Prostatic Neoplasms
Conditions
Keywords
Patient-Physician communication, Decision Support Techniques, Health Communication, Physician-Patient Relationship, Decision Making
Brief summary
This is an educational intervention study testing the effects of decision aids in promoting patient participation in early stage prostate cancer treatment decision making. The purpose of this study is to compare patient-physician communication between patients who receive a DVD that models patient communication strategies vs. those who do not receive a DVD. All patients will also receive a written decision aid that describes treatment options for early stage prostate cancer. The Investigators hypothesize that the DVD will: * increase patients' perceptions of the importance of their preferences to their decision making * increase patients' perceptions of their intention to discuss their values and preferences with their urologists and radiation oncologists * increase patients' actual engagement with their physician during the clinical encounter * increase the concordance between patient decision making preferences and actual decision making outcomes * increase long term satisfaction with decision on type of treatment selected * increase patient satisfaction with their decision and the decision making process * influence patient perception of his physician (e.g., trust) and of the diagnosis visit
Interventions
BEHAVIORALDVD Decision Aid
The decision aid, Discussing the Choice: Talking with your Doctor about Early Stage Prostate Cancer is a DVD modeling patient communication strategies. The DVD includes vignettes with actors depicting patient-physician discussions of prostate cancer treatments. In these vignettes, the patient models communication strategies designed to facilitate patient activation.
BEHAVIORALWritten decision aid
A written decision aid entitled Making the Choice: Deciding What to Do About Early Stage Prostate Cancer that describes treatment options for early stage prostate cancer.
Sponsors
National Cancer Institute (NCI)
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Men aged 18 years and older * Scheduled for a prostate biopsy to test for prostate cancer * Ability to read and answer survey questions in English
Exclusion criteria
* Previous diagnosis of prostate cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy for discussing preferences (intention) | Time 1 (baseline) | 14 item survey instrument |
| Self-efficacy for discussing preferences (actual) | Time 3 (post-diagnosis, an average of 1 month after Time 1 baseline) | 14 item survey instrument |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prostate cancer related anxiety | Time 1 (baseline) | 6 item survey instrument |
| Treatment preference | Time 2 (post-intervention, an average of 3 days after Time 1 baseline) | 1 item survey instrument |
| Prostate cancer related knowledge | Time 1 (baseline) | 10 item survey instrument |
| Decisional regret | Time 4 (6 months post diagnosis) | 5 item survey instrument |
| Treatment decision | Time 3 (post-diagnosis, an average of 1 month after Time 1 baseline) | 2 item survey instrument |
| Preference for shared decision making | Time 1 (baseline) | 1 item survey instrument |
Countries
United States
Outcome results
None listed