From: The development of a web- and a print-based decision aid for prostate cancer screening
Section | Summary of Content | Features/Differences between Booklet and Web |
---|---|---|
Title page & introduction | -Why you should read the material | - The website included a tutorial on how to use the program and its interactive features, such as video testimonials, pop-outs, and animated diagrams. |
 | -Includes table of contents | - The website required participants to answer a question regarding their current beliefs about screening before they began reviewing the website. This question was followed by 2 tailored video testimonials. |
 |  | - The booklet table of contents was located on the second page, and the booklet included section tabs along the edges of the pages for easy access to specific topics. |
 |  | -The website table of contents was presented along the left side of each screen and allowed participants to select where to begin. |
Know the basics about the prostate gland | -What is the prostate, types of prostate problems | - The first values clarification question was presented on the website. |
Understand why there is no right or wrong choice about prostate cancer screening | -Definition of screening, description of screening tests, screening recommendations from national organizations | - Two values clarification questions were presented on the website. |
 | - Information about whether screening will help men | - Two video testimonials were presented on the website. |
Learn the facts about prostate cancer screening | -Steps involved in screening | - Four values clarification questions were presented on the website. |
 | -Screening accuracy | -The website provided pop-out boxes with additional information about PSA testing (i.e. PSA velocity, race- and age- adjusted PSA, free vs. attached PSA). |
 | -Is screening right for you | -The booklet had a tree branch diagram describing screening accuracy, while the website had an animated diagram with text and audio. |
 |  | -The booklet provided testimonial quotes from men who believed that screening was helpful and who questioned whether getting screened was helpful. |
Facts you should know if prostate cancer is found---treatment issues | -Deciding whether to treat prostate cancer: the risks of engaging in watchful waiting and the risks of treating the cancer. | - Three values clarification questions were presented on the website. |
 | -Information about Gleason Score, PIN, and over treatment | - Two video testimonials were presented on the website. |
 | -Treatment decisions and factors to consider | - The website included pop-outs discussing the side effects of active treatment for prostate cancer. |
 | - Types of active Treatment |  |
 | -Information about late stage prostate cancer |  |
 | -Side effects of treatment |  |
Steps you can take to make the best choice about whether to be screened for prostate cancer | -Know your risk factors: age, history, race, diet | - The website provided pop-outs with statistics about risk factors, symptoms, etc. (provided charts and graphs). |
 | -Learn the symptoms | - The booklet provided a space where men could write in questions they would like to ask their doctor about prostate cancer screening. |
 | -Talk with your doctor about screening---includes questions to consider when discussing screening with your doctor | - The website allowed for men to print out the questions to ask their doctor that have been provided and urged men to write down any additional questions they had. |
Values Clarification Exercise | -Instructions for how to complete the worksheet | -The booklet presented the worksheet questions on two pages, separating statements from men who decided to get screened from men who have decided not to get screened. |
 | - The worksheet---includes 10 questions to determine if men are leaning towards or away from screening | - The website allowed men to review and change their answers to questions, and to view a results page with a balance beam diagram. The balance diagram showed participants if they leaned toward screening or against screening. Men could print a summary of their responses. |
 |  | - Values clarification questions were asked throughout the site and were located in sections corresponding to the content of the question. |
Learn more about prostate cancer | -Charts and graphs about ways to measure PSA, disease incidence and mortality, concerns about active treatment for older men, and side effects from treatment | - The information that was seen in pop-ups earlier in the website was also available again at this point in the website, but the information was available in the booklet for the first time. |
Additional sources for information about screening | -Glossary | -The website provided hyperlinks to the websites of organizations that could provide men with further information about prostate cancer. |
 | -References |  |
 | -Contact information for organizations |  |
General features | - Audio vs. text | -Only the website allowed for audio. |
 | - Pop outs vs. text boxes | -The website featured pop-out boxes, while the booklet had text boxes highlighting important information. |
 | - Graphics | -There were more visual features and graphics on the website than on the booklet, due to the nature of the website's design. |
 | - Testimonials | - The website presented 8 video testimonials, while the booklet presented 2 testimonial quotations. |