Skip to main content

PEP Talk: Prostate Education Program, “Cutting Through the Uncertainty of Prostate Cancer for Black Men Using Decision Support Instruments in Barbershops”

Journal of Cancer Education volume 31, pages 506–513 (2016)Cite this article

Abstract

The objective of this study was to investigate the effectiveness of using decision support instruments (DSI) to assist African-American (AA) men in making a prostate cancer (CaP) screening decision. This nonrandomized pretest-posttest comparison study assessed two DSI that were either culturally tailored or culturally nonspecific. CaP knowledge, intention to screen, and preferences were assessed before and after exposure to DSI using a convenience sample of 120 AA men aged 40 years and above. Participants interested in screening were referred to healthcare providers through a community-based patient navigator to obtain prostate-specific antigen (PSA) testing. We followed up 3 months after to determine if participants screened for CaP. CaP knowledge increased following exposure to both DSI in equivalent proportions. While similar proportions of men ultimately intended on having a PSA test following both DSI, bivariate analysis revealed that the culturally tailored DSI demonstrated a statistically significant increase in intention to screen. Participants’ degree of certainty in their decision-making process with regard to CaP screening increased following the culturally tailored DSI (p < .001). The majority of participants planned on discussing CaP screening with a healthcare provider upon completion of the study. Barbershop-based health education can change the knowledge, preferences, intentions, and behaviors of this at-risk population. At 3 months follow-up, half (n = 58) of the participants underwent PSA testing, which led to the diagnosis of CaP in one participant. Community-led interventions for CaP, such as cluster-randomized designs in barbershops, are needed to better assess the efficacy of DSI in community settings.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

USD 39.95

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

References

  1. American Cancer Society (2014) What Are the Key Statistics about Prostate Cancer? http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics. Accessed Feb 5 2014

  2. American Cancer Society (2005) What Are the Key Statistics about Prostate Cancer? http://www.cancer.org/acs/groups/cid/documents/webcontent/003134-pdf.pdf. Accessed Nov 22nd 2011

  3. DeSantis C, Naishadham D, Jemal A (2013) Cancer statistics for African Americans. CA Cancer J Clin 63(3):151–166

    Article  PubMed  Google Scholar 

  4. Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R (2001) Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys. J Natl Cancer Inst 93(22):1704–1713

    CAS  Article  PubMed  Google Scholar 

  5. Coley CM, Barry MJ, Fleming C, Fahs MC, Mulley AG (1997) Clinical guidelines: part II: early detection of prostate cancer: part II: estimating the risks, benefits, and costs. Ann Intern Med 126(6):468–479

    CAS  Article  PubMed  Google Scholar 

  6. Kong, B. Waine (1989) Community programs to increase hypertension control. Journal of the National Medical Association 81, no. Suppl: 13

  7. Victor Simon, Andrew Salner, Joseph Harrington and Stanley K. Frencher Jr., (2009) personal communication to author (Role of Barbershops in Health Outreach)

  8. Releford, Bill J., Stanley K. Frencher Jr, Antronette K. Yancey, and Keith Norris (2010) Cardiovascular disease control through barbershops: design of a nationwide outreach program.“ Journal of the National Medical Association 102, no. 4: 336

  9. Flood, Ann Barry, John E. Wennberg, Robert F. Nease Jr, Floyd J. Fowler Jr, Jiao Ding, Lynda M. Hynes, and Prostate Patient Outcomes Research Team (1996) “The importance of patient preference in the decision to screen for prostate cancer.” Journal of general internal medicine 11, no. 6: 342–349

  10. Volk RJ, Cass AR, Spann SJ (1999) “A randomized controlled trial of shared decision making for prostate cancer screening”. Arch Fam Med 8(4):333

    CAS  Article  PubMed  Google Scholar 

  11. Frosch DL, Kaplan RM, Felitti V (2001) The evaluation of two methods to facilitate shared decision making for men considering the Prostate‐specific antigen test. J Gen Intern Med 16(6):391–398

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  12. Volk RJ, Spann SJ, Cass AR, Hawley ST (2003) Patient education for informed decision making about prostate cancer screening: a randomized controlled trial with 1-year follow-up. Ann Fam Med 1(1):22–28

    Article  PubMed  PubMed Central  Google Scholar 

  13. Partin, Melissa R., David Nelson, David Radosevich, Sean Nugent, Ann B. Flood, Nancy Dillon, Jeremy Holtzman, Michele Haas, and Timothy J. Wilt (2004) “Randomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors.”Journal of general internal medicine 19, no. 8: 835–842

  14. Volk RJ, Hawley ST, Kneuper S, Holden EW, Stroud LA, Cooper CP, Berkowitz JM, Scholl LE, Saraykar SS, Pavlik VN (2007) “Trials of decision aids for prostate cancer screening: a systematic review.”. Am J Prev Med 33(5):428–434

    Article  PubMed  Google Scholar 

  15. Sanchez MA, Bowen DJ, Hart A, Clarence S (2007) “Factors influencing prostate cancer screening decisions among African American men.”. Ethn Dis 17(2):374

    PubMed  Google Scholar 

  16. Hood KB, Hart A Jr, Belgrave FZ, Tademy RH, Jones RA (2011) “The role of trust in health decision making among African American men recruited from urban barbershops.”. J Natl Med Assoc 104(7–8):351–359

    Google Scholar 

  17. Alton H Jr, Smith WR, Tademy RH, McClish DK, McCreary M (2009) “Health decision-making preferences among African American men recruited from urban barbershops”. J Natl Med Assoc 101(7):684–689

    Article  Google Scholar 

  18. Alton H Jr, Underwood SM, Smith WR, Bowen DJ, Rivers BM, Jones RA, Parker D, Allen JC (2008) “Recruiting African-American barbershops for prostate cancer education.”. J Natl Med Assoc 100(9):1012–1020

    Article  Google Scholar 

  19. Alton H Jr, Bowen DJ (2003) The feasibility of partnering with African-American barbershops to provide prostate cancer education. Ethn Dis 14(2):269–273

    Google Scholar 

  20. Sepucha, Karen R., Cornelia M. Borkhoff, Joanne Lally, Carrie A. Levin, Daniel D. Matlock, Chirk J. Ng, Mary E. Ropka, Dawn Stacey, Natalie Joseph-Williams, Celia E Wills and Richard Thomson (2013) Establishing the effectiveness of patient decision aids: key constructs and measurement instruments. BMC medical informatics and decision making 13, no. Suppl 2: S12

  21. Fagerlin A, Sepucha KR, Couper MP, Levin CA, Singer E, Zikmund-Fisher BJ (2010) Patients’ knowledge about 9 common health conditions: the Decisions survey. Med Decis Mak 30(5):35S–52S

    Article  Google Scholar 

  22. Silvia KA, Sepucha KR (2006) Decision aids in routine practice: lessons from the breast cancer initiative. Health Expect 9(3):255–264

    Article  PubMed  Google Scholar 

  23. Sepucha K, Ozanne E, Mulley AG (2006) Doing the right thing: systems support for decision quality in cancer care. Ann Behav Med 32(3):172–178

    Article  PubMed  Google Scholar 

  24. Sepucha KR, Mulley AG (2003) Extending decision support: preparation and implementation. Patient Educ Couns 50(3):269–271

    Article  PubMed  Google Scholar 

  25. Sepucha K, Elissa O, Kerry S, Ann P, Mulley AG (2007) “An approach to measuring the quality of breast cancer decisions”. Patient Educ Couns 65(2):261–269

    Article  PubMed  Google Scholar 

  26. Feldman‐Stewart D, Sarah B, Kathryn MI, Joan A, Agathe C, Paul H, Sepucha KR, Tim W (2007) “A systematic review of information in decision aids”. Health Expect 10(1):46–61

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by an investigator-initiated grant from the Informed Medical Decisions Foundation. We also like to thank Bill Releford, Alison Moore, Roberto Vargas, Dominick Frosch, Harris Foster, and Elisabeth Hicks for their contributions.

Conflict of Interest

The authors declare that they have no conflicts of interest. All human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Author information

Authors and Affiliations

  1. Department of Urology, David Geffen School of Medicine, University of California, Los Angeles, 650 Charles E Young Dr. South, 66-115 CHS, Los Angeles, CA, 90095, USA

    Stanley K Frencher Jr & Arun K. Sharma

  2. Department of Research - Life Sciences Institute, Charles R. Drew University of Medicine and Science, 1731 E 120th St, Los Angeles, CA, 90059, USA

    Senait Teklehaimanot

  3. Mervyn M. Dymally School of Nursing, Charles R. Drew University of Medicine and Science, 1731 E 120th St, Los Angeles, CA, 90059, USA

    Dennis Wadzani & Ijeoma E. Ike

  4. Crater Health District, Virginia Department of Health, Richmond, 1501 West City Point Road, Hopewell, VA, 23860, USA

    Alton Hart

  5. David Geffen School of Medicine, University of California, Los Angeles, 650 Charles E Young Dr. South, 66-115 CHS, Los Angeles, CA, 90095, USA

    Keith Norris

Authors
  1. Stanley K Frencher Jr
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arun K. Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Senait Teklehaimanot
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dennis Wadzani
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ijeoma E. Ike
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Alton Hart
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Keith Norris
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Stanley K Frencher Jr.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Frencher, S.K., Sharma, A.K., Teklehaimanot, S. et al. PEP Talk: Prostate Education Program, “Cutting Through the Uncertainty of Prostate Cancer for Black Men Using Decision Support Instruments in Barbershops”. J Canc Educ 31, 506–513 (2016). https://doi.org/10.1007/s13187-015-0871-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-015-0871-7

Keywords

  • Cancer
  • African-American
  • Survival
  • Mortality
  • Health disparities
  • PSA
  • Decision making
  • Knowledge
  • Intention
  • Behavior
  • Preferences