Health Literacy, Health Communications, Health Education
Assessing Prostate Cancer Knowledge and Screening Behaviors in the Men’s Prostate Awareness Church Training (M-PACT) Project
Daisy Le (School of Public Health (UMD) Behavioral and Community Health Doctoral Student)
African American men have the highest prostate cancer incidence rates worldwide and the highest mortality rate of any racial/ethnic group in the USA. Given the importance of women in medical decision-making and healthcare accessing among men, men’s health promotion interventions may be enhanced by including the support of female family members. The Men’s Prostate Awareness Church Training (M-PACT) project aims to increase informed decision-making for prostate cancer screening among African American men. The intervention consists of a spiritually-grounded 4-part men’s health workshop series delivered in 18 churches. It is a group randomized controlled trial that aims to compare a men’s only workshop format versus a health partner approach, where the enrolled men were asked to invite an important woman in their lives (e.g., wife/partner; daughter; sister; friend) to attend the workshops with them. Results are from 289 baseline participants (N=192 men-only; N=97 health partner) and 169 participants to date from the 12-month follow-up assessment (N=123 men-only; N=46 health partner). Initial data analyses show non-significant increases in prostate cancer knowledge and beliefs in both groups. Perceived barriers to screening were low in both groups at baseline, and they remained low at follow-up (ns). Scores on self-efficacy for screening were high at both time points for both groups, and while self-efficacy increased in the health partner group, this increase was non-significant. Regarding screening behavior at baseline, 67% of those in the men-only group and 52% in the health partner group reported ever having had a prostate specific antigen (PSA) test; while 76% of those in the men-only group and 74% in the health partner group reported ever having had a digital rectal exam (DRE). At follow-up, most screening behavior outcomes did increase, however these increases were not statistically significant. Preliminary findings suggest that the health partner group may have had a greater pre-post increase in reporting ever having had a PSA test than the men-only group. Future research may consider how best to include family in decision-making processes for prostate cancer screening.
Importance to public health: