Men's Prostate Awareness Church Training

Study Overview
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Brief Summary
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The objective of the Prostate Cancer Education in African American Churches project is to develop and evaluate a spiritually-based educational intervention for Informed Decision Making (IDM) for prostate cancer screening to be delivered to African American men in church settings.

Detailed Description
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The specific aims of the project are to 1) develop, and 2) test the efficacy of a spiritually-based cancer communication intervention to increase IDM for prostate cancer screening among African American men in church settings, and including women as supportive health partners. A randomized controlled trial is utilized, in which churches will be randomized to: 1) male-only educational groups; and 2) co-educational groups where women supportive health partners are invited to attend with the men in dyads, and then break out into men's and women's discussion groups. These two approaches are compared through use of cluster randomized design to determine whether the addition of the women health partner increases the intervention efficacy in the study outcome of informed decision making for prostate cancer screening.

Official Title
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Prostate Cancer Education in African American Churches

Conditions
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Prostate Cancer

Intervention / Treatment
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* Behavioral: Men's Workshops
* Behavioral: Co-Educational Workshops


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male Study Participants African American Men church attending men 40-69 years of age Advisory Panel Knowledgeable about the community where the intervention is implemented, adults ages 21+, review materials and provide input for intervention development and program implementation Pastors Willing to conduct the intervention at church Support the program Designate two individuals to serve as community health advisors Identify a ministry in the church which will champion the project Community Health Advisors attend a 6 hour training and 1 hour certification assist in recruitment of study participants recruit up to 24 men recruit up to 24 females to attend sessions with men in 10 Health Partner Churches prepare and conduct the 4 part workshop series serve as liaisons between the project and study team Workshop Participants self-identified, African American men (40-69), Health Partners --over 18 years of age, able to complete self-administered paper-and-pencil surveys Exclusion Criteria: Workshop participants with a history of prostate cancer, do not meet the age criteria

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 69 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Co-Educational Workshops<br>Community health advisors will be trained using traditional/classroom methods and provided with technical assistance/support to implement the 4 part health series with men and women dyads. Technical assistance and support will be given as needed to community health advisors. Workshop sessions will include didactic lecture, group discussions, video and group exercises. | Behavioral: Co-Educational Workshops<br>* One male and one female Community Health Advisor will be trained using traditional/classroom methods and provided with technical assistance/support to implement the 4 part workshop series. Two break out sessions will occur in the Health Partner condition with separate discussion sessions for men and female health partners.<br>|
| Active Comparator: Men's Workshops<br>Community health advisors will be trained using traditional/classroom methods and provided with technical assistance/support as needed to deliver 4 part educational sessions to men only groups to relay information about making an informed decision about prostate cancer screening. Workshop sessions will include didactic lecture, group discussions, video and group exercises. | Behavioral: Men's Workshops<br>* Two male Community Health Advisors will be trained using traditional/classroom methods and provided with technical assistance/support to implement the 4 part workshop series.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Informed Decision making for Prostate Cancer Screening | IDM for prostate cancer screening for African American men participating in a church-based group educational workshops will be measured at baseline and 12 months. Survey assessments items for informed decision making include: stage of decision making, preference for decision making, and self-efficacy for decision making. | Baseline to 12 month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Theory-based measures, prostate cancer knowledge, and prostate cancer screening | Health Belief Model-based scales including perceived benefits of screening; perceived barriers to screening; self-efficacy for screening; and knowledge including prostate cancer knowledge; knowledge about the prostate cancer screening controversy; and prostate cancer screening through self-report receipt of prostate specific antigen test and digital rectal examination | Change from baseline to 12 month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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prostate cancer disparities, African American, Spiritually based intervention, Men's Health, Informed Decision Making, Community Based Participatory Research, Health Communication, Health Information Technology, Community Health Advisors