The purpose of this study is to evaluate a new counseling tool for patients deciding whether or not to undergo prostate cancer screening. This screening decision aid is a computer program that provides individual patients estimates of their risks of prostate cancer diagnosis, prostate cancer related death, or death from any cause. The researchers are evaluating whether or not patients find this screening decision aid helpful. As part of this study, participants will be asked for their response on questionnaires. If patients find the screening decision aid helpful, the researchers will make it available at other clinic locations.
To conduct a feasibility study on implementing the computer-based screening decision aid for prostate cancer screening in a primary care setting during a 60-minute interview. To aid in informed decision making, the screening decision aid will include a graphical representation of predicted probabilities of prostate cancer diagnosis, prostate cancer-specific mortality, death from competing causes based on a man's unique demographic information. The study team will provide standardized counseling followed by individualized counseling with the screening decision aid. It will assess the quality of the decision making process (patient feels knowledgeable, informed of the risks/benefits, feels clear about their values, is involved in the decision), and quality of the decision.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
50
Patients will undergo standardized counseling and individualized counseling with the screening decision aid. The screening decision aid is a computer program that provides individual patients estimates of their risks of prostate cancer diagnosis, prostate cancer related death, or death from any cause
Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center
Cleveland, Ohio, United States
Number of initial interviews completed in 60 minutes
To be considered feasible in a busy clinical setting, researchers anticipate 80% of the initial interviews to be completed within the allotted 60-minute interview time.
Time frame: 60 minutes from beginning of interview
Health Literacy
Five item scale measuring attitudes towards screening
Time frame: 1 month after clinical visit
Patient decisional control preferences
4 item scale where lower scores indicate more positive outcomes from screening
Time frame: 1 month after clinical visit
Decisional conflict Scale
16 item scale ranging in a score from 0-4 where higher scores indicate more disagreement
Time frame: 1 month after clinical visit
Multidimensional measure of informed choice
10 item true/false scale
Time frame: 1 month after clinical visit
Decisional regret scale
5 item questionnaire using 5 point Likert scales where higher scores indicate more disagreement
Time frame: 1 month after clinical visit
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