Fostering Shared Decision-making About Prostate Cancer Screening Among Clinicians and African American Men

The 2018 U.S. Preventive Services Task Force (USPSTF) final recommendation states that male patients and their providers engage in a shared-decision making process about the benefits and harms of PSA-based screening. As characterized by the USPSTF, these conversations are particularly important for African American men given increased ambiguity due to the lack of PSA-based research specific to this population and increased risk of prostate cancer mortality attributed to late stage at diagnosis and more aggressive prostate cancer phenotypes seen in African American men.

The goal of this randomized behavioral clinical trial is to advance the translation path of implementing the decision-making process in clinical encounters by evaluating the efficacy of an educational intervention for African American males to increase shared decision making about PSA-screening versus usual care. The intervention will use multimedia educational training materials to increase understanding of prostate cancer, PSA-based screening, and shared decision making among patients and their primary care providers (PCPs).

Patient Inclusion Criteria:

• Receiving care at the clinical sites
• Identify as African American male
• Ages 40-69 years old

Patient Exclusion Criteria:

• Personal history of prostate cancer at the time of consent
• Cognitive impairment that would interfere with participation in the study
• Unable to complete any aspect of the intervention within the specified time limit