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Educational Interview in Improving Health Literacy in African-American Participants with Prostate Cancer

Status
Active
Cancer Type
Prostate Cancer
Unknown Primary
Trial Phase
Eligibility
25 - 100 Years, Male
Study Type
Health services research
NCT ID
NCT03322891
Protocol IDs
HU-HEALTHLITERACY (primary)
NCI-2018-00842
IRB00091879
IRB00085616
Study Sponsor
Emory University Hospital/Winship Cancer Institute

Summary

This trial studies how well an educational interview works in improving health literacy in African-American participants with prostate cancer. An educational interview may help participants understand prostate cancer treatment and side effects better.

Objectives

PRIMARY OBJECTIVES:
I. Characterize health literacy in a group of newly diagnosed, early stage, African American prostate cancer patients across five empirical domains including 1) reading skills, 2) simple mathematical skills for risk communication (the ability to calculate a simple fraction or a percent), 3) anatomic knowledge, 4) comprehension of common medical terms used in prostate cancer. (group session)
II. Assess comprehension of prostate cancer treatment options and side effects in this group of patients after they meet with their provider to discuss their treatment alternatives (standard practice). (group session)
III. Deliver a low literacy educational supplement that explicitly addresses each domain of health literacy to tailor content and augment the information that patients receive from their urologists. (group session)
IV. Compare outcomes after patients meet with their urologist and after receiving the low literacy supplement to quantify the potential benefit of a targeted health literacy supplement over and above standard practice. (group session)
V. Compare urologists’ assessment of patients’ 1) health literacy 2) preferences for side effects to measures obtained from patients. (group session)
VI. Improve patients’ comprehension of treatment options and side effects through shared vocabulary for genitourinary (GU) function. (nested cohort)
VII. Improve shared decision making by decreasing decisional conflict among patients. (nested cohort)
VIII. Facilitate provider’s insights into the patient’s 1) preferred terms for urinary, bowel and sexual function; 2) preferred role in decision making; 3) values and preferences; to support shared decision making. (nested cohort)


OUTLINE:

GROUP SESSION: Patients attend a face to face interview over 45-60 minutes consisting of a scripted educational supplement regarding prostate cancer treatment options and side effects.

NESTED COHORT: Patients attend a a one-time, structured interview over 60 minutes and a single follow up phone call over 5 minutes.

After completion of study, patients are followed up prior to prostate cancer treatment.

Eligibility

  1. Patients being treated for early, localized prostate cancer at Emory University and Grady Memorial Hospital with American Joint Committee on Cancer (AJCC) clinical stage T1-T2 non-metastatic adenocarcinoma of the prostate by physical exam. Radiographic staging is not required.

Treatment Sites in Georgia

Atlanta VA Medical Center


1670 Clairmont Road
Decatur, GA 30033
404-728-7680
www.atlanta.va.gov

Emory Saint Joseph's Hospital


5665 Peachtree Dunwoody Road NE
Atlanta, GA 30342
www.emoryhealthcare.org

Emory University Hospital - Atlanta


1364 Clifton Road NE
Atlanta, GA 30322
www.emoryhealthcare.org

Grady Memorial Hospital


80 Jesse Hill Jr. Drive, SE
Atlanta, GA 30303
www.gradyhealth.org

**Clinical trials are research studies that involve people. These studies test new ways to prevent, detect, diagnose, or treat diseases. People who take part in cancer clinical trials have an opportunity to contribute to scientists’ knowledge about cancer and to help in the development of improved cancer treatments. They also receive state-of-the-art care from cancer experts... Click here to learn more about clinical trials.
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