Informed decision making and prostate specific antigen (PSA) testing for prostate cancer: A randomised controlled trial exploring the impact of a brief patient decision aid on men's knowledge, attitudes and intention to be tested
Patient Education and CounselingPublished 1 August 2006
Eila Watson, Paul Hewitson, Jo Brett, Colleen Bukach, Rhodri Evans, Adrian Edwards
Citations118
SJR quartileQ1
SJR score1.24
SNIP1.37
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The brief pDA was shown to dramatically increase men's knowledge of the benefits and risks of the PSA test and could serve as an acceptable and low cost adjunct to counselling by the General Practitioner (GP), and should promote informed decision making regarding the PSC test.
Abstract
This brief pDA could serve as an acceptable and low cost adjunct to counselling by the General Practitioner (GP), and should promote informed decision making regarding the PSA test. Further research is required to ascertain the utility of the decision aid during the consultation.
Keywords
Social SciencesHealth ProfessionsEconomics, Econometrics and Finance
Cochrane Database of Systematic ReviewsDecision aids for people facing health treatment or screening decisions
6,616 Citations2017Dawn Stacey, France Légaré +9 more
Decision aids reduced the proportion of undecided participants and appeared to have a positive effect on patient-clinician communication, and those exposed to a decision aid were either equally or more satisfied with their decision, the decision-making process, and the preparation for decision making compared to usual care.
Analysis of Incomplete Multivariate Data
5,989 Citations1997Joseph L. Schafer
The Normal Model Methods for Categorical Data Loglinear Models Methods for Mixed Data and Inference by Data Augmentation Methods for Normal Data provide insights into the construction of categorical and mixed data models.
TechnometricsAnalysis of Incomplete Multivariate Data
5,644 Citations2000David E. Booth, Joseph L. Schafer
The Journal of UrologyThe American Urological Association Symptom Index for Benign Prostatic Hyperplasia
3,385 Citations1992Michael J. Barry, Floyd J. Fowler +5 more
The AUA symptom index for benign prostatic hyperplasia was developed and validated by a multidisciplinary measurement committee of the American Urological Association and is clinically sensible, reliable, valid and responsive.
The Journal of UrologyThe American Urological Association Symptom Index for Benign Prostatic Hyperplasia
1,935 Citations2016Michael J. Barry, Floyd J. Fowler +5 more
The AUA symptom index for benign prostatic hyperplasia was developed and validated by a multidisciplinary measurement committee of the American Urological Association and is clinically sensible, reliable, valid and responsive.
JAMAInformation Needs and Decisional Preferences in Women With Breast Cancer
1,116 Citations1997Lesley F. Degner
Priorities for information identified in this study provide an empirical basis to guide communication with women seeking care for breast cancer and suggest systematic approaches to assess and respond to women's desired level of participation in treatment decision making need to be evaluated.
BMJRisk communication in practice: the contribution of decision aids
378 Citations2003Annette M. O’Connor, France Légaré +1 more
As patients want to participate more in decision making, and as the range of medical options expands, clinicians are challenged to improve their communication of risk and supportive skills.
American Journal of Preventive MedicinePromoting informed decisions about cancer screening in communities and healthcare systems
331 Citations2003Peter A. Briss, Barbara K. Rimer +17 more
A conceptual background for population-oriented interventions to promote informed decisions (IDM interventions) is provided, followed by a systematic review of studies of IDM interventions to promoting cancer screening and whether these interventions resulted in individuals participating in decision making at a desirable level.
Archives of Internal MedicineThe Impact of Physician Compliance on Screening Mammography for Older Women
258 Citations1991Sarah Fox
Doctors need to know that discussing screening mammography with their patients has a major impact on breast cancer screening behaviors, according to a random sample of women in Los Angeles, Calif.
Preventive MedicineKnowledge, attitudes, and behavioral intentions in relation to the early detection of colorectal cancer in the United Kingdom
236 Citations2003Kirsten McCaffery, Jane Wardle +1 more
Increasing knowledge may reduce negative public perceptions of cancer which may impact positively on intentions to participate in screening and Multivariate analysis indicated that attitudes partially mediated the effect of knowledge on screening intentions.
Archives of Family MedicineA Randomized Controlled Trial of Shared Decision Making for Prostate Cancer Screening
222 Citations1999Robert J. Volk
Patient education regarding the potential benefits and harms of early detection of prostate cancer can lead to more informed decision making and Incorporating the PSA videotape into the periodic health examination for asymptomatic men aged 50 years and older is recommended.
JAMAInformation needs and decisional preferences in women with breast cancer
180 Citations1997Lesley F. Degner
Family PracticePatient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice
177 Citations2004Adrian Edwards
Patients can be more involved in treatment decisions, and risks and benefits of treatment options can be explained in more detail, without adversely affecting patient-based outcomes.
Journal of General Internal MedicineEvaluation of two methods to facilitate shared decision making for men considering the prostate-specific antigen test
154 Citations2001Dominick L. Frosch, Robert M. Kaplan +1 more
Providing information about PSA screening in the form of video or discussion is feasible and significantly alters PSA Screening rates.
Preventive MedicineParticipation in a Breast Cancer Screening Program: Influence of Past Behavior and Determinants on Future Screening Participation
131 Citations1997Lilian Lechner, Hein de Vries +1 more
Differences between previous participants and nonparticipants in determinants of intention and future screening behavior can be used to improve participation and adherence to breast cancer screening.
Journal of General Internal MedicineRandomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors
121 Citations2004Melissa R. Partin, David Nelson +7 more
Mailed interventions enhance patient knowledge and self-reported participation in decision making, and alter screening preferences, and the lower-cost pamphlet approach is an attractive option for clinics with limited resources.
Health PsychologyConfirmatory analysis of opinions regarding the pros and cons of mammography.
120 Citations1997William Rakowski, M. Robyn Andersen +6 more
Analysis of variance supported the associations between readiness to obtain screening and opinions about mammography previously found in research using smaller samples from another geographic region, and it is recommended that future research examine whether opinions regarding the cons of mammography are more individually specific than the pros.
Journal of Medical ScreeningOriginal Paper: Does evidence-based information about screening for prostate cancer enhance consumer decision-making? A randomised controlled trial
105 Citations2003Melina Gattellari, Jeanette Ward
The findings show the benefits of providing evidence-based information to men about PSA screening and men preferring a "passive" approach to decision-making gained as much from the EB booklet as those with "active" or "collaborative" preferences.
Patient Education and CounselingReduction in uptake of PSA tests following decision aids: systematic review of current aids and their evaluations
85 Citations2004Rhodri Evans, Adrian Edwards +5 more
PSA decision aids improve knowledge about PSA testing, at least in the short term, and men given these decision aids seem to be less likely to have the PSA test.
The Lancet OncologyProstate cancer: to screen or not to screen?
68 Citations2000David E. Neal, Jenny Donovan
The central question that remains is whether radical treatments can improve survival and quality of life, and there is no randomised controlled trial evidence to suggest a survival advantage of any of these treatments.
PubMedIs information always a good thing? Helping patients make "good" decisions.
65 Citations2002Peter A. Ubel
Examples of how people make inconsistent medical decisions are provided, and future directions for exploring ways of structuring information so that patients are less likely to make inconsistent choices are discussed.
PubMedEducating men about prostate cancer screening. A randomized trial of a mailed pamphlet.
63 Citations2001Timothy J Wilt, James Paul +4 more
Men who received the educational pamphlet were better informed than men in the usual care group, as measured by correct responses to the following three questions about prostate cancer screening: the natural history of prostate cancer, whether treatment lengthens lives of men with early prostate cancer and accuracy of PSA testing.
Patient Education and CounselingInformation needs of men regarding prostate cancer screening and the effect of a brief decision aid
60 Citations2004Stacey Sheridan, Kathryn Felix +2 more
Interest in prostate cancer screening is high and remained high after a 10 min decision aid, and no single piece of information was influential to decision-making in all men, so clinicians may want to tailor information to men's individual needs.
Archives of Internal MedicineThe impact of physician compliance on screening mammography for older women
47 Citations1991Sarah Fox
European Journal of Cancer PreventionInvolvement of general practitioners in mass screening. Experience of a colorectal cancer mass screening programme in the Calvados region (France)
42 Citations1993Guy Launoy, J-L Veret +5 more
It is demonstrated that patient compliance is closely linked to practitioner motivation, and motivating factors were the perceived need for screening, involvement in planning the campaign, and regular feedback.
Medical CareIs Information Always a Good Thing?
39 Citations2002Peter A. Ubel
In most cases, patient preferences are crucial in making good health care decisions, and choices between chemotherapy and radiation treatment usually hinge on trade-offs that only patients can decide about.
Public HealthPredictors of prostate cancer screening among health fair participants
38 Citations2005Brian C.‐H. Chiu, J R Anderson +1 more
Age, income, employment status, perceived control of health and perceived heath status were related to participation in PSA screening for prostate cancer, particularly in men older than 50 years of age.
European Journal of CancerIntention to test for prostate cancer
28 Citations2005Gunilla Berglund, Sten Nilsson +1 more
The results indicate that most men could be expected to accept screening and the majority of men in this study had a positive attitude towards PSA testing.
The Medical Journal of AustraliaSelf‐reported prevalence of pro, state‐specific antigen testing in South Australia: a community study
27 Citations1998Carole Pinnock, David Weller +1 more
To determine the prevalence and other characteristics of self‐reported blood testing (prostate‐specific antigen [PSA] for prostate cancer in the community, a large number of patients with a history of prostate cancer were surveyed.
Health ExpectationsThe POPPI Guide: Practicalities of Producing Patient Information
14 Citations2001Roberto Grilli, Alessandra Lo Scalzo
