Abstract
There is a paucity of research on the effects of pretest measurement with prostate cancer screening. What effect does a pretest measurement have on posttest outcomes? This research reports knowledge of prostate cancer screening among men randomized to an Enhanced decision aid versus an Usual Care decision aid. Using a Solomon Four research design, there were a total of 198 men in 4 groups. Most of the sample was African American (78%), with a mean age of 52 years. The greatest posttest knowledge occurred with the Enhanced decision aid in contrast to the Usual Care. The Enhanced/Usual Care groups that had both a pretest and posttest and had received a previous digital rectal examination had the highest means (P = .015), with means of 9.1 and 7.0, respectively. Among men who had a previous digital rectal examination, the greatest increase in score occurred among men randomized to the Enhanced decision aid in contrast to the Usual Care decision aid, 2.9 versus 0.4 (P = .008). The outcome varied based on the status of (1) random group assignment of the Solomon Four design and (2) status of previous digital rectal examination. Implications for nurses include consideration 1 of a pretest to increase posttest knowledge scores.
Original language | English (US) |
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Pages (from-to) | E16-E28 |
Journal | Cancer Nursing |
Volume | 30 |
Issue number | 5 |
DOIs | |
State | Published - Sep 2007 |
Keywords
- African Americans
- Benefits and limitations
- Decision aid
- Experimental design
- Knowledge
- Low income
- Medically underserved
- Prostate cancer screening
- Solomon Four
ASJC Scopus subject areas
- Oncology
- Oncology(nursing)