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UICC World Cancer Congress 2006

Bridging the Gap: Transforming Knowledge into Action

July 8-12, 2006, Washington, DC, USA



Sunday, 9 July 2006 - 3:45 PM
59-2

Promoting shared decision making and informed choice for the early detection of prostate cancer: development and evaluation of a GP education program

Craig Sinclair, B'Ed(Sec), MPPM1, Brian R. McAvoy2, Suzanne K. Steginga3, Carole Pinnock4, Peter Baade3, Robyn Metcalfe1, Claire Jackson5, Anita Green6, John Preston7, John Heathcote8, Jane Fletcher2, Margaret Staples2, Rebecca Russell1, Georgina Sutherland1, Louisa Hoey1, and Justin Tse9. (1) Cancer Education Unit, The Cancer Council Victoria, 1 Rathdowne Street, Carlton, Australia, (2) National Cancer Control Initiative, 1 Rathdowne Street, Carlton, 3053, Australia, (3) Queensland Cancer Fund, Brisbane, Australia, (4) Australian Prostate Cancer Collaboration, Adelaide, 5041, Australia, (5) Department of Primary Health Care, University of Queensland, Queensland, 4101, Australia, (6) Brisbane North Division of General Practice, Brisbane, 4030, Australia, (7) Greenslopes Urology Clinic, Brisbane, 4120, Australia, (8) Urology Department, Princess Alexandra Hospital, Brisbane, 4102, Australia, (9) Department of General Practice, University of Melbourne, Melbourne, 3052, Australia

Objective: To describe the development and evaluation of a general practitioner (GP) education program promoting shared decision making and informed choice for the early detection of prostate cancer.

Methods: Most guidelines advocate that asymptomatic men seeking PSA testing to detect early prostate cancer should be advised of the pros and cons of testing and make an informed choice. The difficult task of managing consumer demands in the face of conflicting viewpoints and uncertain medicolegal requirements usually falls on GPs who until recently have had few resources to assist them. In response to this a broadly based partnership of professional organizations and consumers developed an education program and practice resource for GPs. The workshops cover two main areas: the medical context of prostate cancer; and facilitating shared decision making. The practice resources include a GP/patient showcard, a GP reference card and patient information.

Results: The program was piloted in Queensland and Victoria and significantly increased GP knowledge about and confidence in discussing testing. Feedback about the workshops and the practice resource was very positive and indicated that the program was robust across settings, clinically relevant and useful in general practice. Further developments including a train the trainer program and a web based learning module will be described.

Conclusion: In a health topic characterised by divergent viewpoints, this program provides evidence of the benefits of taking a collaborative and consultative approach and closely linking program development to GPs' expressed needs in order to transfer knowledge into action.



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