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Discussing the Choice


DVDs demonstrate to patients some of the issues that might arise during their prostate cancer diagnosis visit that may prevent them from sharing in the decision of what treatment to choose. The DVDs also provide solutions that would allow for patients' participation in the treatment decision making process.


This study aims to explore if there are differences between participants who receive a written decision aid alone versus those who received the written decision aid plus a DVD decision aid.

  1. Does the use of the DVD modeling patient communication strategies increase patients' perceptions of the importance of their preferences to their decision making?
  2. Does the use of the DVD increase patients' perceptions of their intention to discuss their values and preferences with their urologists and radiation oncologists?
  3. Does the use of the DVD increase patients' actual engagement with their physician during the clinical encounter (using the audio recordings of the conversations)?
  4. Does the use of the DVD increase the concordance between patient decision making preferences and actual decision making outcomes?
  5. Does the use of the DVD increase long term satisfaction with decision on type of treatment selected?
  6. Does the use of the DVD influence patient perception of his physician (e.g., trust) and of the diagnosis visit?
  7. Does the use of the DVD increase patient satisfaction with their decision and the decision making process?


Participants are recruited from University of Michigan Urology Clinics. We recruit men aged 18 years and older at the time of biopsy; that is those men who are undergoing a prostate biopsy to test for prostate cancer but have not yet received their results. Other inclusion criteria include the ability to read and answer questions in English. Men previously diagnosed with prostate cancer are excluded.

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