Effectiveness of a Modified Computer Assisted Instructional Tool In The Dissemination of Prostate Cancer Information to Men of African Descent Through Black Churches

Weston, R. Eric; Weston, Peter J.; Futterman, Robert; Lepore, Stephen J.; Carolina, Demetrius S.; Pinto, John T.; Lang, Michele A.; Thomas, Rogelio I.; Cardwell, John J.; Gordon, Adam P.

doi:10.1007/s12111-007-9017-2

Cited by 3 publications

(3 citation statements)

References 41 publications

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“…Weston et al evaluated a computer-assisted intervention by measuring pre-/post-test knowledge using an 18-item questionnaire from the National Cancer Institute (2002). 29 PCa knowledge scores increased from 11.2 to 14.8 (p<0.001), a 20 % increase in the proportion correct (from 62 % to 82 %). Ellison et al conducted an RCT of a web-based decision aid and measured knowledge with a validated 12-item PCa knowledge test.…”

Section: Resultsmentioning

confidence: 93%

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

2012

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OBJECTIVES: Ethnic minorities are disproportionately impacted by prostate cancer (PCa) and are at risk for not receiving informed decision making (IDM). We conducted a systematic literature review on interventions to improve: (1) IDM about PCa in screeningeligible minority men, and (2) quality of life (QOL) in minority PCa survivors. DATA SOURCES: MeSH headings for PCa, ethnic minorities, and interventions were searched in MED-LINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL, and PsycINFO. SUBJECT ELIGIBILITY CRITERIA: We identified U.S.-based, English-language articles (1985-2010) on interventions to improve PCa IDM and QOL that included 50 % or more minority patients or analyses stratified by race/ethnicity. STUDY APPRAISAL AND SYNTHESIS METHODS:Articles (n=19) were evaluated and scored for quality using a Downs and Black (DB) system. Interventions were organized by those enhancing 1) IDM about PCa screening and 2) improving QOL and symptom among PCa survivors. Outcomes were reported by intervention type (educational seminar, printed material, telephonebased, video and web-based). RESULTS: Fourteen studies evaluated interventions for enhancing IDM about PCa screening and five evaluated programs to improve outcomes for PCa survivors. Knowledge scores were statistically significantly increased in 12 of 13 screening studies that measured knowledge, with ranges of effect varying across intervention types: educational programs (13 %-48 % increase), print (11 %-18 %), videotape/DVD (16 %), and web-based (7 %-20 %). In the final screening study, an intervention to improve decision-making about screening increased decisional self-efficacy by 9 %. Five cognitive-behavioral interventions improved QOL among minority men being treated for localized PCa through enhancing problem solving and coping skills. LIMITATIONS: Weak study designs, small sample sizes, selection biases, and variation in follow-up intervals across studies. CONCLUSIONS: Educational programs were the most effective intervention for improving knowledge among screening-eligible minority men. Cognitive behavioral strategies improved QOL for minority men treated for localized PCa.

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Section: Resultsmentioning

confidence: 93%

“…The Cochrane-modified DB scores for studies varied across intervention types as follows: (1) educational seminar interventions, 19.3±SD 3.5; (2) printed material/booklet 24,29 Overall, AA men represented 84 % of the study population across the studies.…”

Section: Resultsmentioning

confidence: 99%

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

2012

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“…First, prostate cancer was the primary illness discussed in this literature. Two studies discussed using the Internet for prostate cancer education among African American men and one study reported on the prostate cancer information needs of Australian men (Pinnock & Jones, 2003; Wallington, 2008; Weston et al, 2007). Of the three remaining studies that discussed online education for men, one of them tested the feasibility of a telehealth psycho-educational intervention for persons with schizophrenia and their families (Rotondi et al, 2005).…”

Section: The Findings: Internet-based Programs For Menmentioning

confidence: 99%

Recommendations for the use of online social support for African American men.

Watkins¹,

Jefferson²

2013

Psychological Services

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African American men face greater psychosocial stressors than African American women and men of other racial and ethnic groups, which place them at higher risk for psychological distress. Yet, research suggests that African Americans are less likely to utilize professional mental health services because of their mistrust of the health care system and their need for more specialized and innovative services. Supplemental resources aimed at positive coping and social support for African American men may reduce the likelihood that they experience psychological distress, which could lead to more severe mental disorders. This article proposes the use of online social support for African American men who are in early, nonsevere stages of psychological distress. We examine the unique experiences of African American men, discuss distress among this underserved group, and finally, offer recommendations for achieving an online community for African American men.

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Telemedicine, Telehealth, and e-Health Technologies in Cancer Prevention

Lopez

2013

Fundamentals of Cancer Prevention

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Effectiveness of a Modified Computer Assisted Instructional Tool In The Dissemination of Prostate Cancer Information to Men of African Descent Through Black Churches

Cited by 3 publications

References 41 publications

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

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

Recommendations for the use of online social support for African American men.

Telemedicine, Telehealth, and e-Health Technologies in Cancer Prevention

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