Informed Decision Making Intervention in Screening for Prostate Cancer of Predominantly African American Participants in a Community Outreach Program

PRIMARY OBJECTIVES:

(A) To assess the effectiveness of a proposed educational model for informed decision about
Prostate Cancer in high risk men over age 40 which compares informed decision making and
shared decision making (B) to improve knowledge about prostate cancer in men over age 18

OUTLINE:

Participants complete an educational intervention comprising a 10-20 minute PowerPoint
presentation given by an experienced healthcare professional that discusses prostate cancer
facts, screening guidelines, risks, benefits, and consequences. Some participants then
undergo a screening exam comprising a prostate specific antigen level and digital rectal
exam.

After completion of study, participants are followed up periodically.

Inclusion Criteria:

- Men over the age of 18 will be asked to participate in the educational component of
the program; men over the age of 40 will be offered the screening component after the
educational portion of the event; participants over age of 40 will have the
opportunity to make an informed decision in regards to prostate cancer screening based
on this information and the educational material; American Cancer Society (ACS)
guidelines recommend having a discussion about screening in men who have an expected
mortality of greater than 10 years; data on comorbidities and 10-year mortalities will
be collected on every participant using the University of California at San Francisco
(UCSF) mortality index

- Educational component: men over the age of 18

- Screening component: men over age 40

Exclusion Criteria:

- Known personal history of prostate cancer

- Active malignancy, metastatic disease, or anyone undergoing treatment for malignancy