TY - JOUR
T1 - Entertainment education for prostate cancer screening
T2 - A randomized trial among primary care patients with low health literacy
AU - Volk, Robert J.
AU - Jibaja-Weiss, Maria L.
AU - Hawley, Sarah T.
AU - Kneuper, Suzanne
AU - Spann, Stephen J.
AU - Miles, Brian J.
AU - Hyman, David J.
PY - 2008/12
Y1 - 2008/12
N2 - 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.
AB - 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.
KW - Health literacy
KW - Patient decision aids
KW - Prostate cancer screening
UR - http://www.scopus.com/inward/record.url?scp=55949083348&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=55949083348&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2008.07.033
DO - 10.1016/j.pec.2008.07.033
M3 - Article
C2 - 18760888
AN - SCOPUS:55949083348
VL - 73
SP - 482
EP - 489
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 3
ER -