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Am J Mens Health. 2009 Dec;3(4):340-51. doi: 10.1177/1557988308325460. Epub 2008 Oct 20.

A computer-tailored intervention to promote informed decision making for prostate cancer screening among African American men.

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  • 1Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA 02115, USA. jennifer_allen@dfci.harvard.edu


African American men experience a disproportionate burden of prostate cancer (CaP) morbidity and mortality. National screening guidelines advise men to make individualized screening decisions through a process termed informed decision making (IDM). In this pilot study, a computer-tailored decision-aid designed to promote IDM was evaluated using a pre-/posttest design. African American men aged 40 years and older were recruited from a variety of community settings (n = 108). At pretest, 43% of men reported having made a screening decision; at posttest 47% reported this to be the case (p = .39). Significant improvements were observed between pre- and posttest on scores of knowledge, decision self-efficacy, and decisional conflict. Men were also more likely to want an active role in decision making after using the tool. These results suggest that use of a computer-tailored decision aid is a promising strategy to promote IDM for CaP screening among African American men.

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