Prostate Cancer Screening in the Midst of Controversy: Canadian Men’s Knowledge, Beliefs, Utilization, and Future Intentions

Mercer, Shawna L.; Goel, Vivek; Lévy, Isidore; Ashbury, Fredrick D.; Iverson, Donald C; Iscoe, Neill

doi:10.1007/bf03403900

Cited by 30 publications

(13 citation statements)

References 52 publications

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“…Although media information has been cited as an important source of health information and about prostate disease in particular (Mercer et al , 1997), it seems to have made little impression on these participants or encouraged them to seek medical help. Media information about diseases specific to men often frame health threats as threats to masculinity (Clarke & Robinson, 1999), which may have the effect of making them reluctant to seek help.…”

Section: Discussionmentioning

confidence: 99%

Patterns of self‐referral in men with symptoms of prostate disease

Hale

Grogan

Willott

2007

British J Health Psychol

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Section: Discussionmentioning

confidence: 99%

Patterns of self‐referral in men with symptoms of prostate disease

Hale

Grogan

Willott

2007

British J Health Psychol

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“…Rapid Estimate of Adult Literacy in Medicine (REALM) scores were used to ascertain patient reading levels. Prostate cancer knowledge was assessed with previously validated questions . Patient demographics were also obtained at the end of the interview.…”

Section: Methodsmentioning

confidence: 99%

“…Prostate cancer knowledge was assessed with previously validated questions. 20 Patient demographics were also obtained at the end of the interview.…”

Section: Is _____ a Word That You Know?mentioning

confidence: 99%

Video‐based educational tool improves patient comprehension of common prostate health terminology

Wang

Jani

Sesay

et al. 2014

Cancer

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BACKGROUND: Health care providers often counsel prostate cancer patients about treatment options with medical terminology. However, studies have demonstrated a severe lack of comprehension of these terms, particularly in underserved populations. It was hypothesized that a video-based educational tool would significantly improve the understanding of key terms related to prostate health in a predominantly lower literacy population. METHODS: A software application was developed by various experts, including urologists and human-computer interaction specialists, to serve as a video-based educational tool emphasizing narrated animations to promote understanding of terms related to urinary, bowel, and sexual function. This application was viewed by patients recruited from 2 low-income safety net clinics, where a previously developed survey was administered to assess pre-and postintervention levels of comprehension. RESULTS: Fifty-six patients with a mean literacy level of 7th to 8th grade completed the study. Patients achieved statistically significant improvements in comprehension for the majority of the terms after the video intervention, with notable improvements including the terms incontinence (from 14% to 50%), bowels (from 14% to 46%), and impotence (from 58% to 84%). Patients demonstrated significant gains in their understanding of the function of the prostate (from 11% to 30%) and in their ability to locate the prostate on anatomic drawings (from 50% to 82%). CONCLUSIONS: This video-based educational tool is an effective method for overcoming the severe lack of comprehension of prostate health terminology among patients. The improvements achieved have the potential to enhance patient participation in shared and informed decision making and to support combined visual-audio multimedia as a promising tool for prostate cancer education. Cancer 2015;121:733-40.

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“…The reading level of each patient was assessed with the Rapid Estimate of Adult Literacy in Medicine (REALM) . The questionnaire then measured prostate cancer knowledge using questions previously validated in a large study of Canadian men . Finally, demographic information was obtained through interviewers asking patients to self‐describe race and provide age, household income, highest grade completed at school, insurance type, living arrangement at home, church attendance, and ownership of common electronics (television, VCR, DVD, and computer), as was done by our group in a previous study on the use of multimedia devices and patient comprehension …”

Section: Methodsmentioning

confidence: 99%

Severe lack of comprehension of common prostate health terms among low‐income inner‐city men

Wang

Jani

Tai

et al. 2013

Cancer

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BACKGROUND: Patients diagnosed with prostate cancer are often counseled about treatment options with the use of terms that are part of the "core vocabulary" of prostate cancer. It is hypothesized that predominantly lower literacy patients would demonstrate a severe lack of comprehension of prostate cancer terms, thus validating the findings of a previous single-institution study. METHODS: A previously developed survey was used to evaluate understanding of terms related to urinary, bowel, and sexual function. The survey was administered by trained evaluators at 2 safety net clinics that provide care for low-income, predominantly African American patients. Comprehension was assessed using semiqualitative methods coded by 2 independent investigators. Literacy and numeracy were also evaluated. RESULTS: Among 109 patients who completed the study, only 5% understood the function of the prostate, and 15%, 29%, and 32% understood the terms "incontinence," "urinary function," and "bowel habits," respectively. Lower levels of comprehension were observed for compound words, such as "vaginal intercourse" (58%), versus single words such as "intercourse" (95%), validating previous work. Median school level was 13 years, yet median literacy level was only ninth grade, and reading level was significantly correlated with comprehension. Only 30% of patients correctly calculated both a fraction and a percent. CONCLUSIONS: Lack of comprehension of prostate health terminology is pronounced in this patient population and may be widespread. This lack of comprehension potentially limits the ability of patients to participate in informed decision-making. These results validate the findings of previous studies and support a continued need for refined methods of prostate cancer education. Cancer 2013;119:3204-11.

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Prostate Cancer Screening in the Midst of Controversy: Canadian Men’s Knowledge, Beliefs, Utilization, and Future Intentions

Cited by 30 publications

References 52 publications

Patterns of self‐referral in men with symptoms of prostate disease

Patterns of self‐referral in men with symptoms of prostate disease

Video‐based educational tool improves patient comprehension of common prostate health terminology

Severe lack of comprehension of common prostate health terms among low‐income inner‐city men

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