The overall goal of this project is to test an interactive, multi-media decision aid in the form of an electronic clinical decision dashboard designed to improve the quality of clinical decision making for initial treatment of patients with newly diagnosed, low or intermediate risk prostate cancer.

The overall goal of this project is to test an interactive, multi-media decision aid in the form of an electronic clinical decision dashboard designed to improve the quality of clinical decision making for initial treatment of patients with newly diagnosed, low or intermediate risk prostate cancer.

Specifically, we propose to conduct a clinical trial to compare the effects of a prostate decision dashboard versus usual care on:

1. patient knowledge regarding the treatment options available for low or intermediate risk prostate cancer,
2. measures of the decision making process including decisional conflict and the extent to which decisions were made via a shared decision making process,
3. the treatments selected, and
4. 3-6 and 9-12 month outcome assessments of clinical status, decision regret, cancer-related quality of life including worry, functional status, and treatment side effects.

Inclusion Criteria:

• Age: 40 to 85 years
• Sex: male
• Race/ethnicity: no restrictions
• Diagnosis: Patients will be eligible for the study if they have not yet decided on a management plan and present with either:
• localized, low grade prostate cancer, defined as Gleason score ≤ 6, T1-T2a stage cancers, and PSA values < 10 ng/ml, OR
• Intermediate risk prostate cancer, defined as Gleason score = 7, T2b-T2c stage cancers (these tumors involve more of the prostate but do not extend beyond the prostatic capsule), or PSA 10-20 ng/ml
• Willing to participate and able to give informed consent
• Able to adequately see the study intervention which is an interactive decision dashboard & complete study-related questionnaires
• Able to understand English language adequately to use the decision dashboard and complete study-related questionnaires

Exclusion Criteria:

• Unable to complete study-related tasks due to cognitive deficits or English non-fluency
• Unwilling to participate.
• Deemed clinically unsuitable for active surveillance as a prostate cancer management option