A community-based intervention to promote informed decision making for prostate cancer screening among Hispanic American men changed knowledge and role preferences: a cluster RCT.
A community-based intervention to promote informed decision making for prostate cancer screening among Hispanic American men changed knowledge and role preferences: a cluster RCT.
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DOI：
10.1016/j.pec.2010.07.033
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发表时间：
2011-08-01
影响因子：
3.5
通讯作者：
Kay Bartholomew, L
中科院分区：
文献类型：
--
作者：
Chan, Evelyn C Y;McFall, Stephanie L;Kay Bartholomew, L
目的：我们评估了以社区为基础的针对拉美裔男性的干预措施的短期效果，该干预措施旨在鼓励对前列腺癌进行前列腺癌筛查的知情决策(IDM)。方法：德克萨斯州埃尔帕索的所有高级社会和住房中心被随机分为干预组和对照组(12个中心；161名男性)，或对照、推销员促进的糖尿病视频和讨论(13个中心；160名男性)[C‘s]。结果：参与者的教育水平和基线知识水平较低；44%的人报告了以前的PSA测试。在后测试中，I获得了大量的知识，增加了他们对专家对测试存在分歧的理解，转向了更积极的决策角色，更有可能认为在做出决定时权衡筛查的利弊和预测潜在的筛查结果很重要，而且不太可能认为筛查决定很容易。I‘s没有改变他们的筛查意向或选择不筛查可能是一个负责任的选择的信念。结论：支持IDM进行前列腺癌筛查的社区干预可以增加知识，并可能促进更积极地参与前列腺癌筛查的决策。这样的方法可以增加知识，并可能促进更积极地参与前列腺癌筛查的决策。预防措施：开发和实施基于社区的干预计划以促进前列腺癌筛查的IDM是可行的。
OBJECTIVE: We assessed the short-term effects of a community-based intervention for Hispanic men to encourage informed decision making (IDM) about prostate cancer screening with prostate specific antigen (PSA).METHODS: All senior social and housing centers in El Paso, TX were randomized to intervention, a group-based Spanish language educational program facilitated by promotores (12 centers; 161 men) [I's], or to control, promotores-facilitated diabetes video and discussion (13 centers; 160 men) [C's].RESULTS: Participants had low levels of schooling and baseline knowledge; 44% reported previous PSA testing. At post-test, the I's made large knowledge gains, increased their understanding that experts disagree about testing, shifted toward more active decision making roles, were more likely to believe that it is important to weigh the advantages and disadvantages of screening and to anticipate potential screening outcomes in making a decision, and were less likely to consider the screening decision easy. The I's did not change in their screening intention or the belief that choosing not to be screened could be a responsible choice.CONCLUSIONS: A community-based intervention to support IDM for prostate cancer screening can increase knowledge and may promote more active involvement in decision making about prostate cancer screening. Such an approach can increase knowledge and may promote more active involvement in decision making about prostate cancer screening.PRACTICE IMPLICATIONS: It is feasible to develop and implement a community-based intervention program to promote IDM for prostate cancer screening.