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| Name | Class |
|---|---|
| Canadian Cancer Society (CCS) | OTHER |
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Patient decision aids are tools that help guide individuals through a healthcare-related decision making process. They help users combine evidence-based information and recommendations by a health care provider with their personal needs, values and preferences. Through this project, Dr. Dobbins and her research team will explore whether the use of patient decision aids with high-quality and user-friendly summaries of research evidence, or summaries of research evidence alone, help to improve the quality of decision making by men facing prostate cancer screening decisions.
Guidelines for prostate screening in Canada are based on low-moderate quality evidence of effectiveness and screening is associated with potential harms. Patient Decision Aids (PDAs) are tools that assist users to understand treatment options, risks and benefits to align decisions with values and preferences. The investigators would now like to know whether use of a PDA alongside evidence-based information provided through the McMaster Optimal Aging Portal, or simply access to evidence-based information alone, can help users to make informed decisions about prostate cancer screening in men.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Evidence + PDA | Experimental | Evidence-based information on PSA testing such as blog posts, plain language evidence summaries and web resource ratings (quality-appraised online resources), plus a blog post on PDAs and the relevant decision aid from the Portal database |
|
| Evidence only | Experimental | The same evidence-based information as group 1 (Evidence + PDA), but without the PDA to quantify the effect of accessing evidence through the Portal alone |
|
| Attention control | Sham Comparator | Information on how to distinguish high from low-quality health information, not specific to cancer screening or PDAs |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evidence-based information | Other | Evidence-based information on PSA testing such as blog posts, plain language evidence summaries and web resource ratings (quality-appraised online resources). |
| Measure | Description | Time Frame |
|---|---|---|
| Decisional conflict | Decisional Conflict Scale | Change from baseline to 6-mo |
| Measure | Description | Time Frame |
|---|---|---|
| Decision quality | Decision Quality Worksheet for PSA testing | Change from baseline to 6-mo |
| Preparation for decision making | Preparation for decision making scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maureen Dobbins, RN, PhD | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McMaster University | Hamilton | Ontario | L8P0A1 | Canada |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Patient Decision Aid | Other | Patient Decision Aid for prostate cancer screening decision |
|
| Sham information | Other | Educational information not specific to PSA testing or cancer screening |
|
| Change from baseline to 6-mo |
| Screening behaviour | Congruency between self-reported screening status and stated decision | Change from baseline to 6-mo |
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |