Patient decision aids are tools that help guide individuals through a healthcare-related decision making process. They help users combine evidence-based information and recommendations by a health care provider with their personal needs, values and preferences. Through this project, Dr. Dobbins and her research team will explore whether the use of patient decision aids with high-quality and user-friendly summaries of research evidence, or summaries of research evidence alone, help to improve the quality of decision making by men facing prostate cancer screening decisions.
Guidelines for prostate screening in Canada are based on low-moderate quality evidence of effectiveness and screening is associated with potential harms. Patient Decision Aids (PDAs) are tools that assist users to understand treatment options, risks and benefits to align decisions with values and preferences. The investigators would now like to know whether use of a PDA alongside evidence-based information provided through the McMaster Optimal Aging Portal, or simply access to evidence-based information alone, can help users to make informed decisions about prostate cancer screening in men.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
TRIPLE
Enrollment
308
Evidence-based information on PSA testing such as blog posts, plain language evidence summaries and web resource ratings (quality-appraised online resources).
Patient Decision Aid for prostate cancer screening decision
Educational information not specific to PSA testing or cancer screening
McMaster University
Hamilton, Ontario, Canada
Decisional conflict
Decisional Conflict Scale
Time frame: Change from baseline to 6-mo
Decision quality
Decision Quality Worksheet for PSA testing
Time frame: Change from baseline to 6-mo
Preparation for decision making
Preparation for decision making scale
Time frame: Change from baseline to 6-mo
Screening behaviour
Congruency between self-reported screening status and stated decision
Time frame: Change from baseline to 6-mo
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