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Research ArticleOriginal Research

Patient Education for Informed Decision Making About Prostate Cancer Screening: A Randomized Controlled Trial with 1-Year Follow-Up

Robert J. Volk, Stephen J. Spann, Alvah R. Cass and Sarah T. Hawley
The Annals of Family Medicine May 2003, 1 (1) 22-28; DOI: https://doi.org/10.1370/afm.7
Robert J. Volk
PhD
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Stephen J. Spann
Md
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Alvah R. Cass
MD, SM
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Sarah T. Hawley
PhD
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    Figure 1.

    Flow of the Study.

  • Figure 2.
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    Figure 2.

    Changes in Subjects’ Knowledge about Prostate Cancer Screening. Differences are significant at P < .001, from repeated measures ANOVA.

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    Table 1.

    Characteristics of the Sample*

    Intervention Group (n = 70)Control Group (n = 67)
    * Percentages do not sum to 100% because of rounding.
    Age
        Mean58.959.7
        Standard Deviation7.387.75
        Minimum, Maximum46, 7045, 70
    Education
    Not a high school graduate13 (18.6%)17 (25.5%)
    High school graduate11 (15.7%)15 (22.4%)
    Some college training27 (38.6%)16 (23.9%)
    College graduate19 (27.1%)19 (28.4%)
    Ethnicity
    African American16 (22.9%)8 (11.9%)
    white46 (65.7%)44 (65.7%)
    Mexican American6 (8.6%)12 (17.9%)
    Other2 (2.9%)3 (4.5%)
    Annual Household Income
    Less than $10,00010 (14.3%)14 (20.9%)
    $10,000 to $19,99913 (18.6%)16 (23.9%)
    $20,000 to $39,99920 (28.6%)14 (20.9%)
    $40,000 to $69,99920 (28.6%)16 (23.9%)
    $70,000 and greater7 (10.0%)7 (10.4%)
    Family History of Prostate Cancer11 (15.7%)8 (11.9%)
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    Table 2.

    Self-Reported Prostate Cancer Screening at 1-Year Follow-up

    Intervention Group (n = 70)Control Group (n = 67)
    n%n%P value
    DRE: digital rectal examination. PSA: prostate-specific antigen.
    General Physical Examination5972.95976.1.89
    DRE2637.12638.8.84
    PSA test2434.33755.2.01
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    Table 3.

    Relationship Between Intention to Be Screened as Reported at the 2-week Follow-Up and Reported PSA Testing at the 1-Year Follow-up

    IntentionsIntervention group*Control group
    PSA: prostate-specific antigen.
    *Two-week follow-up data for 1 patient in the intervention group is missing.
    Intended to have PSA test4057
    Reported being tested at 1-year follow-up21 (52.5%)33 (57.9%)
    Intended to not have PSA test120
    Reported being tested at 1-year follow-up1 (8.3%)0
    Was unsure about PSA testing1710
    Reported being tested at 1-year follow-up2 (11.8%)4 (40.0%)
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The Annals of Family Medicine: 1 (1)
The Annals of Family Medicine: 1 (1)
Vol. 1, Issue 1
1 May 2003
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Patient Education for Informed Decision Making About Prostate Cancer Screening: A Randomized Controlled Trial with 1-Year Follow-Up
Robert J. Volk, Stephen J. Spann, Alvah R. Cass, Sarah T. Hawley
The Annals of Family Medicine May 2003, 1 (1) 22-28; DOI: 10.1370/afm.7

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Patient Education for Informed Decision Making About Prostate Cancer Screening: A Randomized Controlled Trial with 1-Year Follow-Up
Robert J. Volk, Stephen J. Spann, Alvah R. Cass, Sarah T. Hawley
The Annals of Family Medicine May 2003, 1 (1) 22-28; DOI: 10.1370/afm.7
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  • Are Cancer-Related Decision Aids Effective? A Systematic Review and Meta-Analysis
  • Perceived Ambiguity about Screening Mammography Recommendations: Association with Future Mammography Uptake and Perceptions
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