Satisfaction; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control*; D012067:Religion; D012737:Sex Factors; D014481:United States