Washington University School of Medicine, Department of Surgery, 660 S Euclid, Campus, Box 8100, St Louis, MO 63110, USA.
J Natl Med Assoc. 2010 Mar;102(3):164-71. doi: 10.1016/s0027-9684(15)30521-6.
This feasibility study developed and pilot tested an intervention to: (1) increase knowledge about prostate cancer screening; and (2) promote self-efficacy to participate in the informed decision-making process.
African American men are a priority audience for prostate cancer screening interventions to promote informed decision making, and faith-based settings have been shown to be an effective venue to reach this population. Therefore we used predominantly African American churches to develop and test our intervention.
Participants (N = 73) were recruited, and the intervention was administered by an African American health educator.
We developed and pretested a prostate cancer screening informed decision-making intervention based on the Ottawa Decision Support Framework and the health belief model. The intervention included a tool called the "road map," which depicts the potential consequences of a decision to undergo or forgo screening. A quasiexperimental design was used to test the intervention.
The main outcome measures were change in knowledge and self-efficacy post intervention.
Prostate cancer knowledge (p < .0001) and self-efficacy (p = .025) significantly increased.
A church-based intervention delivered by an African American health educator is a promising strategy for promoting informed decision making among African American men.
本可行性研究旨在开发并初步测试一种干预措施，以：(1)提高对前列腺癌筛查的认识；(2)增强参与知情决策过程的自我效能感。
在促进知情决策方面，非裔美国男性是前列腺癌筛查干预的重点目标人群，而基于信仰的环境已被证明是接触这一人群的有效场所。因此，我们主要利用非裔美国教堂来开发和测试我们的干预措施。
招募了 73 名参与者，并由一名非裔美籍健康教育者来实施干预措施。
我们根据渥太华决策支持框架和健康信念模型开发并预测试了一种前列腺癌筛查知情决策干预措施。该干预措施包括一个名为“路线图”的工具，它描绘了决定进行或放弃筛查的潜在后果。采用准实验设计来测试干预措施。
主要结果测量指标是干预后的知识和自我效能的变化。
前列腺癌知识（p<0.0001）和自我效能（p=0.025）显著提高。
由非裔美籍健康教育者在教堂中提供的干预措施是促进非裔美国男性知情决策的有前途的策略。
