A Church-Based Intervention to Promote Informed Decision Making for Prostate Cancer Screening Among African American Men

Abstract

Objectives This feasibility study developed and pilot tested an intervention to: (1) increase knowledge about prostate cancer (CaP) screening; and (2) promote self-efficacy to participate in the informed decision-making (IDM) process. Setting African-American (AA) men are a priority audience for CaP screening interventions to promote IDM, and faith-based settings have been shown to be an effective venue to reach this population. Therefore we used predominantly AA churches to develop and test our intervention. Participants Participants (N=73) were recruited and the intervention was administered by an AA health educator. Intervention We developed and pre-tested a CaP screening IDM intervention based on the Ottawa Decision Support Framework and the Health Belief Model. The intervention included a tool called the ‘Road Map’ that depicts the potential consequences of a decision to undergo, or to forgo screening. A quasi-experimental design was used to test the intervention. Main Outcome Measures The main outcome measures were change in knowledge and self-efficacy post intervention. Results CaP knowledge (p<0.0001) and self-efficacy (p=0.025) significantly increased. Conclusions A church-based intervention delivered by anAA health educator is a promising strategy for promoting IDM among AA men.

Interventions to Improve Decision Making and Reduce Racial and Ethnic Disparities in the Management of Prostate Cancer: A Systematic Review

“…Drake et al designed an intervention based on the Ottawa Decision Support Framework and Health Belief Model. 23 Knowledge increased on a 0-100 scale by 25.7 points (p<0.001). 23 Collins et al found that, following a one-on-one counseling intervention, PCa knowledge increased by 41 % from pre-to post-test, from 23 to 64 % correct.…”

“…23 Knowledge increased on a 0-100 scale by 25.7 points (p<0.001). 23 Collins et al found that, following a one-on-one counseling intervention, PCa knowledge increased by 41 % from pre-to post-test, from 23 to 64 % correct. Boehm et al assessed the impact of an education session with AA speakers, one of whom was a physician and one a PCa survivor on PCa knowledge.…”

“…Of the 14 studies of PCa screening, there were 2 papers assessing changes in self-efficacy for decision making in addition to knowledge changes, 23,25 all using educational interventions. There was an additional study that evaluated self-efficacy for decision making alone.…”

“…Drake et al created a theorydriven "road map" educational intervention for improving comfort, control and knowledge for PCa screening, and assessed outcomes immediately after. 23 It was assessed with an 11-item decision self-efficacy scale, with scores ranging from 0 to 100. The self-efficacy score increased from 84 to 93 (p=0.025), a 9 % overall increase.…”

Intrapersonal and community factors associated with prostate cancer screening among African-American males in the US

“…Drake et al 24 found that 88% of AA males who were married were more likely to receive PCS. Satia and Galanko 26 identified marital status as a statistically significant factor for receiving PCS.…”