Trial Summary
What is the purpose of this trial?The project will investigate the efficacy of a Veteran-peer-navigator-led decision coaching (PDC) program to promote Shared Decision Making (SDM) for prostate cancer screening among Veterans at the Veterans Health Administration (VA). Prostate cancer is commonly screen detected using PSA, a non-specific test which has led to modest population-level survival benefits at the cost of over-detection of low-risk disease. This trade off in outcomes is ideally addressed using SDM which can be challenging to implement in time constrained primary care office visits. The investigators propose the evaluation of a PDC intervention to promote SDM for PSA screening to improve both access and quality of care for Veterans. The investigators results will enhance understanding of the efficacy, cost-effectiveness, and sustainability of PDC interventions for SDM promotion across communication formats in the VA. Lessons learned through this proposal will not only improve quality of care for PSA screening but also will suggest a paradigm for dissemination of SDM across preventive services.
Eligibility Criteria
This trial is for Veterans at the VA who are considering prostate cancer screening using PSA. It's designed to help them make informed decisions about their care. Participants should be able to engage with peer navigators and attend decision coaching sessions.Inclusion Criteria
Veteran
I am a veteran aged between 40 and 69.
I am male.
+2 more
Exclusion Criteria
I am a veteran seeing my doctor for a reason other than a routine check-up.
I am a veteran diagnosed with prostate cancer.
My doctor does not treat adult men.
+2 more
Participant Groups
The study tests a program where Veteran peers guide participants through Shared Decision Making (SDM) regarding PSA screening for prostate cancer, aiming to balance benefits and risks of over-detection.
2Treatment groups
Experimental Treatment
Active Control
Group I: Intervention GroupExperimental Treatment1 Intervention
Veterans randomized to the intervention arm will receive a decision aid in the mail along with decision coaching on PSA screening from a Veteran Veteran-peer-navigator decision coach. The intervention will be administered prior to the Veteran patient's appointment with the provider.
Group II: Control GroupActive Control1 Intervention
Veteran patients in the control arm will receive a decision aid alone in the mail without any additional counseling prior to their office visit.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
VA NY Harbor Healthcare System, New York, NYNew York, NY
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Who Is Running the Clinical Trial?
VA Office of Research and DevelopmentLead Sponsor