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Does the label given to a low-risk prostate lesion influence management choice in patient partners?

Effect of the diagnostic label for a low-risk prostate lesion on preferred management strategy for patient partners: a randomised experiment

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12624000213549
Enrollment
1410
Registered
2024-03-04
Start date
2024-04-01
Completion date
2024-04-30
Last updated
2024-03-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to explore whether an alternative label used to communicate a hypothetical low-risk prostate cancer diagnosis influences management choice and level of anxiety among partners of those with prostates. Who is it for? You may be eligible for this study if you are the partner of an adult with a prostate who does not have a history of prostate cancer. Study details Participants will be randomly assigned randomised to receive one of three hypothetical scenarios about the diagnosis of a low-risk prostate cancer received by their partner. Each group will be presented with a different diagnostic label. Within each scenario arm, participants will be further randomised to receive either limited information about their partner's diagnosis and management options, or comprehensive information. We will then survey participants about their preferred choice of management for their partner's diagnosis, their level of anxiety about that diagnosis and their level of anxiety about that management choice. It is hoped that this study will help provide additional understanding on whether labels and provision of risk information will modify any effects of labels used for a low-risk prostate cancer diagnosis.

Interventions

In this study, participants will be randomised to receive one of three hypothetical scenarios about the diagnosis of a low-risk prostate lesion in their partner. We will survey participants (using an online questionnaire) about their preferred choice of management for that diagnosis of their partner, their level of anxiety about the diagnosis and their level of anxiety about that management choice. The possible diagnostic labels are: 1. Prostate cancer, grade group 1 (control label). 2. Low-ri

In this study, participants will be randomised to receive one of three hypothetical scenarios about the diagnosis of a low-risk prostate lesion in their partner. We will survey participants (using an online questionnaire) about their preferred choice of management for that diagnosis of their partner, their level of anxiety about the diagnosis and their level of anxiety about that management choice. The possible diagnostic labels are: 1. Prostate cancer, grade group 1 (control label). 2. Low-risk prostate lesion (intervention label 1). 3. Indolent lesion of epithelial origin (intervention label 2). Within each scenario arm, participants will be further randomised to receive either limited information about the diagnosis of their partner and management options (the diagnostic label, and a short description of each of the three management options available), or comprehensive information about the diagnosis of their partner and management options (the same as in the limited information arm, except additional information is provided about the management options and the different absolute risk profiles associated with each one). This information is delivered on a computer screen as text and diagrams, contained within the online questionnaire. Participants have an unlimited amount of time to read and consider the information. There are no strategies used to ensure participants adhere to the provided arm (i.e. we do not monitor if they read the text or for how long). This study is a between-subjects factorial (3 x 2) randomised online experiment. Following consent, eligible participants will be randomised 1:1 to receive the control label, intervention label 1 or intervention label 2. Participants will then undergo a second randomisation step with 1:1 allocation into provision of detailed absolute risk information vs no provision of absolute risk information. The primary outcome and secondary outcomes will be compared across randomised groups.

Sponsors

The University of Sydney
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Diagnosis
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
30 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

To be included in the trial, participants must: - Not have a prostate. - Be 30 years or older. - Understand written English. - Be living in Australia.

Exclusion criteria

Participant does not have a partner aged 50 years or more who has a prostate. Participant's partner has a prior history of prostate cancer.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026