PROCEE: a PROstate Cancer Evaluation and Education serious game for African Caribbean men

Purpose – Prostate cancer is the most common cancer diagnosed in men in the UK. Black men are in a higher prostate cancer risk group possibly due to inherent genetic factors. The purpose of this paper is to introduce PROstate Cancer Evaluation and Education (PROCEE), an innovative serious game aimed at providing prostate cancer information and risk evaluation to black African-Caribbean men. Design/methodology/approach – PROCEE has been carefully co-designed with prostate cancer experts, prostate cancer patients and members of the black African-Caribbean community in order to ensure that it meets the real needs and expectations of the target audience. Findings – During the co-design process, the users defined an easy to use and entertaining game which can effectively raise awareness, inform users about prostate cancer and their risk, and encourage symptomatic men to seek medical attention in a timely manner. Originality/value – During focus group evaluations, users embraced the game and emphasised that it can potentially have a positive impact on changing user behaviour among high risk men who are experiencing symptoms and who are reluctant to visit their doctor

Washington University Record, September 2, 1993

https://digitalcommons.wustl.edu/record/1625/thumbnail.jp

Evaluation of an MRI-based screening pathway for prostate cancer

In recent years there has been a wealth of debate regarding prostate cancer screening, with a concurrent increase in new imaging techniques for prostate cancer diagnosis. Imaging has been the technique of choice in lung and breast cancer screening programmes but has not been explored for prostate cancer screening. Herein, this thesis explores the role of magnetic resonance imaging (MRI) as a new approach to screen for prostate cancer. Following an introduction to the current screening landscape, my thesis focuses on the development and validation of a fast MRI, known as a prostagram, that could serve as a viable image-based screening test. Evaluation of this new technique is performed within a prospective, population-based, blinded, cohort study which was conducted at seven primary care practices and two imaging centres. A diverse array of performance characteristics of fast MRI are compared to PSA. These encompass biopsy rates, cancer detection rates, diagnostic accuracy and patient reported experience measures. The second half of this thesis focuses on further optimising the fast MRI protocol for screening and exploring methods of integrating it into an alternative screening pathway. The outcomes point towards a pathway which combines a low threshold PSA and a fast MRI as yielding a more acceptable balance between benefits and harms. This is followed by the development of a risk tool to address the challenges of equivocal MRI lesions. Overall my thesis provides a balanced evaluation of fast MRI as a new screening test and the final chapter highlights outstanding challenges that must be addressed for fast MRI to progress as a legitimate screening modality. There is a requirement for all new screening tests to be evaluated in robust randomised controlled trials and the thesis concludes by setting out a phased research framework for fast MRI to enable a full evaluation over the next decade.Open Acces

The Hilltop 4-2-1999

https://dh.howard.edu/hilltop_902000/1234/thumbnail.jp

Prostate Cancer Screening of Heterosexual Caribbean American and African American Men and their Partners

The incidence and prevalence of prostate cancer are very alarming among men in general, among African American men more narrowly, and among Caribbean American men more specifically. While the disease has variable impact on men of different racial and ethnic backgrounds the impact of the disease on diagnosed Caribbean American men and their families is of particular importance. Prostate cancer screening decisions and behaviors can be very helpful in prevention, early intervention, treatment and recovery from prostate cancer. This research uses a symbolic interactionist framework within a family systems approach towards evaluating and understanding the experience of prostate cancer screening decision making among heterosexual Caribbean American men and their partners. A family systems approach is a comprehensive approach that considers important concepts relevant to the experience of illness and decision making surrounding health maintenance decisions. Symbolic interactions theory (SIT) focuses on the associations between symbols or shared meanings and verbal and non-verbal interactions actions and communications. It is a framework for understanding how human beings engage in relationships with each other and illustrates how they experience a variety of decision making processes. People are seen as employing their reasoning and symbolizing capacities and flexibly interpreting circumstances while simultaneously adapting to the same circumstances based on how they interpret the situations they confront. A qualitative research using Focus Groups of with 26 men and 24 women who identified as heterosexual Caribbean American and African American men and their partners was done. Their prostate cancer screening decision making experiences were evaluated in order to aid in the development of hypotheses and generate understanding about preventive and intervention strategies for serving the African American and Caribbean American community

The Hilltop 3-9-1990

This document created through a generous donation of Mr. Paul Cottonhttps://dh.howard.edu/hilltop_198090/1246/thumbnail.jp

Washington University Record, February 6, 1997

https://digitalcommons.wustl.edu/record/1747/thumbnail.jp

Ascension

https://digitalcommons.georgiasouthern.edu/ascen/1002/thumbnail.jp