Trial of Community Health Worker-led Decision Coaching

NYU Langone Health

Status: Completed

Conditions: Prostate Cancer

Treatments: Behavioral: General Health Counseling Coaching; Behavioral: Education Counseling Session for PSA Screening

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03726320

1R01MD012243-01A1 (U.S. NIH Grant/Contract)

18-00514

Details and patient eligibility

About

Black men are disproportionately affected by prostate cancer, the most common non-cutaneous malignancy among men in the U.S. This randomized trial will evaluate the efficacy of a Community Health Worker-led decision coaching program to facilitate Shared Decision Making (SDM) and Prostate Specific Antigen (PSA) screening among Black men with regards to decision quality, the decision making process, patient-provider communication and PSA utilization for Black men in the primary care setting.

Enrollment: 162 patients

Sex: Male

Ages: 40 to 69 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Patients:

• Black
• Male
• Attending FQHC for routine primary care appointment

Providers:

• Provider at Sunset Park Health Council Federally Qualified Health Center (FQHC)
• Caring for patients that fit inclusion criteria

Exclusion criteria

• Provider at Sunset Park Health Council Federally Qualified Health Center (FQHC)
• Caring for patients that fit inclusion criteria

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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162 participants in 2 patient groups

Intervention Group

Experimental group

Description:

A decision aid along with decision coaching on PSA screening from a Community Health Worker (CHW). The intervention will be administered directly prior to the participant's appointment with their provider.

Treatment:

Behavioral: Education Counseling Session for PSA Screening

Control Group

Active Comparator group

Description:

A decision aid along with CHW interaction on dietary and lifestyle modification to serve as an attention control. The intervention will be administered directly prior to the participant's appointment with their provider.

Treatment:

Behavioral: General Health Counseling Coaching