Improving Health Literacy in African-American Prostate Cancer Patients

Investigators propose an observational interview study to explore how patients understand
treatment conversations with their physicians within the framework of health literacy. The
study team will test whether patients' understanding of treatment options and side effects
can be improved when patients receive a low literacy educational supplement after meeting
with their urologist. Investigators will interview a group of newly diagnosed, early stage,
African American prostate cancer patients.

Investigators hypothesize that the delivery of a scripted, tailored, low literacy educational
supplement will result in a statistically significant decrease in decisional conflict, and a
statistically significant improvement in comprehension of cancer treatment and its side
effects compared to standard practice.

The study team will measure patients' comprehension of treatment options and side effects, as
well as decisional conflict; after standard practice, and again after exposure to the
educational supplement. Investigators will compare the urologists' assessment of patients' 1)
health literacy 2) preferences for side effects 3) stage of decision making, 4) treatment
choice or predisposition toward treatment choice. 5) preference for role in decision making
(active, passive, or shared with physician); to measures obtained from patients. These
comparisons will allow investigators to quantify the potential benefit to the physician of
information obtained through the interview and low literacy educational supplement.

Inclusion Criteria:

- Patients who have undergone pathology review of their prostate biopsy at Emory
University, Grady Memorial Hospital, Saint Joseph's Hospital, and Atlanta VA Medical
Center with AJCC clinical stage T1-T2 prostate cancer by physical exam

Exclusion Criteria:

- RN or MD degree

- History of head injury or dementia

- History of cognitive impairment

- Unable to undergo the informed consent process and the study interview in English per
the judgment of the primary urologist or urological provider