Talking about your prostate: Perspectives from providers and community members

제목
Talking about your prostate: Perspectives from providers and community members
저자

Seul Ki Choi; Jessica S. Seel; Susan E. Steck; Johnny Payne; Douglas McCormick; Courtney S. Schrock; Daniela B. Friedman

키워드
Prostate cancer; African American; Primary care provider; Education; Patient-providercommunication; Community forum
발행연도
2018-10-01
발행기관
Springer
Series
Journal of Cancer Education, vol. 33, no. 5, pp. 1052 - 1060
Journal Title
Journal of Cancer Education
초록
Prostate cancer (PrCA) screening is controversial, especially for African-American (AA) men who have higher PrCA incidence and mortality than other racial/ethnic groups. Patient-provider communication is important for the PrCA screening decision process. The study purpose was to better understand the current dialogue between primary care providers (PCPs—physicians and nurse practitioners) and AA men about PrCA prevention and screening. An online survey with 46 PCPs, education sessions (including pre/post surveys) with 56 AA men, and a forum with 5 panelists and 38 AA men for open dialogue were held to examine both provider and community perspectives on PrCA communication needs and practices. PCPs’ perceptions of PrCA screening were varied and they used different PrCA screening guidelines in their practices. PCPs and AA men had different experiences with PrCA communication. PCPs reported that they have discussions about PrCA screening and prostate health with AA patients; few AA men reported these same experiences. About 38.0% of PCPs reported that they remain neutral about PSA testing during discussions; however, only 10.7% of AA men reported that their doctor remained neutral. Prostate health knowledge among AA men increased significantly following participation in the education sessions (p < 0.001). AA community members reported high satisfaction regarding the education session and forum. Different recommendations from PCPs may hinder AA men’s decisions about PrCA screening. The forum used in this study could be a model for others to help improve patient-provider communication and increase engagement in dialogue about this common cancer.
ISSN
0885-8195
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