184688 Formative research to develop an intervention to increase informed decision-making (IDM) about prostate cancer screening for Hispanic and African American men

Sunday, October 26, 2008

Theresa Byrd, DrPH , El Paso, Regional Campus, UT Health Science Center-School of Public Health, EL Paso, TX
Kay Bartholomew, EdD, MPH , Center for Health Promotion and Prevention Research, University of Texas Houston School of Public Health, Houston, TX
John R. Ureda, DrPH , Insights Consulting, Inc., Columbia, SC
Myriam Casillas, MPH, CHES , Health Promotion/Behavioral Sciences, University of Texas School of Public Health, El Paso Regional Campus, El Paso, TX
Jessica Calderon-Mora, MPH , El Paso, Regional Campus, UT Health Science Center-School of Public Health, EL Paso, TX
Patricia Dolan Mullen, DrPH , Center for Health Promotion and Prevention Research, University of Texas-Houston School of Public Health, Houston, TX
Stephanie L. McFall, PhD , Health Promotion and Behavioral Sciences, San Antonio Regional Campus, University of Texas School of Public Health, San Antonio, TX
Evelyn C.Y. Chan, MD , Division of General Internal Medicine, University of Texas Health Science Center, Houston, TX
Delores Scott , Carolina Community Based Health Supports Networks, Columbia, SC
Deloris Williams, RN, MSN, PhD , Carolina Community Based Health Supports Networks, Columbia, SC
Background: Using qualitative data we developed an intervention to increase IDM about prostate cancer screening for Hispanic and African American men. For the formative research, we conducted 10 focus groups of Hispanics in Texasand 10 groups of African Americans in South Carolina, as well as 24 key-informant interviews. roups discussed knowledge, beliefs and attitudes toward prostate cancer screening, and what they thought men would need in order to make an informed decision.

Methods: Findings were that many men did not know there was a decision to be made regarding screening, they believed that men needed more information about the pros and cons of testing, and that all screening is good. There were some striking differences in attiudes and beliefs between the two groups. Intervention mapping was used to develop an intervention including a community health worker training manual, flipchart, men's guide, and trigger videos. The intervention was designed to increase men's ability to make an informed decision about screening.

Results: The intervention is being tested in each site (320 men per site, 160 intervention, and 160 comparison). We expect that the intervention will help men (a) understand that a health decision needs to be made, (b) clarify their preferred decision-making role, (c) increase knowledge about prostate cancer and the risks and benefits of testing, and (d) increase understanding of treatment options. Preliminary results will be available for presentation.

Learning Objectives:
1. Describe the use of qualitative data to develop an intervention 2. Describe the use of intervention mapping procedures 3. Discuss differences in attitudes and beliefs found between African American and Hispanic men. 4. Report preliminary results of the intervention trial.

Keywords: Decision-Making, Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was a co-investigator on the project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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