Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative study
Abstract Background Making decisions about PSA screening tests is challenging, as it requires both knowledge of the possible benefits and harms of screening and an individual assessment of the patient's values. Our research explores how much and what information men perceive to be necessary wit...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-08-01
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| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13275 |
| _version_ | 1819136594302468096 |
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| author | Katrin Kuss Charles Christian Adarkwah Miriam Becker Norbert Donner‐Banzhoff Kathrin Schloessler |
| author_facet | Katrin Kuss Charles Christian Adarkwah Miriam Becker Norbert Donner‐Banzhoff Kathrin Schloessler |
| author_sort | Katrin Kuss |
| collection | DOAJ |
| description | Abstract Background Making decisions about PSA screening tests is challenging, as it requires both knowledge of the possible benefits and harms of screening and an individual assessment of the patient's values. Our research explores how much and what information men perceive to be necessary with regard to screening for prostate cancer. Objective To explore men's information and associated needs for decision making in PSA testing. Design Qualitative interview study. Setting and participants We interviewed 32 men (aged 55‐69) about their decision making on PSA screening following counselling with a Decision Aid at their GP’s or urologist's practice in Germany. Main Outcome Measures Men's expressed needs for decision making in PSA testing. Methods All interviews were transcribed verbatim and analysed by framework analysis. Results Comprehensive pre‐screening counselling is needed. For the men in our study, information about test (in)accuracy, the benefit‐harm balance and consequences of the test were relevant and surprising. Additional needs were for interpretation support, a take‐home summary and time for deliberation. For several men, their physician's attitude was of interest. After being well‐informed, most men felt empowered to make a preference‐based decision on their own. Discussion Men were surprised by what they learned, especially regarding the accuracy and possible harms of screening. There is large variation in the breadth and depth of information needed, and some controversy regarding the consequences of testing. Conclusion and patient contribution A core set of information should be offered before men make their first PSA screening decision. Information about biopsy and associated side‐effects could follow in a short form, with details only on request. Knowledge about a high rate of false‐positive test results beforehand might help men handle a suspicious test result. |
| first_indexed | 2024-12-22T10:37:27Z |
| format | Article |
| id | doaj.art-d88660dfae804122868c4a46a0c13678 |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-12-22T10:37:27Z |
| publishDate | 2021-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-d88660dfae804122868c4a46a0c136782022-12-21T18:29:08ZengWileyHealth Expectations1369-65131369-76252021-08-012441403141210.1111/hex.13275Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative studyKatrin Kuss0Charles Christian Adarkwah1Miriam Becker2Norbert Donner‐Banzhoff3Kathrin Schloessler4Department of General Practice/Family Medicine Philipps‐University Marburg Marburg GermanyDepartment of General Practice/Family Medicine Philipps‐University Marburg Marburg GermanyDepartment of General Practice/Family Medicine Philipps‐University Marburg Marburg GermanyDepartment of General Practice/Family Medicine Philipps‐University Marburg Marburg GermanyDepartment of General Practice/Family Medicine Philipps‐University Marburg Marburg GermanyAbstract Background Making decisions about PSA screening tests is challenging, as it requires both knowledge of the possible benefits and harms of screening and an individual assessment of the patient's values. Our research explores how much and what information men perceive to be necessary with regard to screening for prostate cancer. Objective To explore men's information and associated needs for decision making in PSA testing. Design Qualitative interview study. Setting and participants We interviewed 32 men (aged 55‐69) about their decision making on PSA screening following counselling with a Decision Aid at their GP’s or urologist's practice in Germany. Main Outcome Measures Men's expressed needs for decision making in PSA testing. Methods All interviews were transcribed verbatim and analysed by framework analysis. Results Comprehensive pre‐screening counselling is needed. For the men in our study, information about test (in)accuracy, the benefit‐harm balance and consequences of the test were relevant and surprising. Additional needs were for interpretation support, a take‐home summary and time for deliberation. For several men, their physician's attitude was of interest. After being well‐informed, most men felt empowered to make a preference‐based decision on their own. Discussion Men were surprised by what they learned, especially regarding the accuracy and possible harms of screening. There is large variation in the breadth and depth of information needed, and some controversy regarding the consequences of testing. Conclusion and patient contribution A core set of information should be offered before men make their first PSA screening decision. Information about biopsy and associated side‐effects could follow in a short form, with details only on request. Knowledge about a high rate of false‐positive test results beforehand might help men handle a suspicious test result.https://doi.org/10.1111/hex.13275consumer health informationcounsellingdecision aidprostate‐specific antigen (PSA)qualitative researchshared decision making |
| spellingShingle | Katrin Kuss Charles Christian Adarkwah Miriam Becker Norbert Donner‐Banzhoff Kathrin Schloessler Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative study Health Expectations consumer health information counselling decision aid prostate‐specific antigen (PSA) qualitative research shared decision making |
| title | Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative study |
| title_full | Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative study |
| title_fullStr | Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative study |
| title_full_unstemmed | Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative study |
| title_short | Delivering the unexpected—Information needs for PSA screening from Men's perspective: A qualitative study |
| title_sort | delivering the unexpected information needs for psa screening from men s perspective a qualitative study |
| topic | consumer health information counselling decision aid prostate‐specific antigen (PSA) qualitative research shared decision making |
| url | https://doi.org/10.1111/hex.13275 |
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