title: PEP Talk: Prostate Education Program, "Cutting Through the Uncertainty of Prostate Cancer for Black Men Using Decision Support Instruments in Barbershops".
abstract: The objective of this study was to investigate the effectiveness of using decision support instruments (DSI) to assist African-American (AA) men in making a prostate cancer (CaP) screening decision. This nonrandomized pretest-posttest comparison study assessed two DSI that were either culturally tailored or culturally nonspecific. CaP knowledge, intention to screen, and preferences were assessed before and after exposure to DSI using a convenience sample of 120 AA men aged 40 years and above. Participants interested in screening were referred to healthcare providers through a community-based patient navigator to obtain prostate-specific antigen (PSA) testing. We followed up 3 months after to determine if participants screened for CaP. CaP knowledge increased following exposure to both DSI in equivalent proportions. While similar proportions of men ultimately intended on having a PSA test following both DSI, bivariate analysis revealed that the culturally tailored DSI demonstrated a statistically significant increase in intention to screen. Participants' degree of certainty in their decision-making process with regard to CaP screening increased following the culturally tailored DSI (p < .001). The majority of participants planned on discussing CaP screening with a healthcare provider upon completion of the study. Barbershop-based health education can change the knowledge, preferences, intentions, and behaviors of this at-risk population. At 3 months follow-up, half (n = 58) of the participants underwent PSA testing, which led to the diagnosis of CaP in one participant. Community-led interventions for CaP, such as cluster-randomized designs in barbershops, are needed to better assess the efficacy of DSI in community settings.
authors.affiliation: Department of Urology, David Geffen School of Medicine, University of California, Los Angeles, 650 Charles E Young Dr. South, 66-115 CHS, Los Angeles, CA, 90095, USA. sfrencher@mednet.ucla.edu.
authors.forename: Stanley K
authors.initials: SK
authors.lastname: Frencher
authors.affiliation: Department of Urology, David Geffen School of Medicine, University of California, Los Angeles, 650 Charles E Young Dr. South, 66-115 CHS, Los Angeles, CA, 90095, USA.
authors.forename: Arun K
authors.initials: AK
authors.lastname: Sharma
authors.affiliation: Department of Research - Life Sciences Institute, Charles R. Drew University of Medicine and Science, 1731 E 120th St, Los Angeles, CA, 90059, USA.
authors.forename: Senait
authors.initials: S
authors.lastname: Teklehaimanot
authors.affiliation: Mervyn M. Dymally School of Nursing, Charles R. Drew University of Medicine and Science, 1731 E 120th St, Los Angeles, CA, 90059, USA.
authors.forename: Dennis
authors.initials: D
authors.lastname: Wadzani
authors.affiliation: Mervyn M. Dymally School of Nursing, Charles R. Drew University of Medicine and Science, 1731 E 120th St, Los Angeles, CA, 90059, USA.
authors.forename: Ijeoma E
authors.initials: IE
authors.lastname: Ike
authors.affiliation: Crater Health District, Virginia Department of Health, Richmond, 1501 West City Point Road, Hopewell, VA, 23860, USA.
authors.forename: Alton
authors.initials: A
authors.lastname: Hart
authors.affiliation: David Geffen School of Medicine, University of California, Los Angeles, 650 Charles E Young Dr. South, 66-115 CHS, Los Angeles, CA, 90095, USA.
authors.forename: Keith
authors.initials: K
authors.lastname: Norris
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001461:Barbering; D003657:Decision Making; D003661:Decision Support Techniques; D055088:Early Detection of Cancer; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D035501:Uncertainty
keywords: African-American; Behavior; Cancer; Decision making; Health disparities; Intention; Knowledge; Mortality; PSA; Preferences; Survival