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

Sajid, Saleha; Kotwal, Ashwin; Dale, William

doi:10.1007/s11606-012-2086-5

Cited by 25 publications

(27 citation statements)

References 46 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[2][3][4][5][6] While many valuable ideas to address racial and ethnic health disparities are being pursued outside of the healthcare system, Finding Answers focuses specifically on what can be accomplished once regular access to healthcare services is achieved. Thus, the reviews focused on interventions that occur in or have a sustained linkage to a healthcare delivery setting; programs that were strictly communitybased were outside the scope of the project.…”

Section: Findings From the Systematic Reviewsmentioning

confidence: 99%

“…The prostate cancer review focused on the importance of informed decision making for addressing prostate cancer among racial and ethnic minority men. 6 Educational programs were the most effective intervention for improving knowledge among screening-eligible minority men. Cognitive behavioral strategies improved quality of life for minority men treated for localized prostate cancer.…”

Section: Findings From the Systematic Reviewsmentioning

confidence: 99%

“…Over the past seven years, Finding Answers has funded 33 research projects and performed 12 systematic literature reviews, including the five papers in this symposium. [2][3][4][5][6] We are now beginning to leverage this research base to provide technical assistance to organizations that are implementing disparities reduction interventions, such as those participating in RWJF's Aligning Forces for Quality program. 7 This paper summarizes the major lessons learned from the systematic reviews and provides a disparities reduction framework.…”

mentioning

confidence: 99%

See 2 more Smart Citations

A Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health Care

et al. 2012

View full text Add to dashboard Cite

Over the past decade, researchers have shifted their focus from documenting health care disparities to identifying solutions to close the gap in care. Finding Answers: Disparities Research for Change, a national program of the Robert Wood Johnson Foundation, is charged with identifying promising interventions to reduce disparities. Based on our work conducting systematic reviews of the literature, evaluating promising practices, and providing technical assistance to health care organizations, we present a roadmap for reducing racial and ethnic disparities in care. The roadmap outlines a dynamic process in which individual interventions are just one part. It highlights that organizations and providers need to take responsibility for reducing disparities, establish a general infrastructure and culture to improve quality, and integrate targeted disparities interventions into quality improvement efforts. Additionally, we summarize the major lessons learned through the Finding Answers program. We share best practices for implementing disparities interventions and synthesize cross-cutting themes from 12 systematic reviews of the literature. Our research shows that promising interventions frequently are culturally tailored to meet patients' needs, employ multidisciplinary teams of care providers, and target multiple leverage points along a patient's pathway of care. Health education that uses interactive techniques to deliver skills training appears to be more effective than traditional didactic approaches. Furthermore, patient navigation and engaging family and community members in the health care process may improve outcomes for minority patients. We anticipate that the roadmap and best practices will be useful for organizations, policymakers, and researchers striving to provide high-quality equitable care.

show abstract

Section: Findings From the Systematic Reviewsmentioning

confidence: 99%

Section: Findings From the Systematic Reviewsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

A Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health Care

et al. 2012

View full text Add to dashboard Cite

show abstract

“…10 While evidence for and against PCS is inconsistent, current guidelines fail to address racial and ethnic disparities associated with PCa, and hence, potentially adverse consequences of discontinuing testing for high-risk groups such as AA males. 11 The research used to develop the current guidelines lacked sufficient numbers of AA and other racial/ethnic minorities. 12,13 The purpose of the study is as indicated in the next paragraph.…”

Section: Introductionmentioning

confidence: 99%

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

Dickey¹,

Cormier²,

Whyte³

et al. 2016

NRR

View full text Add to dashboard Cite

Purpose: The purpose of this research was to examine intrapersonal and community factors associated with prostate cancer screening (PCS) among African-American (AA) males of ≥40 years from a nationally representative data set in the US. The theory of planned behavior was utilized as the theoretical framework. Patients and methods: A cross-sectional secondary analysis employed data from the National Health and Nutrition Examination Survey in the US. The sample consisted of 377 AA males. The primary outcome variables were two PCS tests, the digital rectal exam (DRE) and the prostate-specific antigen test. Logistic regression models were developed to test for associations between the PCS tests and the factors of interest. Results: The factors of age, education, and access to a health care facility were associated with AA males receiving the DRE. The age group of 40-49 years was least likely to receive the DRE when compared to the age group of ≥70 years. Similarly AA males without a college degree were also least likely to receive the DRE when compared to AA males with a college degree. AA males with access to health care were more likely than those without access to receive the DRE. Age <70 years along with church attendance was associated with AA males receiving the prostate-specific antigen test. Conclusion: Differences were present for significant associations among intrapersonal and community variables and the two PCS exams. A culturally sensitive approach is necessary for understanding factors associated with PCS among AA males, which is central to designing and appropriately targeting public health interventions to decrease the health disparity of prostate cancer among this high-risk population.

show abstract

“…Previous studies suggest they might be helpful with minority populations. 3,4 This intervention was a video decision tool, but one could easily see motivated health systems hosting these videos on their webpages, on their Facebook accounts and even pushing them to patients. As the current, computer savvy generation ages, one can imagine innumerable opportunities for asynchronous communication and education.…”

mentioning

confidence: 99%

Capsule Commentary on Volandes et al., Use of Video Decision Aids to Promote Advance Care Planning in Hilo, Hawai’i

Jackson

2016

J GEN INTERN MED

View full text Add to dashboard Cite

A dvanced care planning is a shared medical decision tool to assure that care provision is concordant with the patient's wishes. 1 In this study, Volandes and colleagues collaborated with the Hawaii Service Association to implement video decision aids for care planning 2 across all islands in the state. In addition, the state included this as a pay-for-quality measure for the state, and providers were eligible for financial incentives for documenting advanced care planning. Not surprisingly, the rate of care planning went up significantly, from 3.2% to 39.9%. Given that the study cohort was patients aged 75 years or older, the surprise isn't the improvement in care planning, but that this intervention still left over two-thirds of the elderly with no advanced care planning. The authors correctly point out that a study limitation was the lack of tracking to see which providers offered the videos and which patients actually viewed them. While the study had an impressive increase in patients choosing hospice, it is impossible to definitively assess the video's impact on specific patient behavior.Modern technology allows providers to include an array of platforms to communicate with their patients. Previous studies suggest they might be helpful with minority populations. 3,4 This intervention was a video decision tool, but one could easily see motivated health systems hosting these videos on their webpages, on their Facebook accounts and even pushing them to patients. As the current, computer savvy generation ages, one can imagine innumerable opportunities for asynchronous communication and education. This study is a good first step towards assessing the potential impact of video decision aids. Future research needs to provide more granular, patientcentered data, which is lacking from this intervention. Given that this is a patient-centered decision aid, it is ironic that the patient's voice is missing from this study. We don't know who watched the video or their reaction to it. Hawaii has a very distinct culture; creating videos that are culturally sensitive and specific will be a challenge for providers wishing to use them with their patients. It would have been very interesting and potentially enlightening to have assessed a kamaàina (native Hawaiian) reaction to a video created by Boston Haole (Hawaii newcomer).

show abstract

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

Cited by 25 publications

References 46 publications

A Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health Care

A Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health Care

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

Capsule Commentary on Volandes et al., Use of Video Decision Aids to Promote Advance Care Planning in Hilo, Hawai’i

Contact Info

Product

Resources

About