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Value-Based Decision-Making in Prostate Cancer Early Detection

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Annual rept. 1 Oct 1998-30 Sep 1999

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Proponents of prostate cancer early detection argue that the combination of digital rectal examination and prostate-specific antigen testing is effective and that early detection leads to improved chances for survival. Others caution against routine screening because no mortality benefit has been shown in randomized trials and treatment of diagnosed prostate cancer can have serious side effects. Typically, patients who undergo testing are not aware of these uncertainties and do not participate in deciding whether to screen. We are conducting a prospective study with men 50-69 years of age to evaluate the efficacy of a counseling intervention designed to promote value-based decision-making. A baseline survey questionnaire will be administered to measure demographic, cognitive, and psychosocial characteristics. A Standard Intervention Group will receive a generic educational booklet about prostate cancer early detection. Enhanced Intervention Group men will receive a theory-based educational counseling session the booklet will be enhanced by an Analytic Hierarchy Process educational counseling session delivered by a nurse educator. The session will engage participants in a personally-tailored process of evaluating whether to have or not have an early detection exam. The behavioral outcome will be the proportion of men in each group who have an early detection exam during a six month follow up period. This outcome will be measured using data obtained via medical chart audit. Cognitive and psychosocial outcomes will be assessed using endpoint survey data.

Subject Categories:

  • Medicine and Medical Research
  • Medical Facilities, Equipment and Supplies

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