A community-based randomised controlled trial of three different educational resources for men about prostate cancer screening

Patient Educ Couns. 2005 May;57(2):168-82. doi: 10.1016/j.pec.2004.05.011.


Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evidence-based booklet, developed by the authors (n = 140). Men in all three groups demonstrated significant increases in knowledge scores from pre to post-test. Scores were significantly higher at post-test amongst those who had received our evidence-based booklet compared with men who received the leaflet or video (P < 0.001). Scores were significantly modified by men's preferences for decisional control (P = 0.002). Decisional conflict was significantly lower amongst men receiving the evidence-based booklet (P = 0.038). Men receiving the evidence-based booklet also were less likely to accept a recommendation by a GP to undergo prostate-specific-antigen (PSA) screening (P = 0.003). Men require detailed information about the pros and cons of PSA screening in order to make an informed decision. Resources are not equivalent in achieving these outcomes.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Attitude to Health*
  • Choice Behavior
  • Conflict, Psychological
  • Decision Support Techniques
  • Double-Blind Method
  • Educational Status
  • Evidence-Based Medicine
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Informed Consent
  • Male
  • Mass Screening* / methods
  • Mass Screening* / standards
  • Men* / education
  • Men* / psychology
  • Middle Aged
  • New South Wales
  • Pamphlets
  • Prostate-Specific Antigen / blood
  • Prostatic Neoplasms / blood
  • Prostatic Neoplasms / diagnosis*
  • Surveys and Questionnaires
  • Teaching Materials / standards*
  • Videotape Recording / standards


  • Prostate-Specific Antigen