Trial reportJournal of the National Medical Association2005
Preparing African-American men in community primary care practices to decide whether or not to have prostate cancer screening.
Trial report in Journal of the National Medical Association, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 10 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Efficacy of decision aid delivery modes in prostate cancer screening: umbrella review and network meta-analysis.BJU international · 2025Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- Clarifying Values: An Updated and Expanded Systematic Review and Meta-Analysis.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Pooled it
- Addressing Health Literacy in Patient Decision Aids: An Update from the International Patient Decision Aid Standards.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Pooled it
- A Systematic Review and Meta-Analysis of Patient Decision Aids for Socially Disadvantaged Populations: Update from the International Patient Decision Aid Standards (IPDAS).Medical decision making : an international journal of the Society for Medical Decision Making · 2021Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Are cancer-related decision aids appropriate for socially disadvantaged patients? A systematic review of US randomized controlled trials.BMC medical informatics and decision making · 2016Pooled it
- Use of Decision Aids with Minority Patients: a Systematic Review.Journal of general internal medicine · 2016Pooled it
- What works with men? A systematic review of health promoting interventions targeting men.BMC health services research · 2008Pooled it
- Trial
- Decision making in prostate cancer screening using decision aids vs usual care: a randomized clinical trial.JAMA internal medicine · 2013Trial
- Fostering informed decisions: a randomized controlled trial assessing the impact of a decision aid among men registered to undergo mass screening for prostate cancer.Patient education and counseling · 2013Trial
- 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 · 2012Trial
- The development of a web- and a print-based decision aid for prostate cancer screening.BMC medical informatics and decision making · 2010Trial
- A randomized trial comparing web-based decision aids on prostate cancer knowledge for African-American men.Journal of the National Medical Association · 2008Trial
- Article
- Low Rates of Digital Rectal Exam in an Academic Health System Represent a Missed Opportunity.Journal of surgical oncology · 2025Article
- Limited Evidence of Shared Decision Making for Prostate Cancer Screening in Audio-Recorded Primary Care Visits Among Black Men and their Healthcare Providers.Journal of immigrant and minority health · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study was a randomized trial to test the impact of an informed decision-making intervention on prostate cancer screening use.
methodsThe study population included 242 African-American men from three primary care practices who were 40-69 years of age and had no history of prostate cancer. Participants completed a baseline survey questionnaire and were randomly assigned either to a Standard Intervention (SI) group (N=121) or an Enhanced Intervention (EI) group (N=121). An informational booklet was mailed to both groups. EI group men were also offered a screening decision education session. Two outcomes were considered: (1) complete screening (i.e., having a digital rectal exam (DRE) and prostate specific antigen (PSA) testing), and (2) complete or partial screening (i.e., having a PSA test with or without DRE). An endpoint chart audit was performed six months after initial intervention contact. The data were analyzed via exact logistic regression.
resultsOverall, screening use was low among study participants. EI group men had a screening frequency two times greater than that of SI group men, but the difference was not statistically significant: 8% vs. 4 % (OR = 1.94) fo rcomplete screening, and 19% vs. 10% (OR = 2.08) for complete or partial screening. Multivariable analyses showed that being in the EI group and primary care practice were significant predictors of complete or partial screening (OR = 3.9 and OR = 5.64, respectively).
conclusionProstate cancer screening use may be influenced by exposure to decision education and the influence of screening-related primary care practice factors.
Indexed as
Identifiers
16173330PMC2576013What OpenQuestion holds
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.