Department of Public Health, Temple University, Philadelphia, PA 19122, USA.
Ann Behav Med. 2012 Dec;44(3):320-30. doi: 10.1007/s12160-012-9392-3.
Decision support interventions have been developed to help men clarify their values and make informed decisions about prostate cancer testing, but they seldom target high-risk black and immigrant men.
This study evaluated the efficacy of a decision support intervention focused on prostate cancer testing in a sample of predominantly immigrant black men.
Black men (N = 490) were randomized to tailored telephone education about prostate cancer testing or a control condition.
Post-intervention, the intervention group had significantly greater knowledge, lower decision conflict, and greater likelihood of talking with their physician about prostate cancer testing than the control group. There were no significant intervention effects on prostate specific antigen testing, congruence between testing intention and behavior, or anxiety.
A tailored telephone decision support intervention can promote informed decision making about prostate cancer testing in black and predominantly immigrant men without increasing testing or anxiety.
已经开发了决策支持干预措施，以帮助男性澄清其价值观并就前列腺癌检测做出明智的决策，但这些措施很少针对高风险的黑人和移民男性。
本研究评估了针对主要为移民黑人男性的前列腺癌检测的决策支持干预措施的效果。
将黑人男性（N=490）随机分配到针对前列腺癌检测的个性化电话教育或对照组中。
干预后，与对照组相比，干预组在知识方面有显著提高，决策冲突显著降低，更有可能与医生讨论前列腺癌检测。干预对前列腺特异性抗原检测、检测意图和行为之间的一致性或焦虑没有显著影响。
个性化电话决策支持干预可以促进黑人男性和主要为移民的男性对前列腺癌检测做出明智的决策，而不会增加检测或焦虑。
