HOW EFFECTIVE IS A FAITH-BASED INTERVENTION IN MOTIVATING AFRICAN-AMERICAN MEN TO OBTAIN THE PROSTATE SPECIFIC ANTIGEN (PSA) PROSTATE CANCER SCREENING TEST Öffentlichkeit

Abstract

Background: African-American men have a higher incidence of prostate cancer and have higher mortality rates than Caucasian men. African-American men are also diagnosed with prostate cancer at a younger age and delay in seeking treatment due to cultural and economic barriers. The study implemented and evaluated a faith-based prostate cancer education intervention that was designed for African-American men to promote informed decision making for prostate cancer. The study used a faith-based intervention, as the church is seen as a viable place to reach and educate African-American men.

Methods: The study used a mixed method approach with a non-experimental design. The study comprised of one small focus group to ascertain sufficient information to aid in the communication material for the education intervention. The 90 minute education intervention activities included a video, small interactive group discussions, and prostate cancer testimonies. The data collected at the education intervention included pre-/ post-test and end-of-session questionnaires, and a follow-up survey.

Results: The results of the education improved prostate cancer knowledge for the African-American men, increased awareness of risk factors for prostate cancer, improved confidence in African-American men discussing prostate cancer with their physicians and spouses, and motivated them to learn more about prostate cancer.

Conclusion: The results of the study gave an insightful view on educating African-American men. While not conclusive, interpersonal communication, through learning from each other in a church setting, helped the African-American men in their informed decision making on prostate cancer. Further studies are required to evaluate the role of the church in promoting interpersonal communication in prostate cancer education.

Table of Contents

Table of Contents
Chapter 1 - Introduction 1
Informed Decision Making 3
The Program 4
Stakeholder Involvement 6
Purpose 7
Activities 8
Figure 1: Program Logic Model - Faith-Based Intervention 12
Chapter 2 - Review of the Literature 13
Introduction - Health Promotion and Theory 13
Informed Decision Making In The Community 17
Community Intervention 19
Cultural Awareness 20
Barriers 21
Empowerment 22
Chapter 3 - Methodology 24
Introduction 24
Stakeholder Involvement 24
Population and Sample 26
Research Design 26
Institutional Review Board 27
Procedures 28
Figure 2: List of evaluation questions and data collection instruments 31
Plans for Data Analysis 32
Chapter 4 - Results 36
Introduction 36
Research Findings for Qualitative Data 36
Follow-up survey 46
Chapter 5 - Discussion 48
Introduction 48
Summary of Study 48
Conclusions 49
Recommendations 53
Appendix A - Demographics of Participants 55
Appendix B - The God Locus of Health Control Scale for Focus Group 56
Appendix C - Quantitative Data Analysis 57
Table 1 - Pre and Post Test Questions 57
Table 2 - End of Session Questions 58
Table 3 - Attitude Change and Plan to Contact Doctor Crosstabulation 63
Table 4 - Follow Up Survey 64
Appendix D - IRB Approval Letter 65
Appendix E - Consent 67
Appendix F - Intervention Sign In Sheet 69
Appendix G - Random Unique Identifier Allocation 70
Appendix H - Prostate Cancer Intervention Demographic Sheet 71
Appendix I - Pre and Post Test Questions 72
Appendix J - Focus Group Questions 73
The God Locus of Health Control (GLHC) Scale for Focus Group 73
Appendix K - Small Group Discussion Questions 74
Appendix L -End of Session Questions 75
Appendix M - Follow Up Survey 78
REFERENCES 79

About this Master's Thesis

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Career Masters of Public Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Education Health Sciences, Public Health Education, Health
Stichwort	Prostate Cancer Education
Committee Chair / Thesis Advisor	Smith, Iris E, Emory University
Committee Members	Palmer, Jacqueline,
Partnering Agencies	Religious-based organization

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