Prostate Cancer Screening Education for Prostate Cancer

Overseen By Erika Trapl, PhD

Age: 18+

Sex: Male

Trial Phase: Academic

Sponsor: Case Comprehensive Cancer Center

Disqualifiers: Prostatectomy

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

800 Participants Needed

Trial Summary

What is the purpose of this trial?

The purpose of this research is to test intervention strategies that encourage and support Black or African American men who are 40 and older to complete prostate cancer screening, and specifically to complete a prostate-specific antigen (PSA) test.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Education at Community Outreach Screening Event for prostate cancer?

Research shows that educational programs and community outreach can improve understanding of prostate cancer, lead to earlier diagnosis, and enhance patient participation in treatment decisions. These approaches have been successful in increasing knowledge and screening rates in medically underserved communities. ^{1 2 3 4 5}

Is the prostate cancer screening education program safe for humans?

The research articles reviewed do not provide specific safety data for the prostate cancer screening education program, but they focus on education and awareness, which are generally considered safe activities. ^{1 5 6 7 8}

How does the prostate cancer screening education treatment differ from other treatments for prostate cancer?

This treatment is unique because it focuses on educating communities, especially underserved ones, about prostate cancer screening through various methods like community events and navigators, rather than using medical interventions. It aims to increase awareness and informed decision-making, which is different from traditional medical treatments that focus on direct medical intervention. ^{1 5 6 8 9}

Research Team

Erika Trapl, PhD

Principal Investigator

Case Comprehensive Cancer Center

Eligibility Criteria

This trial is for Black or African American individuals who are 40 years old or older, have a prostate gland, and haven't had a PSA test in the last year. They must be able to consent to the study and speak English. Those who've had their prostate removed can't join.

Inclusion Criteria

Self-identify as Black or African American

English speaking

I have never had a PSA test or it's been over a year since my last one.

Exclusion Criteria

I have had surgery to remove my prostate.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Recruitment and Intervention

Participants are recruited and receive one of three intervention strategies: education and passive navigation, education and active navigation, or education and active navigation with community-based outreach.

4 months

Community-based visits and outreach events

Follow-up

Participants are monitored for PSA test completion and provide feedback on their screening experience.

4 months

1 follow-up visit (in-person or virtual)

Long-term Follow-up

Participants are encouraged to follow up with a primary care physician for routine care.

10 months

Treatment Details

Interventions

• Education at Community Outreach Screening Event
• Education by Community Navigator
• Passive Education

Trial Overview The study tests different ways of educating about prostate cancer screening: one-on-one guidance from community navigators, education at community events, and passive educational materials. The goal is to see if these methods increase PSA testing rates.

Participant Groups

Group I: Education and Passive Navigation Experimental Treatment 1 Intervention

This arm receives barber-led education and access to a resource website. Barbers will encourage clients to access the screening website. Other study materials will also be located within the shop. The resource website will be accessible via QR code that will encourage potential participants to complete a Prostate Cancer Knowledge and Risk Assessment questionnaire.

Group II: Education and Active Navigation with Community Based Outreach Experimental Treatment 3 Interventions

This arm adds the community navigator and a community outreach screening event. Case Comprehensive Cancer Center Community Outreach and Engagement will offer barber shops an onsite PSA screening event.

Group III: Education and Active Navigation Experimental Treatment 2 Interventions

This arm includes all interventions of the first arm plus the addition of a community navigator. The community navigator will be onsite to assist in information delivery and navigation to resources and encourage the completion of the Screener through the QR code. The community navigator will help participants connect with a primary care provider to continue with all preventive healthcare recommendations.

Education at Community Outreach Screening Event is already approved in United States for the following indications:

Approved in United States as Community Outreach Screening Event for:

• Prostate Cancer Screening Education

Who Is Running the Clinical Trial?

Case Comprehensive Cancer Center

Lead Sponsor

Trials

472

Recruited

33,400+

Findings from Research

A public seminar on prostate cancer organized by a committee of healthcare professionals revealed a strong demand for education and support among attendees, indicating a gap in current resources for patients and caregivers.

Feedback from participants highlighted a significant interest in ongoing support groups and additional educational forums, suggesting that such initiatives could greatly benefit those affected by prostate cancer.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Prostate disease patients: planning services to meet their coping needs. Anderson, PJ., Dowell, CJ., Fairbrother, G., et al.[2015]

Community outreach events for colorectal cancer (CRC) screening can motivate individuals to seek or obtain screening, with 26.7% of participants who were due for screening doing so within 3 months after attending an event.

However, many attendees were already compliant with screening guidelines, indicating that these events may not effectively reach those most in need of screening, particularly if priority audiences are not specifically targeted.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Results from an Evaluation of the Georgia Colorectal Cancer Control Program's Community Education and Outreach Events, 2013. Woodruff, RC., Hermstad, A., Honeycutt, S., et al.[2019]

The one-day workshop for cancer patients focused on enhancing communication with healthcare providers, covering critical topics like diagnosis, treatment options, and difficult conversations about end-of-life care.

Participants primarily attended to share their experiences rather than to learn specific communication skills, highlighting the importance of peer support and shared understanding in navigating cancer care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Teaching patients how to improve communication with their health care providers: a unique workshop experience. Fisch, M., Zichi Cohen, M., Rutledge, C., et al.[2015]

Patients with low socioeconomic status and/or low literacy face significant challenges in managing prostate cancer, highlighting the need for targeted educational programs to improve their understanding and treatment outcomes.

Involving practice nurses and health educators can enhance patient engagement in treatment decisions and improve posttreatment follow-up, leading to better management of complications and earlier diagnosis.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Managing the low-socioeconomic-status prostate cancer patient. Rayford, W.[2021]

The Prostate Outreach Project successfully educated and screened 4,420 men in medically underserved communities for prostate cancer, significantly increasing their knowledge about the disease and its detection methods.

Despite the successful recruitment and education, only 40% of men with abnormal screening examinations followed up for further medical care, highlighting a critical gap that could perpetuate disparities in prostate cancer outcomes, especially among African American participants who had a higher incidence of diagnosed cancers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Prostate Cancer Education, Detection, and Follow-Up in a Community-Based Multiethnic Cohort of Medically Underserved Men. Ashorobi, OS., Frost, J., Wang, X., et al.[2019]

A community-based prostate health awareness program effectively increased participants' knowledge about prostate cancer, as shown by significant improvements in posttest scores compared to pretest results.

The program also positively influenced short-term intentions and behaviors related to prostate health, suggesting it can empower men to make informed decisions before consulting with healthcare professionals.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Promoting informed decision making: evaluating a community-based prostate health awareness program. Bridge, PD., Berry-Bobovski, LC., Gallagher, RE.[2006]

In a study involving 63 African American men, prostate cancer survivor educators significantly improved participants' decision self-efficacy, indicating that personal stories can enhance confidence in making screening decisions.

While health educators effectively reduced perceived screening risks, survivor educators were found to be more appealing and relatable to the audience, suggesting that incorporating survivor experiences could strengthen community outreach programs on prostate cancer screening.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Prostate cancer survivors as community health educators: implications for informed decision making and cancer communication. Vijaykumar, S., Wray, RJ., Jupka, K., et al.[2021]

A review of educational intervention trials in prostate cancer over the last 10 years revealed that most studies focused on managing the disease, treatments, and side effects, highlighting the importance of education in patient care.

Understanding psychosocial stressors and educational interventions is essential for nurses, as these factors significantly impact the well-being of men with prostate cancer and their families.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Psychosocial and educational intervention trials in prostate cancer. Germino, BB.[2019]

A quasi-experimental study involving 448 male employees showed a significant improvement in knowledge and attitudes towards prostate and testicular cancer after an educational program, with a mean score increase of 23.4% (p < 0.01).

The success of this educational initiative has led to broader statewide efforts to enhance awareness and education about prostate cancer, which is increasingly important given its rising incidence among men.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Male cancer awareness: impact of an employee education program. Martin, JP.[2015]

References

1. United States pubmed.ncbi.nlm.nih.gov

Prostate disease patients: planning services to meet their coping needs. [2015]

2. England pubmed.ncbi.nlm.nih.gov

Results from an Evaluation of the Georgia Colorectal Cancer Control Program's Community Education and Outreach Events, 2013. [2019]

3. England pubmed.ncbi.nlm.nih.gov

Teaching patients how to improve communication with their health care providers: a unique workshop experience. [2015]

4. United States pubmed.ncbi.nlm.nih.gov

Managing the low-socioeconomic-status prostate cancer patient. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Prostate Cancer Education, Detection, and Follow-Up in a Community-Based Multiethnic Cohort of Medically Underserved Men. [2019]

6. England pubmed.ncbi.nlm.nih.gov

Promoting informed decision making: evaluating a community-based prostate health awareness program. [2006]

7. England pubmed.ncbi.nlm.nih.gov

Prostate cancer survivors as community health educators: implications for informed decision making and cancer communication. [2021]

8. United States pubmed.ncbi.nlm.nih.gov

Psychosocial and educational intervention trials in prostate cancer. [2019]

9. United States pubmed.ncbi.nlm.nih.gov

Male cancer awareness: impact of an employee education program. [2015]