Can Women Facilitate Men's Prostate Cancer Screening Informed Decision-Making? The M-PACT Trial

The M-PACT study compared an all-male with a mixed-sex intervention to increase informed decision-making for prostate cancer screening among African-American men in church settings. We recruited 262 men in 18 churches randomized to the two intervention approaches. Trained and certified lay peer comm...

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Bibliographic Details
Published inJournal of health communication Vol. 22; no. 12; pp. 964 - 973
Main Authors Holt, Cheryl L., Le, Daisy, Slade, Jimmie L., Muwwakkil, Bettye, Saunders, Darlene R., Williams, Ralph, Atkinson, Nancy L., Naslund, Michael
Format Journal Article
LanguageEnglish
Published United States Routledge 02.12.2017
Taylor & Francis Ltd
Subjects
African Americans
Andrology
Community health
Decision making
Educational programs
Efficacy
Family support
Health promotion
Health technology assessment
Intervention
Medical screening
Mens health
Mixed gender
Prostate
Prostate cancer
Workshops
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Summary:The M-PACT study compared an all-male with a mixed-sex intervention to increase informed decision-making for prostate cancer screening among African-American men in church settings. We recruited 262 men in 18 churches randomized to the two intervention approaches. Trained and certified lay peer community health advisors in each church led a series of four men's health workshops on informed decision-making for prostate cancer screening. African-American male workshop participants completed baseline, post-workshop, and 12-month follow-up surveys. Contrary to our expectations, including women in the workshops did not result in increased intervention efficacy for the informed decision-making outcomes as both groups showed significant improvement over time in several study outcomes including stage of decision-making for prostate cancer screening, preference for role in decision-making, prostate cancer knowledge, and self-reports of prostate specific antigen testing. Finally, men who attended multiple workshops had better informed decision-making outcomes on several indicators. The current findings suggest mixed results from including women in this men's health educational intervention. Future work should consider optimal ways of providing family support for African-American men's health promotion.
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ISSN:1081-0730
1087-0415
DOI:10.1080/10810730.2017.1382616