Talking About Your Prostate: Perspectives from Providers and Community Members
Tóm tắt
Prostate cancer (PrCA) screening is controversial, especially for African-American (AA) men who have higher PrCA incidence and mortality than other racial/ethnic groups. Patient-provider communication is important for the PrCA screening decision process. The study purpose was to better understand the current dialogue between primary care providers (PCPs—physicians and nurse practitioners) and AA men about PrCA prevention and screening. An online survey with 46 PCPs, education sessions (including pre/post surveys) with 56 AA men, and a forum with 5 panelists and 38 AA men for open dialogue were held to examine both provider and community perspectives on PrCA communication needs and practices. PCPs’ perceptions of PrCA screening were varied and they used different PrCA screening guidelines in their practices. PCPs and AA men had different experiences with PrCA communication. PCPs reported that they have discussions about PrCA screening and prostate health with AA patients; few AA men reported these same experiences. About 38.0% of PCPs reported that they remain neutral about PSA testing during discussions; however, only 10.7% of AA men reported that their doctor remained neutral. Prostate health knowledge among AA men increased significantly following participation in the education sessions (p < 0.001). AA community members reported high satisfaction regarding the education session and forum. Different recommendations from PCPs may hinder AA men’s decisions about PrCA screening. The forum used in this study could be a model for others to help improve patient-provider communication and increase engagement in dialogue about this common cancer.
Tài liệu tham khảo
Barry MJ (2009) Screening for prostate cancer—the controversy that refuses to die. New Engl J Med 360:1351–1354
Moyer VA (2012) Screening for prostate cancer: US Preventive Services Task Force recommendation statement. Ann Intern Med 157:120–134
Carter HB, Albertsen PC, Barry MJ et al (2013) Early detection of prostate cancer: AUA Guideline. J Urology 190:419–426
Brooks DD, Wolf AM, Dash C et al (2010) Prostate cancer screening 2010: updated recommendations from the American Cancer Society. J Natl Med Assoc 102:423
American Cancer Society: Cancer Facts & Figures 2016. American Cancer Society Atlanta, GA, USA; 2016
Shenoy D, Packianathan S, Chen AM et al (2016) Do African-American men need separate prostate cancer screening guidelines? BMC Urol 16:1
Leyva B, Persoskie A, Ottenbacher A, et al. (2015) Do men receive information required for shared decision making about PSA testing? Results from a national survey. J Cancer Educ :1–9
Bhuyan SS, Chandak A, Gupta N, et al. (2015) Patient–provider communication about prostate cancer screening and treatment: new evidence from the Health Information National Trends Survey. Am J Mens Health
Jackson DD, Owens OL, Friedman DB et al (2014) An intergenerational approach to prostate cancer education: findings from a pilot project in the southeastern USA. J Cancer Educ 29:649–656
Hall IJ, Taylor YJ, Ross LE et al (2011) Discussions about prostate cancer screening between US primary care physicians and their patients. J Gen Intern Med 26:1098–1104
Starfield B, Shi L, Macinko J (2005) Contribution of primary care to health systems and health. Milbank Q 83:457–502
Friedman DB, Thomas TL, Owens OL et al (2012) It takes two to talk about prostate cancer a qualitative assessment of African American men’s and women’s cancer communication practices and recommendations. Am J Mens Health 6:472–484
Jackson DD, Owens OL, Friedman DB et al (2015) Innovative and community-guided evaluation and dissemination of a prostate cancer education program for African-American men and women. J Cancer Educ 30:779–785
Volk RJ, Linder SK, Kallen MA et al (2013) Primary care physicians’ use of an informed decision-making process for prostate cancer screening. Ann Fam Med 11:67–74
Deem S, DeFade B, Lohri J et al (2010) Prostate cancer screening: a primary care survey. Health 2:1179–1183
Laditka SB, Laditka JN, Liu R et al (2013) How do older people describe others with cognitive impairment? A multi-ethnic study in the United States. Ageing Soc 33:369–392
Marcella S, Delnevo CD, Coughlin SS (2007) A national survey of medical students’ beliefs and knowledge in screening for prostate cancer. J Gen Intern Med 22:80–85
Rim SH, Hall IJ, Richards TB, Thompson TD et al (2014) US primary care physicians’ prostate cancer screening practices: a vignette-based analysis of screening men at high risk. Health Serv Res manag Epidemiol 1:2333392814562909
Johnson K, Chang M, Sun Y et al (2013) Attitudes and knowledge of primary care physicians regarding prostate cancer screening. J Cancer Educ 28:679–683
Pendleton J, Curry RW, Kaserian A et al (2008) Knowledge and attitudes of primary care physicians regarding prostate cancer screening. J Natl Med Assoc 100:666–670
Tanner A, Kim S-H, Friedman DB, Foster C et al (2015a) Barriers to medical research participation as perceived by clinical trial investigators: communicating with rural and African American communities. J Health Commun 20:88–96
Tanner A, Kim S-H, Friedman DB et al (2015b) Promoting clinical research to medically underserved communities: current practices and perceptions about clinical trial recruiting strategies. Contemp Clin Trial 41:39–44
Sammon JD, Dalela D, Abdollah F et al (2016) Determinants of prostate specific antigen screening among black men in the United States in the contemporary era. J Urology 195:913–918
Pucheril D, Dalela D, Sammon J, et al. (2015) The influence of physician recommendation on prostate-specific antigen screening. In urologic oncology: seminars and original investigations. Elsevier: 424. e421–424. e427
Gibson L, Tan AS, Freres D et al (2016) Nonmedical information seeking amid conflicting health information: negative and positive effects on prostate cancer screening. Health Commun 31:417–424
Volk RJ, Hawley ST, Kneuper S et al (2007) Trials of decision aids for prostate cancer screening: a systematic review. Am J Prev Med 33:428–434 e411
Friedman DB, Hoffman-Goetz L (2007) An exploratory study of older adults’ comprehension of printed cancer information: is readability a key factor? J Health Commun 12:423–437
Moyad MA, Lowe FC (2008) Educating patients about lifestyle modifications for prostate health. Am J Med 121:S34–S42
Kushi LH, Doyle C, McCullough M et al (2012) American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 62:30–67
World Cancer Research Fund / American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington DC
Potestio ML, Boyd JM, Bagshaw SM et al (2015) Engaging the public to identify opportunities to improve critical care: a qualitative analysis of an open community forum. PLoS One 10:e0143088