Mediated decision support in prostate cancer screening: A randomized controlled trial of decision counseling

Ronald E. Myers, Constantine Daskalakis, Elisabeth Kunkel, James R. Cocroft, Jeffrey M. Riggio, Mark Capkin, Clarence H. Braddock

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Objective: This randomized trial was conducted to assess the impact of a mediated decision support intervention on primary care patient prostate cancer screening knowledge, decisional conflict, informed decision making (IDM), and screening. Methods: Before a routine office visit, 313 male patients eligible for prostate cancer screening completed a baseline telephone survey and received a mailed brochure on prostate cancer screening. At the visit, participants were randomized to either an enhanced intervention (EI) or a standard intervention (SI) group. Before meeting with their physician, EI Group men had a nurse-led " decision counseling" session, while SI Group men completed a practice satisfaction survey. An endpoint survey was administered. Survey data, encounter audio-recordings, and chart audit data were used to assess study outcomes. Results: Knowledge increased in the EI Group (mean difference of +0.8 on a 10-point scale, p=. 0.001), but decisional conflict did not change (mean difference of -0.02 on a 4-point scale, p=. 0.620). The EI Group had higher IDM (rate ratio = 1.30, p=. 0.029) and lower screening (odds ratio = 0.67, p=. 0.102). Conclusion: Nurse-mediated decision counseling increased participant prostate cancer screening knowledge, and influenced informed decision making and screening. Practice implications: Nurses trained in decision counseling can facilitate shared decision making about screening.

Original languageEnglish (US)
Pages (from-to)240-246
Number of pages7
JournalPatient Education and Counseling
Volume83
Issue number2
DOIs
StatePublished - May 1 2011

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Early Detection of Cancer
Counseling
Prostatic Neoplasms
Decision Making
Randomized Controlled Trials
Nurses
Office Visits
Pamphlets
Telephone
Primary Health Care
Odds Ratio
Outcome Assessment (Health Care)
Physicians
Surveys and Questionnaires
Conflict (Psychology)
Practice (Psychology)

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Myers, Ronald E. ; Daskalakis, Constantine ; Kunkel, Elisabeth ; Cocroft, James R. ; Riggio, Jeffrey M. ; Capkin, Mark ; Braddock, Clarence H. / Mediated decision support in prostate cancer screening : A randomized controlled trial of decision counseling. In: Patient Education and Counseling. 2011 ; Vol. 83, No. 2. pp. 240-246.
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Mediated decision support in prostate cancer screening : A randomized controlled trial of decision counseling. / Myers, Ronald E.; Daskalakis, Constantine; Kunkel, Elisabeth; Cocroft, James R.; Riggio, Jeffrey M.; Capkin, Mark; Braddock, Clarence H.

In: Patient Education and Counseling, Vol. 83, No. 2, 01.05.2011, p. 240-246.

Research output: Contribution to journalArticle

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