NCT03869216

Fostering Shared Decision-making About Prostate Cancer Screening Among Clinicians and African American Men

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 161 (actual)
• Sponsor: Xavier University of Louisiana. · Academic / Other
• Sex: Male
• Age: 40 Years – 69 Years
• Healthy volunteers: Accepted

Summary

This behavioral clinical trial assesses the efficacy of a educational intervention to increase shared decision making about prostate-specific antigen (PSA)-based screening for prostate cancer among African American males. Half of participants will receive a multimedia educational intervention, while the other half will receive usual care.

Detailed description

The 2018 U.S. Preventive Services Task Force (USPSTF) final recommendation states that male patients and their providers engage in a shared-decision making process about the benefits and harms of PSA-based screening. As characterized by the USPSTF, these conversations are particularly important for African American men given increased ambiguity due to the lack of PSA-based research specific to this population and increased risk of prostate cancer mortality attributed to late stage at diagnosis and more aggressive prostate cancer phenotypes seen in African American men. The goal of this randomized behavioral clinical trial is to advance the translation path of implementing the decision-making process in clinical encounters by evaluating the efficacy of an educational intervention for African American males to increase shared decision making about PSA-screening versus usual care. The intervention will use multimedia educational training materials to increase understanding of prostate cancer, PSA-based screening, and shared decision making among patients and their primary care providers (PCPs).

Conditions

• Prostate Cancer

Interventions

Type	Name	Description
BEHAVIORAL	Educational Shared Decision-Making Intervention	The intervention includes a web-based patients' decision aid about PSA-based prostate cancer screening, risks and preferences. The providers receive a summary of the USPSTF 2018 guidelines and main components of the Agency for Healthcare Research and Quality (AHRQ) SHARE curriculum, a link to a video of a prototypical shared decision making conversation, and a laminated shared decision making reminder card.

Timeline

• Start date: 2020-08-17
• Primary completion: 2023-11-30
• Completion: 2023-12-31
• First posted: 2019-03-11
• Last updated: 2025-12-29
• Results posted: 2025-12-29

Locations

1 site across 1 country: United States