Changing the conversation about prostate cancer among African Americans: results of formative research

Wray, Ricardo J.; McClure, Stephanie M.; Vijaykumar, Santosh; Smith, Christopher G.; Ivy, A. C.; Jupka, Keri; Hess, Richard A.

doi:10.1080/13557850802056448

Cited by 39 publications

(45 citation statements)

References 39 publications

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“…Prior research has shown that community organizations routinely ignore the IDM requirement (Wray et al, 2009). This project sought to strike a balance between the requirements of the prescribed IDM model and PCa screening guidelines and the realities in which communitybased organizations work.…”

Section: Discussionmentioning

confidence: 99%

“…Jones et al, 2008). Prior research in St. Louis has identified that many African American men are underserved with limited access to health care and educational outreach programs (Wray et al, 2009). Recent research has encountered a nearly fivefold risk of late-stage diagnosis for underserved men compared with national data (19% compared with 4%).…”

Section: Introductionmentioning

confidence: 99%

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Addressing the Challenge of Informed Decision Making in Prostate Cancer Community Outreach to African American Men

et al. 2011

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African American men are disproportionately affected by prostate cancer. This project adopted a communitybased participatory approach to design and pilot test an educational outreach strategy that promotes informed decision making about screening among African American men in community settings in St. Louis, Missouri. Interviews with local subject matter experts informed the design of the strategy. The revised curriculum was pilot tested in 2009 with 63 men who completed pre-and posttest surveys that measured knowledge, norms, beliefs, decision self-efficacy, and screening intention. The intervention resulted in statistically significant improvement in prostate cancer knowledge, decreased perceived risks and barriers, and increased screening decision self-efficacy. The educational outreach strategy offered in community settings was effective in improving knowledge, beliefs, and decision self-efficacy related to prostate cancer screening. This project sought to devise a screening outreach strategy that struck a balance between the imperatives of informed decision-making goals and the pragmatics of community settings. The findings suggest the need for further research to assess the effectiveness of communitybased outreach efforts in enhancing engagement of men in decision making related to screening, diagnostics, and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Addressing the Challenge of Informed Decision Making in Prostate Cancer Community Outreach to African American Men

et al. 2011

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“…8,9 Patients often need to quickly build new relationships with oncologic care providers while managing the overwhelming demands of information, treatment decision-making, 10 psychological distress, and financial stress. 11,12 A pattern of ineffective patient-provider communication can lead to lack of understanding of prostate cancer and treatment options, 13 which may prevent men from making informed decisions, from receiving optimal treatments, and from achieving positive health outcomes, 14 and may lead to more decisional regrets. 9 …”

Section: Introductionmentioning

confidence: 99%

Associations between patient–provider communication and socio-cultural factors in prostate cancer patients: A cross-sectional evaluation of racial differences

Song

Weaver

Chen

et al. 2014

Patient Education and Counseling

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Objective To examine the association between socio-cultural factors and patient-provider communication and related racial differences Methods Data analysis included 1854 men with prostate cancer from a population-based study. Participants completed an assessment of communication variables, physician trust, perceived racism, religious beliefs, traditional health beliefs, and health literacy. A multi-group structural equation modeling approach was used to address the research aims. Results Compared with African Americans, Caucasian Americans had significantly greater mean scores of interpersonal treatment (p <.01), prostate cancer communication (p < .001), and physician trust (p < .001), but lower mean scores of religious beliefs, traditional health beliefs, and perceived racism (all p values < .001). For both African and Caucasian Americans, better patient-provider communication was associated with more physician trust, less perceived racism, greater religious beliefs (all p-values<.01), and at least high school education (p<.05). Conclusion(s) Socio-cultural factors are associated with patient-provider communication among men with cancer. No evidence supported associations differed by race. Practice implication To facilitate patient-provider communication during prostate cancer care, providers need to be aware of patient education levels, engage in behaviors that enhance trust, treat patients equally, respect religious beliefs, and reduce the difficulty level of the information.

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“…The other half of the relationship, the interaction with provider, is also important, in that access to a provider was a key variable in predicting prostate cancer screening, independent of demographic variables. 11 The provider has an important role in screening decisions; provider communication style, provider encouragement and provider sharing information with the patient all were significantly and positively related to screening. 10 Providers often have knowledge and attitudes that influence their abilities to assist patients in medical decisions.…”

Section: Introductionmentioning

confidence: 99%

“…10 For example, prostate check up and symptom knowledge was low in both African American and Caucasian men. 11 Beliefs varying by culture and ethnicity of surveyed men were important in how they approached prostate cancer screening and treatment. 12 These data indicate that men without information and ways to make sense of that information are at risk for being unable to make an informed decision about whether to get screened for prostate cancer.…”

Section: Introductionmentioning

confidence: 99%

Prostate cancer screening and informed decision-making: provider and patient perspectives

Bowen

Hannon

Harris

et al. 2011

Prostate Cancer Prostatic Dis

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The objective was to determine the extent of informed decision making for prostate cancer screening in a defined population. A state-wide population based survey of men aged 50 and above (Behavioral Risk Factor Surveillance System, 2004, Washington state) and a simple random sample of primary care physicians, were conducted in the same geographic area. We examined prostate cancer screening rates among the men (defined as either PSA or digital rectal examination within the past year) and prostate cancer screening practices among the physicians. Screening rates were 56% at ages 50-64, 68% at ages 65-79 and 64% among men age 80 and older. Adjusted analyses indicated that age, income, marital status, possessing health insurance and a personal health care provider, and talking with a provider about prostate cancer screening tests were all positively associated with screening status. In the physician survey, most physicians recommend screening to their average-risk male patients. Three-fourths (74%) of physicians discussed benefits and risks of PSA testing with their patients; but few used educational tools. Only 35% discussed the side effects of prostate cancer treatment with their patients. The rates of screening reported by men were relatively high, given that current recommendations promote informed decision making rather than universal screening. The majority of physicians recommend prostate cancer screening to their patients, with few decision-making tools used. All relevant information may not be provided in the discussion. These results point to the need for increasing informed decision making about prostate cancer screening.

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Changing the conversation about prostate cancer among African Americans: results of formative research

Cited by 39 publications

References 39 publications

Addressing the Challenge of Informed Decision Making in Prostate Cancer Community Outreach to African American Men

Addressing the Challenge of Informed Decision Making in Prostate Cancer Community Outreach to African American Men

Associations between patient–provider communication and socio-cultural factors in prostate cancer patients: A cross-sectional evaluation of racial differences

Prostate cancer screening and informed decision-making: provider and patient perspectives

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