NDLI: PEP Talk: Prostate Education Program, “Cutting Through the Uncertainty of Prostate Cancer for Black Men Using Decision Support Instruments in Barbershops”

Content Provider	Springer Nature Link
Author	Frencher, Stanley K Sharma, Arun K. Teklehaimanot, Senait Wadzani, Dennis Ike, Ijeoma E. Hart, Alton Norris, Keith
Copyright Year	2015
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.
Starting Page	506
Ending Page	513
Page Count	8
File Format	PDF
ISSN	08858195
Journal	Journal of Cancer Education
Volume Number	31
Issue Number	3
e-ISSN	15430154
Language	English
Publisher	Springer US
Publisher Date	2015-07-01
Publisher Place	New York
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Cancer African-American Survival Mortality Health disparities PSA Decision making Knowledge Intention Behavior Preferences Cancer Research Pharmacology/Toxicology
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Oncology

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PEP Talk: Prostate Education Program, “Cutting Through the Uncertainty of Prostate Cancer for Black Men Using Decision Support Instruments in Barbershops”

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