title: Lessons Learned from Implementing a Prostate Cancer Risk Assessment Program for Underserved High-Risk Men in the Community: the Prostate REACH Project.
abstract: Prostate cancer disproportionately affects Black men, who may also encounter barriers to participation in prostate cancer risk assessment. The Prostate Risk, Education and Assessment in the Community with Help (REACH) project was a community-based extension of a comprehensive prostate cancer risk assessment program at a comprehensive cancer center. The goals of the REACH project were the following: (1) establish a community prostate cancer risk assessment clinic, (2) conduct targeted recruitment, and (3) provide navigation services including follow-up for uninsured men. Key implementation steps included the following: (1) choosing a clinic site, (2) establishing patient access procedures, (3) establishing navigator services, (4) developing subsidy fund use guidelines, and (5) designing recruitment and promotion. Through community-based promotion, 64 men inquired about the program and 26 (41 %) participated. Of those screened, 46 % had abnormal results, and 2 men were diagnosed with prostate cancer. Here, we describe a unique demonstration project to implement a comprehensive prostate cancer risk assessment program in an underserved Black community and describe successes and challenges to inform future efforts to promote access to underserved men.
authors.affiliation: Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.|Office of Health Communications and Health Disparities, Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Fleisher
authors.affiliation: Department of Health Outcomes and Behavior, Division of Population Sciences, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
authors.forename: Stacy N
authors.initials: SN
authors.lastname: Davis
authors.affiliation: Division of Population Science, Department of Medical Oncology, Thomas Jefferson University, 1025 Walnut Street, Room 1015, Philadelphia, PA, 19107, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Gross
authors.affiliation: Department of Clinical Genetics, Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Loretta
authors.initials: L
authors.lastname: Bagden
authors.affiliation: Department of Clinical Genetics, Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Zakrzewski
authors.affiliation: Office of Health Communications and Health Disparities, Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Evelyn
authors.initials: E
authors.lastname: González
authors.affiliation: Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors.forename: Venk
authors.initials: V
authors.lastname: Kandadai
authors.affiliation: National Comprehensive Cancer Center, Fort Washington, PA, USA.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Rusten
authors.affiliation: Office of Health Communications and Health Disparities, Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Jerilyn
authors.initials: J
authors.lastname: Baskett
authors.affiliation: Department of Clinical Genetics, Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Elias
authors.initials: E
authors.lastname: Obeid
authors.affiliation: Division of Population Science, Department of Medical Oncology, Thomas Jefferson University, 1025 Walnut Street, Room 1015, Philadelphia, PA, 19107, USA. Veda.Giri@jefferson.edu.
authors.forename: Veda N
authors.initials: VN
authors.lastname: Giri
mesh_terms: D000328:Adult; D000368:Aged; D055088:Early Detection of Cancer / Q000523:psychology*; D005006:Ethnicity / Q000193:education*; D005500:Follow-Up Studies; D006801:Humans; D007858:Learning; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D062526:Patient Navigation; D018579:Patient Selection; D011379:Prognosis; D015397:Program Evaluation; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D018570:Risk Assessment; D035862:Vulnerable Populations / Q000523:psychology*
keywords: African American; Community screening; Prostate cancer screening