200257 Pre-Implementation assessment of a computerized intervention to reduce the racial disparity in prostate cancer screening discussions

Sunday, November 8, 2009

Ruthann M. Auten, BA , Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA
Helene M. Doleyres, BA , School of Public Health Department of Epidemiology & Biostatistics, University at Albany, Rensselaer, NY
Annie Chung , Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA
Roxana Maffei, MSN, RN , Preventive Health Informatics and SpaTial Analysis (PHISTA) Lab, School of Health Information Sciences (SHIS), Univeristy of Texas Health Science Center, Houston, TX
John H. Holmes, PhD , Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA
Background: Current guidelines recommend that men should discuss prostate cancer screening (PCS) with their provider. Patient race often affects the frequency and quality of these discussions.

Objectives: To assess a new computerized interactive intervention that is tailored on race and designed to teach patients how to start and engage in a discussion about PCS with their provider. The intervention provides basic information about PCS and uses actors to model a shared decision-making process.

Methods: We report data from semi-structured interviews of men, aged 44-65, (n=20; 5=Caucasian, 15 African American), recruited from the community to watch the intervention. Qualitative analysis was performed by three independent coders on three dimensions: intent to discuss PCS at their next appointment, intent to have PCS, and perception of risk.

Results: After watching the intervention, all participants indicated they were likely to speak with their provider about PCS; 45% intended to have PCS; 40% indicated that they maybe/probably would have PCS. Participants who believed they were at risk for PC were more likely to indicate intent to be screened. 35% reported higher perceived risk after watching the intervention while 5% reported lower perceived risk; 40% felt that the intervention made them more comfortable about discussing PCS with their provider.

Conclusions: These data suggest that a computerized interactive intervention modeling shared decision-making encourages men to discuss PCS with their provider, an outcome that may be partially mediated by higher perceived risk and increased comfort with the issue. The intervention is currently being evaluated in a community-based study.

Learning Objectives:
1. Describe methods for encouraging men to talk with their provider about prostate cancer screening. 2. Describe how presenting basic information about prostate cancer screening and modeling a shared decision-making process can make men feel more comfortable about discussing prostate cancer with their provider. 3. Explain how to present risk factors about prostate cancer to men in a way that encourages them to talk to their provider about their personal risk.

Keywords: Cancer Screening, Communication

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed the script for the interviews and interviewed all 20 of the participants. I also assisted in the design of the computerized intervention that was evaluated during the interviews. I have been working on this project for over three years and have been working in health research for eight years. I have taken masters level classes with content that is relevant.
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.