Received from the SDSU/UCSD Joint Doctoral Program in Clinical Psychology (DLF), and the Department of Family and Preventive Medicine, University of California (DLF, RMK), San Diego, Calif; the Friends Research Institute (DLF) Los Angeles, Calif, and Southern California Permanente Medical Group (VJF) San Diego, Calif.
A Randomized Controlled Trial Comparing Internet and Video to Facilitate Patient Education for Men Considering the Prostate Specific Antigen Test
Article first published online: 3 OCT 2003
Journal of General Internal Medicine
Volume 18, Issue 10, pages 781–787, October 2003
How to Cite
Frosch, D. L., Kaplan, R. M. and Felitti, V. J. (2003), A Randomized Controlled Trial Comparing Internet and Video to Facilitate Patient Education for Men Considering the Prostate Specific Antigen Test. Journal of General Internal Medicine, 18: 781–787. doi: 10.1046/j.1525-1497.2003.20911.x
Presented at the 23rd annual meeting of the Society for Behavioral Medicine, 4/3/02, Washington, DC.
- Issue published online: 3 OCT 2003
- Article first published online: 3 OCT 2003
- patient education;
- decision aids;
- prostate specific antigen;
BACKGROUND: Little is known about the relative advantages of video versus internet-based decision aids to facilitate shared medical decision making. This study compared internet and video patient education modalities for men considering the prostate specific antigen (PSA) test.
METHODS: Two hundred and twenty-six men, aged 50 years or older, and scheduled to complete a physical examination at an HMO Health Appraisal Clinic were randomly assigned to access a website (N = 114) or view a 23-minute videotape in the clinic (N = 112) prior to deciding whether they wanted to be screened for prostate cancer.
RESULTS: There were no between-groups differences in participants’ ratings of convenience, effort, or satisfaction following exposure to the decision aid. Participants assigned to the video group were more likely to review the materials than individuals assigned to the internet group (98.2% vs 53.5%). Participants in the video group showed significantly greater increases in PSA knowledge and were more likely to decline the PSA test than individuals assigned to the internet group. However, participants in the internet group who reviewed the entire online presentation showed similar increases in PSA knowledge as video participants. Only 5% of all participants visited other websites to inform themselves about the PSA test.
CONCLUSIONS: Overall, the video was significantly more effective than the Internet in educating participants about benefits and risks of PSA screening.