Evidence map›Paper›PMID 15242468›Full record

Trial reportJournal of general internal medicine2004

Randomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors.

Melissa R Partin, David Nelson, David Radosevich, Sean Nugent, Ann B Flood, Nancy Dillon, Jeremy Holtzman, Michele Haas, Timothy J Wilt

Registry-linked trialAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00013247 (Facilitating Shared Decisionmaking About Prostate Cancer Screening), which is not on this map. Cited by 52 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00013247 nacompletednot on this map

Facilitating Shared Decisionmaking About Prostate Cancer Screening

TypeinterventionalSponsorUS Department of Veterans AffairsEnrolled1,152ConditionsProstate CancerArmsProstate Cancer Screening Education
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
  2. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Pooled it
  6. Pooled it
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  11. A systematic review of information in decision aids.Health expectations : an international journal of public participation in health care and health policy · 2007
    Pooled it
  12. Evaluating the Effect of a Video Education Curriculum for First Time Breast Cancer Patients: a Prospective RCT Feasibility Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Trial
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  16. Informed decision making about prostate cancer testing in predominantly immigrant black men: a randomized controlled trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2012
    Trial
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  18. A randomized trial of a computer-tailored decision aid to improve prostate cancer screening decisions: results from the Take the Wheel trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2010
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melissa R PartinCenter for Chronic Disease Outcomes Research, School of Public Health, University of Minnesota, Minneapolis 55417, USA. Melissa.partin@med.va.gov
David Nelson
David Radosevich
Sean Nugent
Ann B Flood
Nancy Dillon
Jeremy Holtzman
Michele Haas
Timothy J Wilt

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of video and pamphlet interventions on patient prostate cancer (CaP) screening knowledge, decision-making participation, preferences, and behaviors.

designRandomized, controlled trial.

settingFour midwestern Veterans Affairs medical facilities. PATIENTS/

participantsOne thousand, one hundred fifty-two male veterans age 50 and older with primary care appointments at participating facilities were randomized and 893 completed follow-up.

interventionsPatients were randomized to mailed pamphlet, mailed video, or usual care/control. MEASUREMENTS AND MAIN

resultsOutcomes assessed by phone survey 2 weeks postintervention included a 10-item knowledge index; correct responses to questions on CaP natural history, treatment efficacy, the prostate-specific antigen (PSA)'s predictive value, and expert disagreement about the PSA; whether screening was discussed with provider; screening preferences; and PSA testing rates. Mean knowledge index scores were higher for video (7.44; P = .001) and pamphlet (7.26; P = .03) subjects versus controls (6.90). Video and pamphlet subjects reported significantly higher percentages of correct responses relative to controls to questions on CaP natural history (63%, 63%, and 54%, respectively); treatment efficacy (19%, 20%, and 5%), and expert disagreement (28%, 19%, and 8%), but not PSA accuracy (28%, 22%, and 22%). Pamphlet subjects were more likely than controls to discuss screening with their provider (41% vs 32%; P = .03) but video subjects were not (35%; P = .33). Video and pamphlet subjects were less likely to intend to have a PSA, relative to controls (63%, 65%, and 74%, respectively). PSA testing rates did not differ significantly across groups.

conclusionsMailed interventions enhance patient knowledge and self-reported participation in decision making, and alter screening preferences. The pamphlet and video interventions evaluated are comparable in effectiveness. The lower-cost pamphlet approach is an attractive option for clinics with limited resources.

Indexed as

Health Knowledge, Attitudes, PracticePamphletsPatient ParticipationVideo RecordingAgedHumansMaleMass ScreeningMiddle AgedPatient Education as TopicPatient SatisfactionProstate-Specific AntigenProstatic NeoplasmsProstate-Specific Antigen

Identifiers

PMID15242468
PMCPMC1492508

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.