Prostate Cancer Education in African American Men

非裔美国男性的前列腺癌教育

• 批准号: 7118502
• 负责人: STEPHEN J LEPORE
• 金额: $ 3.91万
• 依托单位: COLUMBIA UNIVERSITY TEACHERS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7118502
• 关键词: African American; behavioral /social science research tag; cancer risk; choice; clinical research; decision making; education evaluation /planning; human middle age (35-64); human subject; interview; male; neoplasm /cancer diagnosis; neoplasm /cancer education; patient care personnel relations; patient oriented research; prostate neoplasms; telemedicine

DESCRIPTION (provided by applicant): Relative to other racial and ethnic groups, African American men have a higher prevalence of cancer of the prostate (CaP), are more likely to present with disease at later stages, often have more aggressive tumors, are more likely to die from CaP, and tend to be less knowledgeable about CaP risk and the potential harms and benefits of CaP screening. There is no national consensus on screening for CaP, but practice guidelines recommend educating men, especially high-risk men, about the benefits and harms of CaP screening to support men in making informed decisions about CaP screening. The proposed study aims to: (a) evaluate the efficacy of a tailored telephone intervention in increasing knowledge and skills among African American men related to making an informed choice about CaP screening, (b) identify mediators and moderators of the intervention, and (c) explore predictors of CaP screening to understand why men decide to screen or not. The target population is African American men between the ages of 45 - 70 years old enrolled in the 1199 National Benefit Fund, the health care insurance fund for the largest health care workers union in the United States. Five hundred eligible and consenting men will receive a print brochure on the advantages and limitations of CaP screening and will then be randomized to receive either tailored-telephone CaP screening education or placebo (attention control) telephone education about diet and cancer risk. The tailored-telephone education program is designed as a decision support intervention and is based on the Ottawa Framework of medical decision-making. Main study outcomes are CaP decision variables (patient decision conflict, congruence between patient values and CaP screening decision) and communication variables (patient discusses CaP with physician and shares in CaP screening decision). Other important outcomes include knowledge about CaP and screening, perceived decision support, and perceived efficacy to communicate with physician. Data will be collected through patient interviews, physician reports, and medical chart and claims review at baseline and 6 -months post-intervention. This proposal addresses the strong need to educate African American men about CaP screening as a way of enhancing individualized, informed and shared decision making regarding CaP screening. By ensuring that the intervention components are theoretically grounded, acceptable to the target population, feasible in terms of time, practical, and allow for individualization, the proposed intervention strategy has the potential to be widely disseminated if efficacy is demonstrated.

描述（由申请人提供）：相对于其他种族和族裔群体，非裔美国男性前列腺癌（CaP）患病率更高，更有可能在晚期出现疾病，通常肿瘤更具侵袭性，更有可能死于CaP，并且往往对CaP风险和CaP筛查的潜在危害和益处知之甚少。对于CaP筛查没有全国共识，但实践指南建议教育男性，特别是高危男性，关于CaP筛查的利弊，以支持男性对CaP筛查做出明智的决定。提出的研究旨在：(a)评估量身定制的电话干预在提高非洲裔美国男性对CaP筛查做出知情选择的知识和技能方面的功效，(b)确定干预的中介和调节因子，以及(c)探索CaP筛查的预测因子，以了解男性决定筛查或不筛查的原因。目标人群是年龄在45岁至70岁之间的非裔美国男性，他们参加了1999年国家福利基金，该基金是美国最大的保健工作者工会的医疗保险基金。500名符合条件并同意的男性将收到一份关于CaP筛查优点和局限性的印刷小册子，然后将被随机分配接受定制的CaP筛查教育或安慰剂（注意力控制）关于饮食和癌症风险的电话教育。量身定制的电话教育方案被设计为决策支持干预措施，并以渥太华医疗决策框架为基础。主要研究结果为CaP决策变量（患者决策冲突、患者价值观与CaP筛查决策的一致性）和沟通变量（患者与医生讨论CaP并参与CaP筛查决策）。其他重要的结果包括对CaP和筛查的了解，感知到的决策支持，以及感知到的与医生沟通的有效性。数据将通过患者访谈、医生报告、医疗图表和基线和干预后6个月的索赔审查来收集。该建议强调了对非裔美国男性进行CaP筛查教育的强烈需求，这是一种加强针对CaP筛查的个性化、知情和共享决策的方式。通过确保干预措施的组成部分在理论上是有根据的，为目标人群所接受，在时间上是可行的，实用的，并允许个体化，如果证明了有效性，拟议的干预策略就有可能得到广泛传播。