- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03726320
Trial of Community Health Worker-led Decision Coaching
October 20, 2023 updated by: NYU Langone Health
Randomized Trial of Community Health Worker-led Decision Coaching to Promote Shared Decision Making for Prostate Cancer Screening Among Black Male Patients and Their Providers
Black men are disproportionately affected by prostate cancer, the most common non-cutaneous malignancy among men in the U.S.
This randomized trial will evaluate the efficacy of a Community Health Worker-led decision coaching program to facilitate Shared Decision Making (SDM) and Prostate Specific Antigen (PSA) screening among Black men with regards to decision quality, the decision making process, patient-provider communication and PSA utilization for Black men in the primary care setting.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
162
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- New York University School of Medicine
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
40 years to 69 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
Patients:
- Black
- Male
- Attending FQHC for routine primary care appointment
Providers:
- Provider at Sunset Park Health Council Federally Qualified Health Center (FQHC)
- Caring for patients that fit inclusion criteria
Exclusion Criteria:
- Provider at Sunset Park Health Council Federally Qualified Health Center (FQHC)
- Caring for patients that fit inclusion criteria
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention Group
A decision aid along with decision coaching on PSA screening from a Community Health Worker (CHW).
The intervention will be administered directly prior to the participant's appointment with their provider.
|
counseling from extensively trained CHW
|
Active Comparator: Control Group
A decision aid along with CHW interaction on dietary and lifestyle modification to serve as an attention control.
The intervention will be administered directly prior to the participant's appointment with their provider.
|
coaching using an educational tool focused on dietary and lifestyle modification
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Prostate Specific Antigen (PSA) Screening Rates
Time Frame: Up to Month 3
|
Percentage of participants who receive at least one PSA screening.
Screening data are collected through patient self-reports and electronic health record data.
|
Up to Month 3
|
Change in Patient Knowledge Survey Score from Post-Coaching Session to Post-Appointments
Time Frame: Post-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
The Patient Knowledge Survey comprises 12 items assessing participants' understanding of PSA testing and prostate cancer.
Respondents provide an answer of "True," "Unsure," or "False."
The total score is the sum of correct responses and ranges from 0-12; higher scores indicate greater knowledge.
This survey will be administered twice: once directly following the coaching session prior to the patient's appointment, and again following the appointment.
|
Post-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
Change in Measure of Informed Choice Attitudes Score
Time Frame: Post-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
The Measure of Informed Choice Attitudes Survey comprises 4 questions assessing participants' attitudes toward PSA testing.
Each item is rated on a scale from 1-7.
The total score is the sum of responses (the third item is reverse-scored) and ranges from 4 to 28; lower scores indicate more positive attitudes toward PSA screening.
This survey will be administered twice: once directly following the coaching session prior to the patient's appointment, and again following the appointment.
|
Post-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
Change in Decision Quality Score
Time Frame: Post-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
The Decision Quality survey includes 12 items assessing participants' attitudes toward prostate cancer treatment and screening.
Each item is rated on a scale from 1-5, where 1 = strongly disagree and 5 = strongly agree.
The total score is the sum of responses and ranges from 12 to 60; higher scores indicate more positive attitudes toward treatment and screening.
This survey will be administered twice: once directly following the coaching session prior to the patient's appointment, and again following the appointment.
|
Post-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Decision Self-Efficacy Scale Score
Time Frame: Pre-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
The Decision Self-Efficacy Scale is an 11-item survey measuring confidence in making an informed choice.
Each item is rated on a scale from 0-4, where 0 = not at all confident and 4 = very confident.
The total score ranges from 0 to 44; higher scores indicate greater confidence in making an informed choice.
|
Pre-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
Doctor-Patient Communication Survey Score
Time Frame: Post-Appointment (Day 1)
|
The Doctor-Patient Communication Survey includes 19 items assessing how participants felt they were able to communicate with their provider.
Each item is rated on a scale from 1-5, where 1 = strongly disagree and 5 = strongly agree.
The total score is the sum of responses and ranges from 12 to 60; higher scores indicate greater doctor-patient communication.
This survey will be administered twice: once directly following the coaching session prior to the patient's appointment, and again following the appointment.
|
Post-Appointment (Day 1)
|
Change in Perceived Efficacy in Patient-Physician Interactions Questionnaire (PEPPI) Score
Time Frame: Pre-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
PEPPI is a 10-item assessment of participant's perceived self-efficacy for communicating with their provider.
Each item is rated on a scale from 1-5, where 1 = not at all confident and 5 = very confident.
The total score is the sum of responses and ranges from 10 to 50; higher scores indicate greater self-efficacy in communicating with providers.
|
Pre-Coaching Session/Pre-Appointment, Post-Appointment (Day 1)
|
Change in Decisional Conflict Scale Score
Time Frame: Post-Coaching Session/Pre-Appointment (Day 1), Month 3
|
The Decisional Conflict Scale is a 16-item survey assessing the level of decisional conflict for participants when deciding whether to have prostate cancer screening.
Each item is rated on a 0-4 scale, where 0 = strongly agree and 4 = strongly disagree.
The total score is the sum of responses and ranges from 0 to 64; lower scores indicate lower levels of decisional conflict.
|
Post-Coaching Session/Pre-Appointment (Day 1), Month 3
|
Change in Satisfaction with Decision Scale Score
Time Frame: Post-Appointment (Day 1), Month 3
|
6-item assessment of participants' satisfaction with their prostate cancer screening decisions.
Each item is rated on a 1-5 scale, where 1 = strongly disagree and 5 = strongly agree.
Higher scores indicate greater satisfaction.
|
Post-Appointment (Day 1), Month 3
|
Decisional Regret Scale Survey
Time Frame: Month 3
|
5-item assessment of participants' regret toward the first decision they made about prostate cancer screening after speaking with their provider.
Each item is rated on a scale from 1-5, where 1 = strongly agree and 5 = strongly disagree.
The total score is the sum of responses and ranges from 5 to 25; lower scores indicate lower levels of regret/greater satisfaction.
|
Month 3
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Danil Makarov, MD, NYU Langone Health
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 15, 2019
Primary Completion (Actual)
April 21, 2023
Study Completion (Actual)
September 20, 2023
Study Registration Dates
First Submitted
September 7, 2018
First Submitted That Met QC Criteria
October 29, 2018
First Posted (Actual)
October 31, 2018
Study Record Updates
Last Update Posted (Actual)
October 24, 2023
Last Update Submitted That Met QC Criteria
October 20, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 18-00514
- 1R01MD012243-01A1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Aggregate participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
IPD Sharing Time Frame
Immediately following publication.
No end date.
IPD Sharing Access Criteria
Proposals may be submitted up to 36 months following article publication.
After 36 months the data will be available in our University's data warehouse but without investigator support other than deposited metadata.
Information regarding submitting requests and accessing data may be found at (Link to be provided).Researchers who provide a methodologically sound proposal will have access to the data.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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