Educational Intervention in Increasing Knowledge About Prostate Cancer in High-Risk Neighborhoods

Study Overview
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Brief Summary
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This clinical trial studies how well an educational intervention works in increasing knowledge about prostate cancer in high-risk neighborhoods. Learning about prostate cancer and the pros and cons of screening for prostate cancer may increase knowledge about prostate cancer while decreasing anxiety and concerns about prostate cancer screening.

Detailed Description
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PRIMARY OBJECTIVES: I. To identify neighborhoods with disproportionately high rates of advanced prostate cancer and describe patient- and neighborhood-level risk factors associated with the high-risk neighborhoods. II. To develop, using a mixed methods approach, a targeted educational intervention about prostate cancer for men who live in high risk neighborhoods. III. To test the impact of the targeted intervention on levels of knowledge, anxiety, and informed decision making about prostate cancer (PCa) screening. IV. To observe the rates of PCa screening in the intervention and control groups.

Official Title
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A Neighborhood-Based Intervention to Reduce Prostate Cancer Disparities

Conditions
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Prostate

Intervention / Treatment
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* Other: Educational Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Focus groups consisting of men who live, work, or worship in the 4 predetermined neighborhoods Currently reside in one of the four selected high risk neighborhoods Exclusion Criteria: • Men who do not reside in one of the four neighborhoods, who self-report that they have previously been diagnosed with prostate cancer, or who have had prostate cancer screening (prostatic specific antigen [PSA] or digital rectal examination [DRE]) within the past 12 months

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 69 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: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group I (prostate cancer information)<br>The educator reviews general information about the prostate Cancer | Other: Educational Intervention<br>* Review prostate cancer information<br>|
| Active Comparator: Group II (general health information)<br>The educator reviews topics about health promotion actions. | Other: Educational Intervention<br>* Review prostate cancer information<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Themes identified by focus group transcripts | Focus group transcripts will be analyzed by iterative rounds of coding by at least two members of the research team. Specific themes and trends will be identified within each transcript and discussed by the research team until final consensus is reached. Themes will be identified as topics that consistently occur across transcripts, as well as similarities and differences between transcripts. | Up to 4 years | 
| Change in prostate cancer knowledge as measured by a 17-item scale | Descriptive analyses will be used including t-test, frequency tables, nonparametric tests, correlations, regression models. Linear and generalized linear mixed models having random intercepts corresponding to neighborhood will be applied. | Baseline to up to 4 months |