Format

Send to

Choose Destination
Patient Educ Couns. 2008 Dec;73(3):482-9. doi: 10.1016/j.pec.2008.07.033. Epub 2008 Aug 29.

Entertainment education for prostate cancer screening: a randomized trial among primary care patients with low health literacy.

Author information

1
Department of Family and Community Medicine, and Houston Center for Education and Research on Therapeutics, Baylor College of Medicine, United States. bvolk@bcm.edu

Abstract

OBJECTIVE:

To evaluate an entertainment-based patient decision aid for prostate cancer screening among patients with low or high health literacy.

METHODS:

Male primary care patients from two clinical sites, one characterized as serving patients with low health literacy (n=149) and the second as serving patients with high health literacy (n=301), were randomized to receive an entertainment-based decision aid for prostate cancer screening or an audiobooklet-control aid with the same learner content but without the entertainment features. Postintervention and 2-week follow-up assessments were conducted.

RESULTS:

Patients at the low-literacy site were more engaged with the entertainment-based aid than patients at the high-literacy site. Overall, knowledge improved for all patients. Among patients at the low-literacy site, the entertainment-based aid was associated with lower decisional conflict and greater self-advocacy (i.e., mastering and obtaining information about screening) when compared to patients given the audiobooklet. No differences between the aids were observed for patients at the high-literacy site.

CONCLUSION:

Entertainment education may be an effective strategy for promoting informed decision making about prostate cancer screening among patients with lower health literacy.

PRACTICE IMPLICATIONS:

As barriers to implementing computer-based patient decision support programs decrease, alternative models for delivering these programs should be explored.

PMID:
18760888
PMCID:
PMC2867348
DOI:
10.1016/j.pec.2008.07.033
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center