Using Decision Analysis to Enhance Decision-Making Regarding Prostate Cancer Screening

Case Comprehensive Cancer Center (Case CCC)

Status: Completed

Conditions: Prostate Cancer

Treatments: Behavioral: Prostate cancer decision aid

Study type: Interventional

Funder types: Other

Identifiers

NCT03387527

CASE7817

Details and patient eligibility

About

The purpose of this study is to evaluate a new counseling tool for patients deciding whether or not to undergo prostate cancer screening. This screening decision aid is a computer program that provides individual patients estimates of their risks of prostate cancer diagnosis, prostate cancer related death, or death from any cause. The researchers are evaluating whether or not patients find this screening decision aid helpful. As part of this study, participants will be asked for their response on questionnaires.

If patients find the screening decision aid helpful, the researchers will make it available at other clinic locations.

Full description

To conduct a feasibility study on implementing the computer-based screening decision aid for prostate cancer screening in a primary care setting during a 60-minute interview. To aid in informed decision making, the screening decision aid will include a graphical representation of predicted probabilities of prostate cancer diagnosis, prostate cancer-specific mortality, death from competing causes based on a man's unique demographic information. The study team will provide standardized counseling followed by individualized counseling with the screening decision aid. It will assess the quality of the decision making process (patient feels knowledgeable, informed of the risks/benefits, feels clear about their values, is involved in the decision), and quality of the decision.

Enrollment: 50 patients

Sex: Male

Ages: 55 to 69 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Life expectancy > 10 years
• Ability to read English

Exclusion criteria

• Personal history of prostate cancer
• Personal history of prostate biopsy or prostate surgery
• Prior prostate specific antigen screening in the past year leading up to their scheduled clinic visit
• Cognitive impairment

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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50 participants in 1 patient group

Prostate Cancer Decision Aid

Experimental group

Description:

The research intervention will be exposure to the screening decision aid. Patients will receive standardized counseling including population based risks and benefits of prostate cancer screening. Then, patients will be given opportunity to review the screening decision aid prior to offering a decision on whether or not to undergo prostate cancer screening. The patient decision aid will be a computer application that generates predicted risks associated with prostate cancer.

Treatment:

Behavioral: Prostate cancer decision aid