Evidence map›Paper›PMID 18760888›Full record

Trial reportPatient education and counseling2008

Entertainment education for prostate cancer screening: a randomized trial among primary care patients with low health literacy.

Robert J Volk, Maria L Jibaja-Weiss, Sarah T Hawley, Suzanne Kneuper, Stephen J Spann, Brian J Miles, David J Hyman

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 15 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 15 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
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  5. 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 · 2021
    Pooled it
  6. Health Literacy Interventions in Cancer: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Pooled it
  7. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017
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  12. Providing information about options in patient decision aids.BMC medical informatics and decision making · 2013
    Pooled it
  13. Addressing health literacy in patient decision aids.BMC medical informatics and decision making · 2013
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1 more citing papers are in PubMed but not listed here.

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

7 authors.

Robert J VolkDepartment of Family and Community Medicine, and Houston Center for Education and Research on Therapeutics, Baylor College of Medicine, United States. bvolk@bcm.edu
Maria L Jibaja-Weiss
Sarah T Hawley
Suzanne Kneuper
Stephen J Spann
Brian J Miles
David J Hyman

Funding

BEHAVIORAL SCIENCE EDUCATION--CANCER PREVENTION/CONTROLR25CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MULLEN, PATRICIA DOLAN · 1992 to 2017
$8.6M
SHARED DEC MAKING - PROSTATE CA SCREENING BY COUPLESR01HS010612 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI VOLK, ROBERT J · 2001 to 2004
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AHRQ HHS R01 HS010612NCI NIH HHS R25 CA057712
6 · The paper itself

Abstract

objectiveTo evaluate an entertainment-based patient decision aid for prostate cancer screening among patients with low or high health literacy.

methodsMale primary care patients from two clinical sites, one characterized as serving patients with low health literacy (n=149) and the second as serving patients with high health literacy (n=301), were randomized to receive an entertainment-based decision aid for prostate cancer screening or an audiobooklet-control aid with the same learner content but without the entertainment features. Postintervention and 2-week follow-up assessments were conducted.

resultsPatients at the low-literacy site were more engaged with the entertainment-based aid than patients at the high-literacy site. Overall, knowledge improved for all patients. Among patients at the low-literacy site, the entertainment-based aid was associated with lower decisional conflict and greater self-advocacy (i.e., mastering and obtaining information about screening) when compared to patients given the audiobooklet. No differences between the aids were observed for patients at the high-literacy site.

conclusionEntertainment education may be an effective strategy for promoting informed decision making about prostate cancer screening among patients with lower health literacy. PRACTICE IMPLICATIONS: As barriers to implementing computer-based patient decision support programs decrease, alternative models for delivering these programs should be explored.

Indexed as

Decision Support TechniquesMass ScreeningPatient ParticipationProstatic NeoplasmsAdultAgedAnalysis of VarianceComputer-Assisted InstructionEducational StatusFollow-Up StudiesHumansInformed ConsentMaleMiddle AgedMultimediaPamphlets

Identifiers

PMID18760888
PMCPMC2867348

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.