Prostate Cancer Care and Survivorship (CaPCaS) Model for Black Men: An Ethnographical Study of Prostate Cancer Survivors

Abstract

Background: In 2020, 191,930 men will be diagnosed with prostate cancer. The lives of these men will change dramatically as they go through the prostate cancer care and survivorship process. Black men are especially affected, as they are more likely to get and die from prostate cancer. The primary objective of this study was to explain the experiences of Black men across by developing a prostate cancer care and survivorship (CaPCaS) model. Methods: Based on the principles of community engagement research and employing qualitative methodology, we interviewed Black prostate cancer survivors to document their CaPCaS experiences relative to prostate cancer prevention, detection, diagnosis, treatment, survivorship and advocacy using audio and video recordings. Our data analysis plan included preparing and verifying the narrative data, coding data, and developing an interpretive framework for Black men’s experiences across the prostate cancer care continuum. Results: Thirty-two prostate cancer survivors participated in the study. A CaPCaS model was created with themes specific to the trajectory of prostate cancer prevention, screening, diagnosis, treatment, survivorship, and advocacy. Contextual themes identified were African Diaspora, Masculinity and Socio-demographic factors. Additionally, we identified cross-cutting factors across the CaPCaS process that included Acculturation, Self-efficacy, Health literacy, Patient-provider racial concordance, Stigma and Spirituality. Conclusion: The CaPCaS model is an explanatory model of prostate cancer care and survivorship factors for Black men and will foster better understanding of behaviors associated with improved prostate cancer outcomes in Black men.