1. An entertainment-education colorectal cancer screening decision aid for African American patients: A randomized controlled trial.
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Hoffman, Aubri S., Lowenstein, Lisa M., Kamath, Geetanjali R., Housten, Ashley J., Leal, Viola B., Linder, Suzanne K., Jibaja‐Weiss, Maria L., Raju, Gottumukkala S., and Volk, Robert J.
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COLON cancer patients , *AFRICAN Americans , *DECISION making , *EARLY detection of cancer , *ENTERTAINMENT technology , *BLACK people , *COLON tumors , *COMPARATIVE studies , *CULTURE , *HEALTH attitudes , *RESEARCH methodology , *MEDICAL cooperation , *MEDICAL screening , *PATIENT education , *RESEARCH , *RESEARCH funding , *EVALUATION research , *RANDOMIZED controlled trials , *CASE-control method , *DIAGNOSIS ,RECTUM tumors - Abstract
Background: Colorectal cancer screening rates for African American patients remain suboptimal. Patient decision aids designed with an entertainment-education approach have been shown to improve saliency and foster informed decision making. The purpose of this study was to assess whether an entertainment-education decision aid tailored for African American patients improved patients' decision making, attitudes, intentions, or colorectal cancer screening behavior.Methods: Eighty-nine participants were randomized to view 1) a patient decision aid video containing culturally tailored information about colorectal cancer screening options and theory-based support in decision making presented in an entertainment-education format or 2) an attention control video about hypertension that contained similarly detailed information. Participants met with their clinician and then completed follow-up questionnaires assessing their knowledge, decisional conflict, self-advocacy, attitudes, perceived social norms, and intentions. At 3 months, completion of screening was assessed by chart review.Results: Viewing the culturally tailored decision aid significantly increased African American patients' knowledge of colorectal cancer screening recommendations and options. It also significantly reduced their decisional conflict and improved their self-advocacy. No significant differences were observed in participants' attitudes, norms, or intentions. At three months, 23% of all patients had completed a colonoscopy.Conclusions: Designing targeted, engaging patient decision aids for groups that receive suboptimal screening holds promise for improving patient decision making and self-advocacy. Additional research is warranted to investigate the effectiveness of such aids in clinical practices with suboptimal screening rates and on downstream behaviors (such as repeat testing). Cancer 2017;123:1401-1408. © 2016 American Cancer Society. [ABSTRACT FROM AUTHOR]- Published
- 2017
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