Shared Decision Making for Prostate Cancer Screening: a Practice-Based Randomized Controlled Trial

NCT ID: NCT00630188

Last Updated: 2008-03-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-03-31

Study Completion Date

2006-04-30

Brief Summary

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The purpose of this study is to determine whether an intervention designed to help men share decisions about prostate cancer screening with their physician results in better decision making, more shared decisions, and changes in intended and actual screening rates.

Detailed Description

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Background: Professional societies recommend shared decision making for prostate cancer screening, however, most effort has been directed at informed rather than shared decision making. In this study, we plan to test the effects of a shared decision making intervention on key components of shared decision making. We secondarily plan to test its effects on the presence of a shared decision, men's intention to be screened, and actual screening rates.

Methods: We plan to conduct two separate randomized controlled trials of shared decision making interventions, one in which the intervention focuses on prostate cancer screening only and one in which the intervention focuses on prostate cancer screening in the context of other men's health issues. Each trial will use the same attention control and identical implementation and measurement strategies to allow combination of data if no differences exist in the effect of the interventions. Trials will include a convenience sample of men with no prior history of prostate cancer who present to their primary care physician for routine care. Men will be randomly assigned to a shared decision making intervention (including a video and coaching session for patients and an education session for providers) or a control group, in which men will receive a video on highway safety. Data on key components of shared decision making and intent for screening will be measured at baseline, after the intervention, and after men's visit with their provider. Additionally, medical charts will be reviewed 9 months later to assess for actual screening.

Conditions

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Prostatic Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1

For Patients: Video-based decision aid on prostate cancer screening, One-on-One values clarification session with research assistant, One-on-One coaching session with research assistant to encourage good interaction with physician

For Physicians: a one-time educational session on prostate cancer and the value of shared decision making

Group Type EXPERIMENTAL

You Decide

Intervention Type OTHER

For Patients: Video-based decision aid on prostate cancer screening, One-on-One values clarification session with research assistant, One-on-One coaching session with research assistant to encourage good interaction with clinician

For Physicians: a one-time educational session on prostate cancer and the value of shared decision making

2

Highway Safety video

Group Type ACTIVE_COMPARATOR

Reducing Your Risks in the Crash

Intervention Type OTHER

Publicly available video on highway safety and reducing individual risks in a crash

Interventions

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You Decide

For Patients: Video-based decision aid on prostate cancer screening, One-on-One values clarification session with research assistant, One-on-One coaching session with research assistant to encourage good interaction with clinician

For Physicians: a one-time educational session on prostate cancer and the value of shared decision making

Intervention Type OTHER

Reducing Your Risks in the Crash

Publicly available video on highway safety and reducing individual risks in a crash

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ages 40-80 years
* Their physician agreed to participate in the study
* Seen in practice for at least one year

Exclusion Criteria

* Prior history of prostate cancer
* Presenting for acute medical visit
* Non-skin cancer
* Lung disease requiring oxygen
* Renal failure requiring dialysis
* Intensive care visit in last 6 months
* Need assistance with activities of daily living
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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RTI International

OTHER

Sponsor Role collaborator

University of North Carolina

OTHER

Sponsor Role lead

Responsible Party

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University of North Carolina at Chapel Hill

Principal Investigators

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Russ Harris, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of North Carolina, Chapel Hill

Lauren McCormack, PhD, MSPH

Role: PRINCIPAL_INVESTIGATOR

RTI International

David Driscoll, PhD, MSPH

Role: PRINCIPAL_INVESTIGATOR

RTI International

Locations

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Chapel Hill North General Internal Medicine Practice

Chapel Hill, North Carolina, United States

Site Status

University of North Carolina at Chapel Hill General Medicine Clinic

Chapel Hill, North Carolina, United States

Site Status

Moses Cone Internal Medicine Practice

Greensboro, North Carolina, United States

Site Status

Triad Internal Medicine

Greensboro, North Carolina, United States

Site Status

Countries

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United States

References

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Sheridan SL, Golin C, Bunton A, Lykes JB, Schwartz B, McCormack L, Driscoll D, Bangdiwala SI, Harris RP. Shared decision making for prostate cancer screening: the results of a combined analysis of two practice-based randomized controlled trials. BMC Med Inform Decis Mak. 2012 Nov 13;12:130. doi: 10.1186/1472-6947-12-130.

Reference Type DERIVED
PMID: 23148458 (View on PubMed)

Other Identifiers

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TS-0845

Identifier Type: -

Identifier Source: org_study_id

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