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document
The development of a web- and a print-based decision aid for prostate cancer screening . BACKGROUND Whether early detection and treatment of prostate cancer ( PCa ) will reduce disease-related mortality remains uncertain . As a result , tools are needed to facilitate informed decision making . While there have been several decision aids ( DAs ) developed and tested , very few have included an exercise to help men clarify their values and preferences about PCa screening . Further , only one DA has utilized an interactive web-based format , which allows for an expansion and customization of the material . We describe the development of two DAs , a booklet and an interactive website , each with a values clarification component and designed for use in diverse settings . METHODS We conducted two feasibility studies to assess men 's ( 45-70 years ) Internet access and their willingness to use a web- vs. a print-based tool . The booklet was adapted from two previous versions evaluated in randomized controlled trials ( RCTs ) and the website was created to closely match the content of the revised booklet . Usability testing was conducted to obtain feedback regarding draft versions of the materials . The tools were also reviewed by a plain language expert and the interdisciplinary research team . Feedback on the content and presentation led to iterative modifications of the tools . RESULTS The feasibility studies confirmed that the Internet was a viable medium , as the majority of men used a computer , had access to the Internet , and Internet use increased over time . Feedback from the usability testing on the length , presentation , and content of the materials was incorporated into the final versions of the booklet and website . Both the feasibility studies and the usability testing highlighted the need to address men 's informed decision making regarding screening . CONCLUSIONS Informed decision making for PCa screening is crucial at present and may be important for some time , particularly if a definitive recommendation either for or against screening does not emerge from ongoing prostate cancer screening trials . We have detailed our efforts at developing print- and web-based DAs to assist men in determining how to best meet their PCa screening preferences . Following completion of our ongoing RCT designed to test these materials , our goal will be to develop a dissemination project for the more effective tool . TRIAL REGISTRATION NCT00623090 .
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Intervention_Educational
web- and a print-based decision aid
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Intervention_Educational
booklet
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Intervention_Educational
interactive website
44622
Intervention_Educational
web- vs.
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Intervention_Educational
print-based tool .
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Intervention_Educational
randomized controlled trials ( RCTs )
44625
Intervention_Educational
website
44626
Outcome_Mental
prostate cancer screening
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Outcome_Other
.
44628
Outcome_Mortality
disease-related mortality
44629
Outcome_Mental
decision making
44630
Outcome_Other
.
44631
Outcome_Mental
values and preferences
44632
Outcome_Other
Usability
44633
Outcome_Other
Internet
44634
Outcome_Mental
used a computer
44635
Outcome_Mental
access to the Internet
44636
Outcome_Mental
Internet use
44637
Outcome_Other
length , presentation , and content of the materials
44638
Outcome_Other
feasibility
44639
Outcome_Other
usability
44640
Participant_Condition
prostate cancer
44641
Participant_Sex
men 's
44642
Participant_Age
45-70 years