Testing Decision Aids About Early Stage Prostate Cancer

University of Michigan

Status: Completed

Conditions: Prostatic Neoplasms

Treatments: Behavioral: DVD Decision Aid; Behavioral: Written decision aid

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02053389

F021723 - 060077

P50CA101451-10 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This is an educational intervention study testing the effects of decision aids in promoting patient participation in early stage prostate cancer treatment decision making. The purpose of this study is to compare patient-physician communication between patients who receive a DVD that models patient communication strategies vs. those who do not receive a DVD. All patients will also receive a written decision aid that describes treatment options for early stage prostate cancer. The Investigators hypothesize that the DVD will:

• increase patients' perceptions of the importance of their preferences to their decision making
• increase patients' perceptions of their intention to discuss their values and preferences with their urologists and radiation oncologists
• increase patients' actual engagement with their physician during the clinical encounter
• increase the concordance between patient decision making preferences and actual decision making outcomes
• increase long term satisfaction with decision on type of treatment selected
• increase patient satisfaction with their decision and the decision making process
• influence patient perception of his physician (e.g., trust) and of the diagnosis visit

Enrollment: 564 patients

Sex: Male

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Men aged 18 years and older
• Scheduled for a prostate biopsy to test for prostate cancer
• Ability to read and answer survey questions in English

Exclusion criteria

• Previous diagnosis of prostate cancer

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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564 participants in 2 patient groups

DVD Decision Aid

Experimental group

Description:

Eligible participants receive the written decision aid ("Making the Choice: Deciding What to Do About Early Stage Prostate Cancer") AND the DVD decision aid ("Discussing the Choice: Talking with your Doctor about Early Stage Prostate Cancer"), which provides instruction and recommendations on how to participate in shared decision making with one's physician.

Treatment:

Behavioral: DVD Decision Aid

Written Decision Aid

Active Comparator group

Description:

Eligible participants receive the written decision aid ("Making the Choice: Deciding What to Do About Early Stage Prostate Cancer") alone.

Treatment:

Behavioral: Written decision aid