Skip to main content
Log in

Communication message strategies for increasing knowledge about prostate cancer screening

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Background. This community-based intervention study examined the effects of 2 different message strategies for presenting information about the prostate specific antigen (PSA) test. Methods. A quasi-experimental longitudinal design with 2 intervention and 1 control group. Results. Knowledge increased significantly among participants who received either version of the intervention message and remained elevated at 12 months. Presenting information in the context of other men’s health issues was associated with greater increases in knowledge relative to PSA only. Conclusions. Community-based interventions can increase knowledge about prostate cancer screening. Clinicians need to take careful account of what their patients understand and correct misperceptions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Harris R, Lohr KN. Screening for prostate cancer: an update of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2002;137:917–929.

    PubMed  Google Scholar 

  2. U.S. Preventive Services Task Force (USPSTF). Screening for prostate cancer: recommendation and rationale. Ann Intern Med. 2002;137:915–916.

    Google Scholar 

  3. Finney Rutten LJ, Meissner HI, Breen N, et al. Factors associated with men’s use of prostate-specific antigen screening: evidence from Health Information National Trends Survey. Prev Med. 2005;40:461–468.

    Article  PubMed  Google Scholar 

  4. Diefenbach PN, Ganz PA, Pawlow AJ, et al. Screening by the prostate-specific antigen test: what do the patients know? J Cancer Educ. 1996;11:39–44.

    CAS  PubMed  Google Scholar 

  5. Flood AB, Wennberg JE, Nease RF Jr. The importance of patient preference in the decision to screen for prostate cancer. Prostate Patient Outcomes Research Team. J Gen Intern Med. 1996;11: 342–349.

    Article  CAS  PubMed  Google Scholar 

  6. Frosch DL, Kaplan RM, Felitti V. The evaluation of two methods to facilitate shared decision making for men considering the prostate-specific antigent test. J Gen Intern Med. 2001;16:391–398.

    Article  CAS  PubMed  Google Scholar 

  7. Steele CB, Miller DS, Maylahn C, Uhler RJ, Baker CT. Knowledge, attitudes, and screening practices among older men regarding prostate cancer. Am J Public Health. 2000;90:1595–1600.

    Article  CAS  PubMed  Google Scholar 

  8. Volk RJ, Cass AR, Spann SJ. A randomized controlled trial of shared decision making for prostate cancer screening. Arch Fam Med. 1999;8:333–340.

    Article  CAS  PubMed  Google Scholar 

  9. Zemencuk JK, Hayward RA, Katz SJ. The benefits of, controversies surrounding, and professional recommendations for routine PSA testing: what do men believe? Am J Med. 2001;110:309–313.

    Article  CAS  PubMed  Google Scholar 

  10. Wilt TJ, Paul J, Murdoch M, et al. Educating men about prostate cancer screening. A randomized trial of a mailed pamphlet. Eff Clin Pract. 2001;4:112–120.

    CAS  PubMed  Google Scholar 

  11. Briss P, Rimer B, Reilley B, et al. Task Force on Community Preventive Services. Promoting informed decisions about cancer screening in communities and healthcare systems. Am J Prev Med. 2004;26:67–80.

    Article  PubMed  Google Scholar 

  12. Volk R, Hawley S, Kneuper S, et al. Trials of decision aids for prostate cancer screening. Am J Prev Med. 2007;33:428–434.

    Article  PubMed  Google Scholar 

  13. Barry MJ. Health decision aids to facilitate shared decision making in office practice. Ann Intern Med. 2002;136:127–135.

    PubMed  Google Scholar 

  14. Merrill RM. Demographics and health-related factors of men receiving prostate-specific antigen screening in Utah. Prev Med. 2001;33:646–652.

    Article  CAS  PubMed  Google Scholar 

  15. Moran WP, Cohen SJ, Preisser JS, et al. Factors influencing use of the prostate-specific antigen screening test in primary care. Am J Manag Care. 2000;6:315–324.

    CAS  PubMed  Google Scholar 

  16. Swan J, Breen N, Coates RJ, et al. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003;97:1528–1540.

    Article  PubMed  Google Scholar 

  17. Evans R, Edwards A, Brett J, et al. Reduction in uptake of PSA tests following decision aids: systematic review of current aids and their evaluations. Patient Educ Couns. 2005;58:13–26.

    Article  PubMed  Google Scholar 

  18. Slovic P. The construction of preferences. Am Psychol. 1995; 50:364–371.

    Article  Google Scholar 

  19. Kahneman D, Tversky A. Choices, values and frames. Am Psychol. 1984;39:314–350.

    Article  Google Scholar 

  20. Holtgrave D, Tinsley B, Kay L. Encouraging, Risk Reduction in Designing Health Messages. Thousand Oaks, CA: Sage Publications; 1995.

    Google Scholar 

  21. Bandura A. Self-efficacy: The Exercise of Control. New York: WH Freedman and Co; 1997.

    Google Scholar 

  22. Soloe, CS, McCormack, LA, Treiman, KA, et al. Informed decision making about PSA testing: findings and implications from formative testing of a multi-modal intervention. Research Triangle Park, NC: RTI Press; 2009.

    Book  Google Scholar 

  23. Radosevich DM, Partin MR, Nugent S, et al. Measuring patient knowledge of the risks and benefits of prostate cancer screening. Patient Educ Couns. 2004;54:143–152.

    Article  PubMed  Google Scholar 

  24. Driscoll D, Harris-Kojetin L. Final patient messages for prostate-specific antigen (PSA) screening for prostate cancer, Medicare screening messages project. Final report to AHRQ/CMS. Research Triangle Park, NC: RTI International; 2002.

    Google Scholar 

  25. Schwartz LM, Woloshin S, Fowler FJ Jr, et al. Enthusiasm for cancer screening in the United States. JAMA. 2004;291:71–78.

    Article  CAS  PubMed  Google Scholar 

  26. Driscoll, DL, Rupert, DJ, Golin, CE, et al. Promoting PSA informed decision-making: evaluating two community-level interventions. Am J Prev Med, 2008;35(2):87–94.

    Article  PubMed  Google Scholar 

  27. Mullen PD, Allen JD, Glanz K, et al. Measures used in studies of informed decision making about cancer screening: a systematic review. Ann Behav Med. 2006;32:188–201.

    Article  PubMed  Google Scholar 

  28. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13–22.

    Article  Google Scholar 

  29. Man-Son-Hing M, O’Connor AM, Drake E, et al. The effect of qualitative vs. quantitative presentation of probability estimates on patient decision-making: a randomized trial. Health Expect. 2002;5:246–255.

    Article  PubMed  Google Scholar 

  30. Gurmankin AD, Baron J, Hershey JC, et al. The role of physicians’ recommendations in medical treatment decisions. Med Decis Making. 2002;22:262–271.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lauren A. McCormack PhD, MSPH.

Additional information

RTI International is a trade name of Research Triangle Institute.

This publication was made possible through the Centers for Disease Control and Prevention (CDC) and the Association for Prevention Teaching and Research (APTR) Cooperative Agreement, No. U50/ CCU300860, Project TS-0845. The findings and conclusions in this publication are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention or the Association for Prevention Teaching and Research.

Rights and permissions

Reprints and permissions

About this article

Cite this article

McCormack, L.A., Bann, C.M., Williams-Piehota, P. et al. Communication message strategies for increasing knowledge about prostate cancer screening. J Canc Educ 24, 238–243 (2009). https://doi.org/10.1080/08858190902935498

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1080/08858190902935498

Keywords

Navigation