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NOT YET RECRUITING
NCT06549036
NA

Veteran Peer Navigators to Promote Shared Decision Making for PSA Screening

Sponsor: VA Office of Research and Development

View on ClinicalTrials.gov

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

BEHAVIORAL

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