The Influence of Decision Aids on Prostate Cancer Screening Preferences: A Randomized Survey Study

The Journal of Urology
Adam B WeinerShilajit D Kundu

Abstract

Shared decision making is recommended in regard to prostate cancer screening. Decision aids may facilitate this process but the impact of decision aids on screening preferences is poorly understood. In an online survey we randomized a national sample of adults to the online decision aids of 1 of 6 professional societies. We compared survey responses before and after decision aid exposure. The primary outcome was the change in participant likelihood of undergoing or recommending prostate cancer screening on a scale of 1-unlikely to 100-extremely likely. Secondary outcomes included change in participant comfort with prostate cancer screening based on the average of 6, 5-point Likert-scale questions. Median age was 53 years in the 1,336 participants and 50% were men. The randomized groups did not differ significantly by race, age, gender, income, marital status or education level. The likelihood of undergoing or recommending prostate cancer screening decreased from 83 to 78 following decision aid exposure (p <0.001). Reviewing the decision aid from the Centers for Disease Control or the American Academy of Family Physicians did not alter the likelihood (each p >0.2). However, the decision aid from the United States Preventive Serv...Continue Reading

References

Nov 23, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Paul A HarrisJill Pulley
May 11, 2013·The Journal of Urology·H Ballentine CarterAnthony L Zietman
Jan 21, 2014·European Urology·Stacy LoebRuth Etzioni
Oct 29, 2015·The New England Journal of Medicine·H Gilbert WelchPeter C Albertsen
Feb 2, 2017·Clinical Orthopaedics and Related Research·Kim Madden, Ydo V Kleinlugtenbelt
May 26, 2018·JAMA : the Journal of the American Medical Association·UNKNOWN US Preventive Services Task ForceChien-Wen Tseng

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