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Veteran Peer Navigators to Promote Shared Decision Making for PSA Screening
Sponsor: VA Office of Research and Development
Summary
The project will investigate the efficacy of a Veteran-peer-navigator-led decision coaching (PDC) program to promote Shared Decision Making (SDM) for prostate cancer screening among Veterans at the Veterans Health Administration (VA). Prostate cancer is commonly screen detected using PSA, a non-specific test which has led to modest population-level survival benefits at the cost of over-detection of low-risk disease. This trade off in outcomes is ideally addressed using SDM which can be challenging to implement in time constrained primary care office visits. The investigators propose the evaluation of a PDC intervention to promote SDM for PSA screening to improve both access and quality of care for Veterans. The investigators results will enhance understanding of the efficacy, cost-effectiveness, and sustainability of PDC interventions for SDM promotion across communication formats in the VA. Lessons learned through this proposal will not only improve quality of care for PSA screening but also will suggest a paradigm for dissemination of SDM across preventive services.
Official title: Randomized Trial of Veteran Peer Navigators to Promote Shared Decision Making for PSA Screening
Key Details
Gender
MALE
Age Range
40 Years - 69 Years
Study Type
INTERVENTIONAL
Enrollment
228
Start Date
2026-05-26
Completion Date
2028-08-31
Last Updated
2026-04-02
Healthy Volunteers
Yes
Conditions
Interventions
Veteran Peer Decision Coaching Session for PSA Screening
Veterans in the intervention arm will review the content of the mailed DA, including the values clarification exercise, with the Veteran PDC. Veteran PDC Counseling includes: 1) a structured interview with the patient that focuses on determining his understanding of his prostate cancer risk, his screening options, and his goals and values related to his decision making and 2) role playing exercises to improve SDM skills.
Locations (1)
VA NY Harbor Healthcare System, New York, NY
New York, New York, United States