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Randomized Controlled Trial
. 2008 Dec;73(3):482-9.
doi: 10.1016/j.pec.2008.07.033. Epub 2008 Aug 29.

Entertainment education for prostate cancer screening: a randomized trial among primary care patients with low health literacy

Robert J Volk  1 , Maria L Jibaja-Weiss, Sarah T Hawley, Suzanne Kneuper, Stephen J Spann, Brian J Miles, David J Hyman
Affiliations
Randomized Controlled Trial

Entertainment education for prostate cancer screening: a randomized trial among primary care patients with low health literacy

Robert J Volk et al. Patient Educ Couns. 2008 Dec.

Abstract

Objective: To evaluate an entertainment-based patient decision aid for prostate cancer screening among patients with low or high health literacy.

Methods: Male primary care patients from two clinical sites, one characterized as serving patients with low health literacy (n=149) and the second as serving patients with high health literacy (n=301), were randomized to receive an entertainment-based decision aid for prostate cancer screening or an audiobooklet-control aid with the same learner content but without the entertainment features. Postintervention and 2-week follow-up assessments were conducted.

Results: Patients at the low-literacy site were more engaged with the entertainment-based aid than patients at the high-literacy site. Overall, knowledge improved for all patients. Among patients at the low-literacy site, the entertainment-based aid was associated with lower decisional conflict and greater self-advocacy (i.e., mastering and obtaining information about screening) when compared to patients given the audiobooklet. No differences between the aids were observed for patients at the high-literacy site.

Conclusion: Entertainment education may be an effective strategy for promoting informed decision making about prostate cancer screening among patients with lower health literacy.

Practice implications: As barriers to implementing computer-based patient decision support programs decrease, alternative models for delivering these programs should be explored.

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Conflict of interest statement

Conflict of Interest

None.

Figures

Figure 1.
Figure 1.
Schema for the Study.
See this image and copyright information in PMC

References

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