) The utility of screening asymptomatic men for prostate cancer is controversial, as it has not yet been demonstrated that early diagnosis and treatment of prostate cancer in fact reduces mortality. Consequently, the NCI has recommended that prostate cancer screening should be preceded by patient education and by a process of informed consent. The goal of this research program is to develop and test methods of unbiased patient education, and to assist patients in realizing their own preferences until the definitive data from the PLCO Cancer Screening Trial are available. Importantly, the goal of the project is neither to promote nor to reduce prostate cancer screening. In the proposed research, Dr. Taylor will conduct a prevalence study to assess the level of knowledge and understanding of the limitations and benefits of prostate cancer screening in a random community sample of 200 men. Next, in an intervention study, she will evaluate the effectiveness of two forms of video-based patient education, with effectiveness defined in terms of knowledge acquisition and patient satisfaction, among men who have registered for prostate cancer screening (N = 50). Subjects will be randomly assigned to one of three conditions: (1) no educational intervention (Standard Informed Consent), (2) video-based patient education designed to increase knowledge (Education Only); or (3) video-based patient education designed to increase knowledge and to challenge cognitive biases that may hinder knowledge acquisition (Education+). Dr. Taylor will assess whether cognitive biases hinder comprehension of information that is central to making an informed decision, and whether intervening to reduce these biases results in increased knowledge and satisfaction. The purpose of this research is to facilitate informed decision making about prostate cancer screening while remaining neutral with regard to the controversy surrounding prostate cancer screening. The training program that Dr. Taylor has proposed will complement her research program, by strengthening Dr. Taylor's background in epidemiology and biostatistics, bioethics, histopathology, and preventive oncology. With the rapid advances in these fields, it is increasingly important to have training in these disciplines in order meet her career goal of becoming an independent cancer prevention and control researcher. This award will allow her to obtain the training and experiences necessary to complement her background as a clinical psychologist, and to develop a stronger research program through collaborations with researchers from a wide array of disciplines.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Academic/Teacher Award (ATA) (K07)
Project #
5K07CA072645-04
Application #
6172831
Study Section
Subcommittee G - Education (NCI)
Program Officer
Gorelic, Lester S
Project Start
1997-09-01
Project End
2002-08-31
Budget Start
2000-09-01
Budget End
2001-08-31
Support Year
4
Fiscal Year
2000
Total Cost
$87,507
Indirect Cost
Name
Georgetown University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
049515844
City
Washington
State
DC
Country
United States
Zip Code
20057
Williams, Randi M; Zincke, Nicole L; Turner, Ralph O et al. (2008) Prostate cancer screening and shared decision-making preferences among African-American members of the Prince Hall Masons. Psychooncology 17:1006-13
Taylor, Kathryn L; Cox, Lisa Sanderson; Zincke, Nicole et al. (2007) Lung cancer screening as a teachable moment for smoking cessation. Lung Cancer 56:125-34
Taylor, Kathryn L; Davis 3rd, Jackson L; Turner, Ralph O et al. (2006) Educating African American men about the prostate cancer screening dilemma: a randomized intervention. Cancer Epidemiol Biomarkers Prev 15:2179-88
Taylor, Kathryn L; Shelby, Rebecca; Gelmann, Edward et al. (2004) Quality of life and trial adherence among participants in the prostate, lung, colorectal, and ovarian cancer screening trial. J Natl Cancer Inst 96:1083-94
Taylor, Kathryn L; Lamdan, Ruth M; Siegel, Jamie E et al. (2003) Psychological adjustment among African American breast cancer patients: one-year follow-up results of a randomized psychoeducational group intervention. Health Psychol 22:316-23
Taylor, Kathryn L; Shelby, Rebecca; Kerner, Jon et al. (2002) Impact of undergoing prostate carcinoma screening on prostate carcinoma-related knowledge and distress. Cancer 95:1037-44
Taylor, Kathryn L; Shelby, Rebecca A; Schwartz, Marc D et al. (2002) The impact of item order on ratings of cancer risk perception. Cancer Epidemiol Biomarkers Prev 11:654-9
Shelby, Rebecca A; Taylor, Kathryn L; Kerner, Jon F et al. (2002) The role of community-based and philanthropic organizations in meeting cancer patient and caregiver needs. CA Cancer J Clin 52:229-46
Taylor, Kathryn L; Lamdan, Ruth M; Siegel, Jamie E et al. (2002) Treatment regimen, sexual attractiveness concerns and psychological adjustment among African American breast cancer patients. Psychooncology 11:505-17
Taylor, K L; DiPlacido, J; Redd, W H et al. (1999) Demographics, family histories, and psychological characteristics of prostate carcinoma screening participants. Cancer 85:1305-12