The purpose of this study is to determine whether using the P3P website can increase decisional preparation and satisfaction, and decrease decisional conflict, in men deciding how to manage early stage prostate cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
392
Website supporting informed patient decision making about prostate cancer care through tailored education and coaching
Standard prostate cancer information websites (e.g., NCI, ASCO) presented to patients in addition to patient education that is usual in their clinics
Kaiser Permanente - Souther California
Downey, California, United States
Kaiser Permanente - Southern California
Los Angeles, California, United States
Emory Healthcare
Atlanta, Georgia, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Decisional conflict
O'Connor, 1995, Decisional conflict scale
Time frame: Change from baseline to 6-months
Preparation for decision making
Graham and O'Connor, 1995, Preparation for decision making scale
Time frame: 1-month after study entry
Satisfaction with decision
Holmes-Rovner et al, 1996, Satisfaction with decision scale
Time frame: 6-months after study entry
Concordance of care choice selected with self-reported influential personal preferences
Odds ratio of selecting a care option for prostate cancer concordant with avoiding prioritized side effects (XBRT or brachytherapy if concerned with sexual function; prostatectomy if concerned with bowel function; active surveillance if concerned with sexual, bowel, and/or bladder function; any treatment if not concerned with any side effect).
Time frame: 6-months from study entry
Net cost and benefit of the intervention
Cost to the patient will be measured in hours valued according to patient work status, income, and use of time. Benefit will be measured with Willingness to pay.
Time frame: 1-week after study entry
Time to treatment decision
Duration (in days) from pre-decision baseline questionnaire until patient decides on a care option for prostate cancer, either an active treatment type or active surveillance. Measured by patient recall at 6-months.
Time frame: 6-months from study entry
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