OBJECTIVE: To evaluate an entertainment-based patient decision aid for prostate cancer screening among patients with low or high health literacy. METHODS:Male primary care patients from two clinical sites, one characterized as serving patients with low health literacy (n=149) and the second as serving patients with high health literacy (n=301), were randomized to receive an entertainment-based decision aid for prostate cancer screening or an audiobooklet-control aid with the same learner content but without the entertainment features. Postintervention and 2-week follow-up assessments were conducted. RESULTS: Patients at the low-literacy site were more engaged with the entertainment-based aid than patients at the high-literacy site. Overall, knowledge improved for all patients. Among patients at the low-literacy site, the entertainment-based aid was associated with lower decisional conflict and greater self-advocacy (i.e., mastering and obtaining information about screening) when compared to patients given the audiobooklet. No differences between the aids were observed for patients at the high-literacy site. CONCLUSION:Entertainment education may be an effective strategy for promoting informed decision making about prostate cancer screening among patients with lower health literacy. PRACTICE IMPLICATIONS: As barriers to implementing computer-based patient decision support programs decrease, alternative models for delivering these programs should be explored.
RCT Entities:
OBJECTIVE: To evaluate an entertainment-based patient decision aid for prostate cancer screening among patients with low or high health literacy. METHODS: Male primary care patients from two clinical sites, one characterized as serving patients with low health literacy (n=149) and the second as serving patients with high health literacy (n=301), were randomized to receive an entertainment-based decision aid for prostate cancer screening or an audiobooklet-control aid with the same learner content but without the entertainment features. Postintervention and 2-week follow-up assessments were conducted. RESULTS:Patients at the low-literacy site were more engaged with the entertainment-based aid than patients at the high-literacy site. Overall, knowledge improved for all patients. Among patients at the low-literacy site, the entertainment-based aid was associated with lower decisional conflict and greater self-advocacy (i.e., mastering and obtaining information about screening) when compared to patients given the audiobooklet. No differences between the aids were observed for patients at the high-literacy site. CONCLUSION: Entertainment education may be an effective strategy for promoting informed decision making about prostate cancer screening among patients with lower health literacy. PRACTICE IMPLICATIONS: As barriers to implementing computer-based patient decision support programs decrease, alternative models for delivering these programs should be explored.
Authors: Maria L Jibaja-Weiss; Robert J Volk; Lois C Friedman; Thomas S Granchi; Nancy E Neff; Stephen J Spann; Emily K Robinson; Noriaki Aoki; J Robert Beck Journal: Health Expect Date: 2006-09 Impact factor: 3.377
Authors: Robert J Volk; Sarah T Hawley; Suzanne Kneuper; E Wayne Holden; Leonardo A Stroud; Crystale Purvis Cooper; Judy M Berkowitz; Lawrence E Scholl; Smita S Saraykar; Valory N Pavlik Journal: Am J Prev Med Date: 2007-11 Impact factor: 5.043
Authors: Susan A Pickett; Sita M Diehl; Pamela J Steigman; Joy D Prater; Anthony Fox; Patricia Shipley; Dennis D Grey; Judith A Cook Journal: Community Ment Health J Date: 2012-03-30
Authors: Stephanie L McFall; Patricia D Mullen; Theresa L Byrd; Scott B Cantor; Yen-Chi Le; Isabel Torres-Vigil; Curtis Pettaway; Robert J Volk Journal: Health Expect Date: 2014-02-09 Impact factor: 3.377
Authors: Aubri S Hoffman; Lisa M Lowenstein; Geetanjali R Kamath; Ashley J Housten; Viola B Leal; Suzanne K Linder; Maria L Jibaja-Weiss; Gottumukkala S Raju; Robert J Volk Journal: Cancer Date: 2016-12-21 Impact factor: 6.860
Authors: Caroline S Dorfman; Randi M Williams; Elisabeth C Kassan; Sara N Red; David L Dawson; William Tuong; Elizabeth R Parker; Janet Ohene-Frempong; Kimberly M Davis; Alexander H Krist; Steven H Woolf; Marc D Schwartz; Mary B Fishman; Carmella Cole; Kathryn L Taylor Journal: BMC Med Inform Decis Mak Date: 2010-03-03 Impact factor: 2.796
Authors: Stephen J Lepore; Rasmi G Nair; Stacy N Davis; Randi L Wolf; Charles E Basch; Nigel Thomas; Celia Shmukler; Ralph Ullman Journal: J Immigr Minor Health Date: 2017-12
Authors: Randi M Williams; Kimberly M Davis; George Luta; Sara N Edmond; Caroline S Dorfman; Marc D Schwartz; John Lynch; Chiledum Ahaghotu; Kathryn L Taylor Journal: Patient Educ Couns Date: 2013-01-26