Minority Health Archive

Decision Aids for Benign Prostatic Hyperplasia: Applicability across Race and Education

Rovner, David R and Wills, Celia E and Bonham, Vence and Williams, Gilbert and Lillie, Janet and Kelly-Blake, Karen and Williams, Mark V and Holmes-Rovner, Margaret (2004) Decision Aids for Benign Prostatic Hyperplasia: Applicability across Race and Education. Medical Decision Making, 24 (4). pp. 359-366. ISSN 0272-989X

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Background/Method. Decision aids have not been widely tested in diverse audiences. The authors conducted interviews in a 2 x 2 race by education design with participants who were 50 years old (n = 188). The decision aid was a benign prostatic hyperplasia videotape. Results. There was an increase in knowledge equal in all groups, with baseline knowledge higher in whites. The decision stage increased in all groups and was equivalent in the marginal-illiterate subgroup (n = 0.15). Conclusion. Contrary to expectations, results show no difference by race or college education in knowledge gain or increase in reported readiness to decide. The video appeared to produce change across race and education. The end decision stage was high, especially in less educated men. Results suggest that decision aids may be effective without tailoring, as suggested previously to enhance health communication in diverse audiences. Research should test findings in representative samples and in clinical encounters and identify types of knowledge absorbed from decision aids and whether the shift to decision reflects data/knowledge or shared decision-making message.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: health literacy; decision support interventions; race; decision making.
Subjects: Research
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Depositing User: Kismet Loftin-Bell
Date Deposited: 18 Oct 2005
Last Modified: 21 Jun 2011 10:06
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/286

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