tumor genomic pre-test counseling tool for black or african-american men with prostate cancer

Conditions: Prostate Cancer; Prostate Cancer Metastatic

Summary: the overall goal of the study is to improve equitable delivery of pre-tumor genetic testing (tgt) counseling tool for black or african american men with metastatic prostate cancer and evaluating the tool for implementation.

primary objectives: stage 1: to evaluate education quality of the intervention in black or african american men with prostate cancer. stage 2: to evaluate feasibility of the tgt intervention among black or african american men with prostate cancer secondary objectives: stage 1: 1. to evaluate completeness of the intervention content. 2. to identify barriers and facilitators for using the intervention. stage 2: 1. to evaluate the acceptability of the intervention among black or african american men with prostate cancer. 2. to evaluate change in participant knowledge about tumor genetic testing among black or african american men with prostate cancer. 3. to evaluate change in patient attitudes toward tumor genetic testing among black or african american men with prostate cancer. 4. to evaluate change in participant expectations of tumor genetic testing among black or african american men with prostate cancer. 5. to evaluate patient perspectives on the intervention. 6. to evaluate the rate of tgt among black or african american men with prostate cancer who have received the tumor genetic pre-test counseling tool. outline: this is a two-stage study. in stage 1, adult black or african american men with metastatic prostate cancer who have not made a decision about tgt, or who have decided to undergo tgt, or patients who have decline tgt about tumor genetic testing will participate in development by answering questionnaires and utilizing the pilot application for up to 60 days. the investigators will then refine the tool to be piloted in stage 2. stage 2: a pilot study of participants who are planning to have a discussion about undergoing tumor genetic testing with their oncology provider will be invited to join and utilize the tool, and answer questionnaires about the tool.

Eligibility criteria:
inclusion criteria: stage 1: 1. age 18-years-old or older 2. identifies as black or african american, by either chart documentation or participant self-report. mixed-race including black or african american is included. 3. metastatic prostate cancer, by either chart documentation or participant self-report. pathology report not needed. 4. able to understand study procedures and to comply with them for the entire length of the study. 5. able to understand a written information sheet and willing to verbally consent. 6. fluent in english (reading, writing, and speaking) stage 2: 1. age 18-years-old or older 2. identifies as black or african-american, by either chart documentation or participant self-report. mixed-race including black or african-american is included. 3. metastatic prostate cancer, by either chart documentation or participant self-report. pathology report not needed. 4. able to understand study procedures and to comply with them for the entire length of the study. 5. fluent in english (reading, writing, and speaking). 6. anticipated discussion of tgt within 0-90 days of enrollment, per treating oncology provider's discretion. tgt involves use of any cancer genetic sequencing (whether standard-of-care or part of a research protocol) via any one of the following: 1. somatic dna testing of already-collected tissue. 2. somatic dna testing of tissue to be collected in the future via biopsy, surgery, or other procedure. 3. blood-based dna testing to evaluate for circulating tumor dna. 7. able to understand a written informed consent document and willing to sign it. exclusion criteria: contraindication to any study-related procedure or assessment in either stage.