Addressing Misinformation to Promote Equity in Prostate Cancer Care - Revision - 1

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PROJECT SUMMARY/ABSTRACT This application is in response to the Notice of Special Interest (NOSI) identified as NOT-CA-23-041. Prostate cancer information shared through popular social networks such as YouTube, Instagram, and TikTok is widely viewed but misinformation is common. The impact of social networks on patient-physician communications about prostate cancer is unknown. We will address this research gap using three main approaches: (1) compare the quality of information, understandability, and actionability between social media posts about prostate cancer in English and Spanish by healthcare providers versus other publisher types; (2) explore the use of social media platforms for direct patient-physician communications about prostate cancer; and (3) explore the perspectives of healthcare providers serving diverse communities on the positive and/or negative impacts of social media for patient-physician communications. Results of this study will be used to create a tip sheet for health care providers on best practices for patient-facing social media communication, and will be moved forward in later years of the project to discuss with Black and Hispanic patients the impact of social media for their communications with healthcare providers and clinical decision-making. Our multi-disciplinary team is well-suited to conduct this study with expertise in prostate cancer, biostatistics, qualitative research, health literacy, and social media. The expected outcomes of this study will advance the field by studying ways that social media can be leveraged to improve patient-physician communications.