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

Author

Listed:
  • David R. Rovner

    (633 Whitehills Drive, East Lansing, MI 48823.)

  • Celia E. Wills

    (College of Nursing, Michigan State University)

  • Vence Bonham

    (Department of Medicine College of Human Medicine, Michigan State University)

  • Gilbert Williams
  • Janet Lillie

    (College of Communication Arts and Sciences, Michigan State University)

  • Karen Kelly-Blake

    (College of Social Sciences, Michigan State University)

  • Mark V. Williams

    (East Lansing Michigan, and the Department of Medicine, Emory University School of Medicine, Atlanta, Georgia)

  • Margaret Holmes-Rovner

    (Department of Medicine College of Human Medicine, Michigan State University)

Abstract

Background/Method . Decision aids have not been widely tested in diverse audiences. The authors conducted interviews in a 2 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 .

Suggested Citation

  • David R. Rovner & Celia E. Wills & Vence Bonham & Gilbert Williams & Janet Lillie & Karen Kelly-Blake & Mark V. Williams & Margaret Holmes-Rovner, 2004. "Decision Aids for Benign Prostatic Hyperplasia: Applicability across Race and Education," Medical Decision Making, , vol. 24(4), pages 359-366, August.
    • Handle: RePEc:sae:medema:v:24:y:2004:i:4:p:359-366
    DOI: 10.1177/0272989X04267010
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    Cited by:

    1. Cameron Brick & Alexandra L. J. Freeman & Steven Wooding & William J. Skylark & Theresa M. Marteau & David J. Spiegelhalter, 2018. "Winners and losers: communicating the potential impacts of policies," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-13, December.
    2. Marie-Anne Durand & Lewis Carpenter & Hayley Dolan & Paulina Bravo & Mala Mann & Frances Bunn & Glyn Elwyn, 2014. "Do Interventions Designed to Support Shared Decision-Making Reduce Health Inequalities? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-13, April.

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