Culturally Tailored Decision Aid for Hispanic Patients Diagnosed With Prostate Cancer

Study Overview
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Brief Summary
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A pilot study testing the effect of an in-visit English and Spanish language decision aid for Hispanic-Latino men using best practices of cultural tailoring to be used in urology practice. Subjects will be followed for approximately 1 year during standard care in-clinic office visits. Study results and subject surveys will be analyzed to determine clinical utility of the tool.

Detailed Description
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The objective of this research is to determine the effect of a culturally tailored decision aid tool on the cancer treatment decisions of Hispanic-Latino patients. The specific aims are: i. To develop and pilot test in an uncontrolled fashion an in-visit English and Spanish language decision aid for Hispanic-Latino men using best practices of cultural tailoring to be used in urology practice ii. To pilot and test the impact of a culturally tailored, English and Spanish language version of the Prostate Choice in-visit decision aid on decision quality, knowledge, and quality of life in low-income Hispanic/Latino patients diagnosed with localized prostate cancer iii. To assess the barriers and facilitators of decision aid use including the relative contribution of language-concordance on 1-year practice implementation parameters.

Official Title
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Development and Testing of a Culturally Tailored Decision Aid for Hispanic Patients Diagnosed With Prostate Cancer

Conditions
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Prostate Cancer

Intervention / Treatment
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* Behavioral: Decision Aid Tool
* Behavioral: baseline survey
* Behavioral: follow-up surveys


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects utilize English or Spanish as their primary spoken or written language and identify with a Latino ethnicity and/or culture Men with a new histologic diagnosis of localized prostate cancer PSA level of 0.1 - 50 ng/dl Gleason score of 6 - 10 Cancer stage: T1 - 4N x M0 Exclusion Criteria: Metastatic disease, including lymph nodes or distant metastasis PSA > 50 ng/dl Individuals with a medical condition that necessitates a specific prostate cancer treatment plan Individuals that are unwilling or unable to attend study visits or are planning to move out of a study site coverage area during the subject's anticipated participation in the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Decision Aid<br>Subjects will be asked to complete baseline surveys. Once the surveys are completed, subjects will review the Decision Aid tool with a study team member. Once the subjects have gone through the tool, study team members will answer any additional questions he may have regarding the tool. The subjects will then discuss with the investigator various cancer management options, quality of life implications, and any questions the subjects may have regarding cancer management options. Subjects that are ready may make a cancer management decision at this time, or choose to wait until their next scheduled visit. Subjects will be followed at subsequent urology clinic visits for up to 6 months. Subjects will complete follow-up surveys at the 3, 6, 9 and 12 month visits. | Behavioral: Decision Aid Tool<br>* Subjects will be given an I-pad with the decision aid program on it. A member of the study team will enter some preliminary information, then the subject will be able to review the tool with his doctor.<br>Behavioral: baseline survey<br>* patients will be given baseline surveys to gather demographic information and readiness to make a decision regarding prostate cancer care<br>Behavioral: follow-up surveys<br>* at 3, 6, 9, and 12 months patients will be given follow-up surveys regarding prostate cancer care<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decision Quality of cancer care in low-income Hispanic/Latino patients diagnosed with localized prostate cancer | Decisional quality will be measured by the O'Connor Decisional Conflict Scale | Up to 12 months | 
| Knowledge of prostate cancer care in low-income Hispanic/Latino patients diagnosed with localized prostate cancer | Prostate cancer knowledge will be measured by the Knowledge Measurement Tool | Up to 12 months | 
| Patient satisfaction in low-income Hispanic/Latino patients diagnosed with localized prostate cancer | Patient satisfaction will be measured by the CAPSURE (Cancer of the Prostate Strategic Urologic Research Endeavor) patient satisfaction measurement tool | Up to 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life in low-income Hispanic/Latino patients diagnosed with localized prostate cancer | Health-related quality of life will be measured by the EPIC (Expanded Prostate Cancer Index Composite) assessment tool | Up to 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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decision aid, focus group