1) The document summarizes a study that evaluated the impact of an informed decision-making video on prostate cancer knowledge and screening intentions among African American men with different levels of health literacy. 2) The study found that men with higher functional health literacy had higher baseline knowledge about prostate cancer screening than those with inadequate health literacy. 3) After watching the video, the differences in baseline knowledge between literacy groups lessened, but there was no change in screening intentions. Participants responded positively to the video content and format overall.

1. 8/17/2016 Abstract B13: Impact of an informed decision making video among African American men across levels of health literacy
http://cancerpreventionresearch.aacrjournals.org/content/1/7_Supplement/B13 1/1
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Abstract B13: Impact of an informed decision
making video among African American men across
levels of health literacy
Levi Ross, Sherese Bleechington, Alicestine Ashford, and Deborah Erwin
Author Affiliations
Abstracts: Frontiers in Cancer Prevention Research 2008
Abstract
B13
Initiatives to promote informed decision making for prostate cancer (CaP) screening and early detection have grown
significantly in recent years. However, several subpopulations of men throughout the United States remain underserved.
Systematic reviews of the CaP control literature point to a need for more research to enhance African American mens’
knowledge of CaP screening issues and research that can increase their levels of participation in CaP screening decision­
making discussions with physicians. Evidenced­based tools exist that can achieve both of these objectives. However, many of
these tools have not been evaluated for use with African American men nor with consideration given to participants’ abilities to
comprehend health messages as measured by health literacy status. The current research study was conducted in response to
national calls for more type II translation research­­research aimed at increasing the adoption of effective practices into
communities­­with vulnerable and high risk populations. The goal was to evaluate the applicability of a video intervention­The
PSA Test for Prostate Cancer: Is it Right for Me?­­for use with African American men in the Greater Florida Panhandle
Region. The specific aims were (1) to assess acceptability of the intervention, (2) to evaluate the impact of the intervention on
knowledge about screening­related issues, and (3) to assess the impact of the intervention on intentions to become involved in
decision­making discussions across participants’ demographic and health literacy characteristics. Fifty African American men
participated in interviewer­administered pretest/posttest interviews during January and February 2008. Health literacy status
was determined with the test of functional health literacy in adults (TOFHLA). Six research hypotheses related to changes in
CaP knowledge, intentions to engage in PSA screening decision­making discussions, and intentions to undergo PSA testing
were tested. Results from bivariate analyses [F(2,46) = 6.54, p = .003] indicated that men with functional health literacy (M =
7.29) had higher mean levels of CaP knowledge at baseline than men with inadequate health literacy (M = 5.50). No baseline
differences were noted regarding participants’ intentions to have PSA discussions with physicians in the next 12 months or their
intentions to have a PSA test in the next 12 months. The between group and within group test results from repeated measures
analysis of covariance indicated that the group differences in CaP knowledge that existed at pretest had lessened after
intervention exposure. No changes were found regarding participants’ intentions to have a PSA discussion with a physician in
the next 12 month or their intentions to have a PSA test. Participants’ perceptions of the information presented in the video
were overwhelmingly favorably. Nearly all (98%) believed the information was credible. Ninety percent stated that the
information was trustworthy. All men thought the information was interesting. Most (91%) stated that the information was
understandable. Nearly all (96%) thought the information presented was complete. Results from the current study provide
preliminary support for the use of an evidenced­based intervention with diverse African American men and support more
dissemination research with the intervention within the African American community.
Citation Information: Cancer Prev Res 2008;1(7 Suppl):B13.
American Association for Cancer Research