Informed decision making about prostate cancer testing in predominantly immigrant black men: a randomized controlled trial

Ann Behav Med. 2012 Dec;44(3):320-30. doi: 10.1007/s12160-012-9392-3.


Background: Decision support interventions have been developed to help men clarify their values and make informed decisions about prostate cancer testing, but they seldom target high-risk black and immigrant men.

Purpose: This study evaluated the efficacy of a decision support intervention focused on prostate cancer testing in a sample of predominantly immigrant black men.

Methods: Black men (N = 490) were randomized to tailored telephone education about prostate cancer testing or a control condition.

Results: Post-intervention, the intervention group had significantly greater knowledge, lower decision conflict, and greater likelihood of talking with their physician about prostate cancer testing than the control group. There were no significant intervention effects on prostate specific antigen testing, congruence between testing intention and behavior, or anxiety.

Conclusions: A tailored telephone decision support intervention can promote informed decision making about prostate cancer testing in black and predominantly immigrant men without increasing testing or anxiety.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Black or African American / psychology*
  • Decision Making*
  • Early Detection of Cancer / psychology*
  • Emigrants and Immigrants / psychology*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Informed Consent*
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / prevention & control