andomized Trial of a Computer-Tailored Decision Aid to rove Prostate Cancer Screening Decisions:

Downloa ective: To evaluate a decision aid (DA) designed to promote informed decision making for prostate screening. thods: Twelve work sites were randomly assigned to an intervention or nonintervention comparison ion. Intervention sites received access to a computer-tailored DA at the workplace. Male employees age rs and above (n = 625) completed surveys at baseline and at 3-month follow-up, documenting aspects rmed decision making. ults: Using an intention-to-treat analysis, men in the intervention group were significantly more likely e made a screening decision and to have improved knowledge without increased decisional conflict, e to men in the comparison group. These changes were observed despite the fact that only 30% of men rvention sites used the DA. Among DA users, similar improvements were observed, although the mags of changes were substantially greater, and significant improvements in decision self-efficacy were ed. clusions: A DA offered in the workplace promoted decision making, improved knowledge, and ind decision self-efficacy among users, without increasing decisional conflict. However, participation boptimal, suggesting that better methods for engaging men in workplace interventions are needed. act Statement: This trial shows the efficacy of a computer-tailored DA in promoting informed deciabout prostate cancer screening. The DA was delivered through work sites, thereby providing access urces required to participate in informed decision making without requiring a medical appointment. to reso However, participation rates were suboptimal, and additional strategies for engaging men are needed. Cancer Epidemiol Biomarkers Prev; 19(9); 2172–86. ©2010 AACR.