Older Men’s Decision Making About Active Surveillance for Prostate Cancer – Aim 3: Decision Aid Cognitive and Usability Testing

Clinicaltrials.gov ID: NCT05497024
db-list-check Status RECRUITING
b-loader Phase
b-people Age ≥ 65 Years
b-bullseye-arrow Enrollments 45

Conditions

Prostate Cancer

Summary

This protocol describes development and user testing of an educational shared decision making intervention to help men with prostate cancer who are on active surveillance make decisions with their health care providers about if and when to de-escalate surveillance testing. The project is important because for many patients their cancer does not progress to the point of needed curative treatment or their health status changes such that they are no longer good candidates for treatment. For these men, de-escalating ongoing surveillance (e.g., fewer biopsies or imaging studies) is a reasonable option.

Detailed Description

Objectives:

The overall goal of this protocol is to develop and refine an educational tool for use by patients and health-care providers to help men with localized prostate cancer make informed decisions about discontinuation of active surveillance.

* Conduct cognitive and initial usability and acceptability testing of a prototype decision aid with patients
* Conduct cognitive and initial usability and acceptability testing of a prototype decision aid with care partners/caregivers
* Conduct expert reviews of a prototype decision aid with clinicians

Locations

1 location Found with status Recruiting

Status

  • RECRUITING

Contact Person

Principal Investigator

  • Lisa Lowenstein, MD

Eligibility Criteria

Patients

Inclusion Criteria:

1. Males aged 65 or older
2. Diagnosis of localized prostate cancer
3. On active surveillance for 12 or more months
4. Fluent in English

Exclusion Criteria:

1. Receiving treatment for another cancer (primary or recurrence)

Caregivers

Inclusion Criteria:

1. Aged 18 or older
2. Fluent in English
3. Involved with the care of an eligible patient (i.e. partner, close friend, family member, companion)

Exclusion Criteria:
4. None

Clinicians

Inclusion Criteria:

1. Aged 18 or older
2. Fluent in English
3. Provides clinical care for patients with prostate cancer (e.g. medical oncologists, urologists, radiation oncologists, nurse practitioners, physician assistants)

Exclusion Criteria:

1. None

Study Plan

Surveys

Participants may answer questions that are sensitive in nature.

  • BEHAVIORAL:

    Surveys

    Description:

    Participants may answer questions that are sensitive in nature.

Interviews

The interview may occur over phone, web conferencing, or in-person.

  • BEHAVIORAL:

    Interviews

    Description:

    Participants will discuss background, such as race, education, and living situation.nnParticipants will discuss Prostate cancer Participants will discuss feedback on the educational material

Outcome Measures

Primary Outcome Measures

The Ottawa Acceptability Scale

Time Frame: through study completion and average of 1 year

Timeline

  • Last Updated
    October 15, 2024
  • Start Date
    August 11, 2022
  • Today
    May 12, 2025
  • Completion Date ( Estimated )
    February 2, 2027

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