PDF(Pubmed)
Abstract：
UNASSIGNED: Prostate cancer is the second leading cause of cancer deaths among men in the United States and harms Black men disproportionately. Most US men are uninformed about many key facts important to make an informed decision about prostate cancer. Most experts agree that it is important for men to learn about these problems as early as possible in their lifetime.
UNASSIGNED: To compare the effect of a community health worker (CHW)-led educational session with a physician-led educational session that counsels Black men about the risks and benefits of prostate-specific antigen (PSA) screening.
UNASSIGNED: One hundred eighteen Black men recruited in 8 community-based settings attended a prostate cancer screening education session led by either a CHW or a physician. Participants completed surveys before and after the session to assess knowledge, decisional conflict, and perceptions about the intervention. Both arms used a decision aid that explains the benefits, risks, and controversies of PSA screening and decision coaching.
UNASSIGNED: There was no significant difference in decisional conflict change by group: 24.31 physician led versus 30.64 CHW led (P=.31). The CHW-led group showed significantly greater improvement on knowledge after intervention, change (SD): 2.6 (2.81) versus 5.1 (3.19), P<.001). However, those in the physician-led group were more likely to agree that the speaker knew a lot about PSA testing (P<.001) and were more likely to trust the speaker (P<.001).
UNASSIGNED: CHW-led interventions can effectively assist Black men with complex health decision-making in community-based settings. This approach may improve prostate cancer knowledge and equally minimize decisional conflict compared with a physician-led intervention.
UNASSIGNED: To compare the effect of a community health worker (CHW)-led educational session with a physician-led educational session that counsels Black men about the risks and benefits of prostate-specific antigen (PSA) screening.
UNASSIGNED: One hundred eighteen Black men recruited in 8 community-based settings attended a prostate cancer screening education session led by either a CHW or a physician. Participants completed surveys before and after the session to assess knowledge, decisional conflict, and perceptions about the intervention. Both arms used a decision aid that explains the benefits, risks, and controversies of PSA screening and decision coaching.
UNASSIGNED: There was no significant difference in decisional conflict change by group: 24.31 physician led versus 30.64 CHW led (P=.31). The CHW-led group showed significantly greater improvement on knowledge after intervention, change (SD): 2.6 (2.81) versus 5.1 (3.19), P<.001). However, those in the physician-led group were more likely to agree that the speaker knew a lot about PSA testing (P<.001) and were more likely to trust the speaker (P<.001).
UNASSIGNED: CHW-led interventions can effectively assist Black men with complex health decision-making in community-based settings. This approach may improve prostate cancer knowledge and equally minimize decisional conflict compared with a physician-led intervention.
摘要：
前列腺癌是美国男性癌症死亡的第二大原因，对黑人男性的伤害不成比例。大多数美国男性对许多关键事实一无所知，这对于做出关于前列腺癌的明智决定很重要。大多数专家都认为，男性在有生之年尽早了解这些问题是很重要的。
■比较由社区卫生工作者（CHW）主导的教育会议和由医生主导的教育会议的效果，该会议为黑人男性提供有关前列腺特异性抗原（PSA）筛查的风险和益处的建议。
■在8个社区环境中招募的118名黑人参加了由CHW或医生领导的前列腺癌筛查教育会议。参与者在会议之前和之后完成调查以评估知识，决策冲突，以及对干预的看法。双方都使用了决策辅助工具来解释好处，风险,以及PSA筛查和决策指导的争议。
■各组的决策冲突变化没有显着差异：24.31医师主导与30.64CHW主导（P=.31）。CHW主导组干预后的知识改善明显，变化（SD）：2.6（2.81）对5.1（3.19），P<.001)。然而,医师主导组的患者更有可能同意说话者对PSA检测了解很多(P<.001),并且更有可能信任说话者(P<.001).
■CHW主导的干预措施可以有效地帮助黑人在社区环境中做出复杂的健康决策。与医生主导的干预相比，这种方法可以改善前列腺癌知识，并同样将决策冲突降至最低。
■比较由社区卫生工作者（CHW）主导的教育会议和由医生主导的教育会议的效果，该会议为黑人男性提供有关前列腺特异性抗原（PSA）筛查的风险和益处的建议。
■在8个社区环境中招募的118名黑人参加了由CHW或医生领导的前列腺癌筛查教育会议。参与者在会议之前和之后完成调查以评估知识，决策冲突，以及对干预的看法。双方都使用了决策辅助工具来解释好处，风险,以及PSA筛查和决策指导的争议。
■各组的决策冲突变化没有显着差异：24.31医师主导与30.64CHW主导（P=.31）。CHW主导组干预后的知识改善明显，变化（SD）：2.6（2.81）对5.1（3.19），P<.001)。然而,医师主导组的患者更有可能同意说话者对PSA检测了解很多(P<.001),并且更有可能信任说话者(P<.001).
■CHW主导的干预措施可以有效地帮助黑人在社区环境中做出复杂的健康决策。与医生主导的干预相比，这种方法可以改善前列腺癌知识，并同样将决策冲突降至最低。
