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Helping Men Decide About Scheduling a Prostate Cancer Screening Exam

Author

Listed:
  • Matthew Liberatore

    (Department of Management and Operations, Villanova School of Business, Villanova University, Villanova, Pennsylvania 19085)

  • Robert Nydick

    (Department of Management and Operations, Villanova School of Business, Villanova University, Villanova, Pennsylvania 19085)

  • Constantine Daskalakis

    (Department of Pharmacology and Experimental Therapeutics, Division of Biostatistics, Thomas Jefferson University, Philadelphia, Pennsylvania 19107)

  • Elisabeth Kunkel

    (Department of Psychiatry and Human Behavior, Thomas Jefferson University, Philadelphia, Pennsylvania 19107)

  • James Cocroft

    (Department of Medical Oncology, Division of Population Science, Thomas Jefferson University, Philadelphia, Pennsylvania 19107)

  • Ronald Myers

    (Department of Medical Oncology, Division of Population Science, Thomas Jefferson University, Philadelphia, Pennsylvania 19107)

Abstract

This paper reports on the application of decision counseling based on the analytic hierarchy process (AHP) to assist men in deciding whether or not to schedule a prostate cancer screening exam. The study is based on data that we collected from 129 men enrolled in the intervention arm of two randomized, controlled trials. First, we administered a baseline survey to gather data on participant sociodemographic characteristics and perceptions about prostate cancer and screening. Subsequently, a health educator conducted a session with each man to review an informational booklet on prostate cancer screening. Then, the health educator used an AHP-based decision process that identified the most important factors (both pro or con) that might influence prostate cancer screening preferences, clarified preferences related to scheduling a prostate screening exam, and elicited a scheduling decision. We performed univariable and multivariable logistic regression analyses to identify variables associated with the decision. Of the 129 men enrolled, 85 men (66 percent) decided to schedule a prostate cancer screening exam. Multivariable analyses showed that preference strengths and favorable perceptions of prostate cancer screening predicted the decision to screen.

Suggested Citation

  • Matthew Liberatore & Robert Nydick & Constantine Daskalakis & Elisabeth Kunkel & James Cocroft & Ronald Myers, 2009. "Helping Men Decide About Scheduling a Prostate Cancer Screening Exam," Interfaces, INFORMS, vol. 39(3), pages 209-217, June.
  • Handle: RePEc:inm:orinte:v:39:y:2009:i:3:p:209-217
    DOI: 10.1287/inte.1080.0395
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    References listed on IDEAS

    as
    1. Thomas L. Saaty & Luis G. Vargas, 1998. "Diagnosis with Dependent Symptoms: Bayes Theorem and the Analytic Hierarchy Process," Operations Research, INFORMS, vol. 46(4), pages 491-502, August.
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    4. James G. Dolan, 1995. "Are Patients Capable of Using the Analytic Hierarchy Process and Willing to Use It to Help Make Clinical Decisions?," Medical Decision Making, , vol. 15(1), pages 76-80, February.
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