Abstract
Prostate cancer incidence and mortality are highest among African-American men, and coupled with the controversy around routine prostate cancer screening, reaching African-American men with interventions to help them make an informed decision about whether or not to be screened is critical. This study compares two approaches to delivering a church-based peer community health advisor intervention consisting of a series of four men’s health workshops on informed decision-making for prostate cancer screening. In the men-only group, male community health advisors teach group workshops consisting only of men. In the health partner group, male-female pairs of community health advisors teach workshops in a mixed-gender format in which enrolled men are asked to invite a significant woman in their lives (e.g., wife/partner, sister, daughter, friend) with them to the workshops. Eighteen African-American churches were randomized to receive one of the two approaches, and 283 eligible men enrolled in the intervention. Main findings suggested that the workshops had an impact on stage of decision-making, and this increased significantly over time in the health partner group only. The intervention was highly rated by men in both groups, and these ratings increased over time, with some study group differences. Within-workshop study group differences favored the health partner group in some instances; however, men in the men-only groups reported greater increases in their ratings of trust in the workshops over time. The health partner intervention strategy appears to be promising for reaching men of color with health information.
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References
American Cancer Society (2013) Cancer facts & figures for African Americans 2013–2014. American Cancer Society, Atlanta
Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Waldron W, Altekruse SF, Kosary CL, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds) (2012) SEER cancer statistics review, 1975–2009 (Vintage 2009 Populations). Bethesda, MD: National Cancer Institute, http://seer.cancer.gov/csr/1975_2009_pops09/, based on the November 2011 SEER data submission, posted to the SEER web site, April 2012
U.S. Preventive Services Task Force (2012) Screening for prostate cancer, topic page. http://www.uspreventiveservicestaskforce.org/prostatecancerscreening.htm. Retrieved June 11, 2014
Drake BF, Shelton R, Gilligan T, Allen JD (2010) A church-based intervention to promote informed decision-making for prostate cancer screening among African-American men. J Nat Med Assoc 102(3):164–171, PMC2913684
Holt CL, Wynn TA, Southward P, Litaker MS, Jeames SE, Schulz E (2009) A comparison of a spiritually-based and a non-spiritually based educational intervention for informed decision making for prostate cancer screening among church-attending African American men. Urol Nurs 29(4):249–258, PMC2836722
Feltwell, Annie K, Rees CE (2004) The information-seeking behaviours of partners of men with prostate cancer: a qualitative pilot study. Patient Educ Counsel 54(2):179–185
McCaughan E (2007) Information-seeking behavior of men newly diagnosed with cancer: a qualitative study. J Clin Nurs 16(11):2105–2113
Saunders DR, Holt CL, Le D, Slade J, Muwwakkil B, Savoy A,Williams R, Whitehead T, Wang M, Naslund M (2014) Recruiting African American men and the women in their lives into a church-based men’s health workshop intervention. Journal of Health Communication (in press)
Holt, Cheryl L, Wynn TA, Southward P, Litaker MS, Jeames SE, Schulz E (2009) Development of a spiritually-based educational intervention to increase informed decision making for prostate cancer screening among church-attending African American men. J Health Commun 14(6):590–604. doi:10.1080/10810730903120534, PMC3345372
Saunders, Darlene R, Holt CL, Whitehead TL, Atkinson NL, Le D, Wang MQ, Slade JL, Muwwakkil B, Williams R, Schulz E, Naslund M (2013) Development of the Men’s Prostate Awareness Church Training (M-PACT): church-based workshops for African American men. Fam Community Health 36(3):224–235. doi:10.1097/FCH.0b013e318292eb40
Rosenstock IM (1974) Social learning theory and the health belief model. Health Educ Q 2(4):336–353
Ottawa Decision Center (2007) Sample tool: stage of decision making. [Cited Jan 13, 2007]; available from: http://decisionaid.ohri.ca/docs/develop/Tools/Stage_Decision_Making_PAD.pdf
Bull, Fiona C, Holt CL, Kreuter MM, Clark EM, Scharff DP (2001) Understanding the effects of printed health education materials: which features lead to which outcomes? J Health Commun 6(3):265–279. doi:10.1080/108107301752384442
Liang, Kung-Yee and Scott L Zeger (1986) Longitudinal data analysis using generalized linear models. Biometrika 73(1):13–22
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This work was supported by a grant from the American Cancer Society (RGST-10-113-01-CPPB) and was approved by the University of Maryland Institutional Review Board (12-0095). The clinical trials.gov registration number for this study is NCT02131779.
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Holt, C.L., Le, D., Saunders, D.R. et al. Informed Decision-Making and Satisfaction with a Church-Based Men’s Health Workshop Series for African-American Men: Men-Only vs. Mixed-Gender Format. J Canc Educ 30, 530–534 (2015). https://doi.org/10.1007/s13187-014-0731-x
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DOI: https://doi.org/10.1007/s13187-014-0731-x