A computer-tailored intervention to promote informed decision making for prostate cancer screening among African American men

Jennifer D. Allen, Anshu P. Mohllajee, Rachel C. Shelton, Bettina F. Drake, Dana R. Mars

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

African American men experience a disproportionate burden of prostate cancer (CaP) morbidity and mortality. National screening guidelines advise men to make individualized screening decisions through a process termed informed decision making (IDM). In this pilot study, a computer-tailored decision-aid designed to promote IDM was evaluated using a pre-/posttest design. African American men aged 40 years and older were recruited from a variety of community settings (n = 108). At pretest, 43% of men reported having made a screening decision; at posttest 47% reported this to be the case (p =.39). Significant improvements were observed between pre- and posttest on scores of knowledge, decision self-efficacy, and decisional conflict. Men were also more likely to want an active role in decision making after using the tool. These results suggest that use of a computer-tailored decision aid is a promising strategy to promote IDM for CaP screening among African American men.

Original languageEnglish
Pages (from-to)340-351
Number of pages12
JournalAmerican Journal of Men's Health
Volume3
Issue number4
DOIs
StatePublished - Dec 2009

Keywords

  • Digital rectal exam
  • Health screening
  • Oncology/cancer
  • PSA testing
  • Prostate cancer

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