● Decision quality: Measure of informed choice to evaluate screening decision and attitudes towards the screening test
● Patient knowledge: Patient knowledge of prostate cancer and PSA screening
● PSA screening rates: PSA rates collected through patient self-reported PSA testing and EHR data on PSA test utilization
Secondary Study Outcomes
Secondary study outcomes are:
● Perception of quality of care: Patient perception of quality of care assessed through domains of communication, decisional self-efficacy, self-efficacy in communicating with their provider, satisfaction and decisional conflict
● Experience with decision coaching program: Provider experience with decision coaching program measured through encounter satisfaction, difficulty, and communication
Exploratory outcomes
● Net cost of CHW-led decision coaching program for PSA screening: cost of CHW-led decision coaching program and its effect on prostate cancer screening costs by measuring CHW program costs and healthcare utilization costs
● Behaviors and norms around PSA screening and perceptions of feasibility and acceptability of CHW-led decision coaching: Qualitative evaluation of patient and provider perceptions through in-depth, semi-structured interviews and other qualitative data; triangulation of mixed methods data sets from patients and provider interviews, clinical encounters, and surveys to better understand implementation.
