Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA.
Department of Urology, Penn State College of Medicine, Hershey, PA 17033, USA.
Curr Oncol. 2024 Jun 28;31(7):3698-3712. doi: 10.3390/curroncol31070273.
The rapid increase in telehealth has the potential to bring informed decision-making for prostate cancer screening (PCS) at the population level to high-risk individuals. We utilized a global technology platform of electronic health records data repositories (TriNetX) to determine its utility for Navigator-guided decision-making aid for PCS in Black men ages 45-79 years with no history of prostate cancer and PSA testing. Patients from Pennsylvania were invited to participate in a telehealth-delivered informed decision-making session for PCS. Focus groups, social learning theory, visual diagrams, and quantitative data on PCS risks and benefits were used to develop the content of the sessions, which included numerical discussions of risks vs. benefits in Black men. Participants completed several surveys, including baseline demographic and numeracy questionnaires, a one-on-one telehealth session with a trained Navigator, post-Navigation surveys, and an optional follow-up session with a urologist. Eighty-seven participants were consented and recruited. Although the mean numeracy score was only 1.9 out of 6, more than 90% rated as good or excellent that the sessions aided their PCS decision-making skills. This study indicates that Navigation by telehealth offers the ability to assist in informed decision-making for PCS at the population level.
远程医疗的迅速发展有可能将前列腺癌筛查（PCS）的知情决策提升到高危人群的水平。我们利用全球电子健康记录数据存储库（TriNetX）技术平台，确定其在为 45-79 岁无前列腺癌和 PSA 检测史的黑人男性提供导航员指导的 PCS 决策辅助方面的效用。宾夕法尼亚州的患者受邀参加远程医疗提供的 PCS 知情决策会议。我们使用焦点小组、社会学习理论、可视化图表以及关于 PCS 风险和益处的定量数据来开发会议内容，其中包括对黑人男性风险与益处的数值讨论。参与者完成了几项调查，包括基线人口统计学和计算能力问卷、与经过培训的导航员进行的一对一远程医疗会议、导航后调查以及与泌尿科医生进行的可选随访会议。共同意并招募了 87 名参与者。尽管平均计算能力得分仅为 6 分中的 1.9 分，但超过 90%的参与者表示，这些会议有助于他们做出 PCS 决策。这项研究表明，通过远程医疗进行导航有助于在人群水平上进行 PCS 的知情决策。
