None of the authors has any known conflict of interest or any financial ties to the funding agencies or the Foundation for Informed Medical Decision-Making, or Health Dialog.
Men's Theories About Benign Prostatic Hyperplasia and Prostate Cancer Following a Benign Prostatic Hyperplasia Decision Aid
Article first published online: 15 NOV 2005
Journal of General Internal Medicine
Volume 21, Issue 1, pages 56–60, January 2006
How to Cite
Holmes-Rovner, M., Price, C., Rovner, D. R., Kelly-Blake, K., Lillie, J., Wills, C. and Bonham, V. L. (2006), Men's Theories About Benign Prostatic Hyperplasia and Prostate Cancer Following a Benign Prostatic Hyperplasia Decision Aid. Journal of General Internal Medicine, 21: 56–60. doi: 10.1111/j.1525-1497.2005.0280.x
Presented at the 2nd International Shared Decision Making meeting, Swansea, Wales, September 2–4, 2003.
- Issue published online: 5 JAN 2006
- Article first published online: 15 NOV 2005
- Manuscript received December 24, 2004 Initial editorial decision February 3, 2005 Final acceptance August 30, 2005
- decision aids;
- benign prostatic hyperplasia;
- prostate cancer;
- shared decision making
Objective: To use qualitative methods to explore audiotape evidence of unanticipated confusion between benign prostatic hyperplasia (BPH) and prostate cancer in using a videotape BPH treatment decision aid (DA).
Design: Qualitative analysis of semi-structured interviews and surveys originally collected to study men's interpretation of a DA.
Setting and Participants: Community sample of college and noncollege educated African American and white men (age≥50; n=188).
Measures: Transcript analysis identified themes in men's comments about BPH and cancer. Surveys measured BPH general and prostate cancer-specific knowledge, literacy (Short Test of Functional Health Literacy in Adults), BPH symptoms, and demographics.
Results: In transcript analysis, 18/188 men spontaneously talked about BPH and cancer as being related to each other, despite explicit statements to the contrary in the video. Survey data suggest that up to 126/188 men (67%) persisted in misconceptions even after viewing the DA video. Three themes were identified in the transcripts: (1) BPH and cancer are equated, (2) BPH surgery is for the purpose of removing cancer, and (3) BPH leads to cancer.
Conclusions: Overall knowledge increases with DA use may mask incorrect theories of disease process. Further research should identify decision support designs and clinical counseling strategies to address persistence of beliefs contrary to new information presented in evidence-based DAs.