Members of the WTCHP program are characterized by multiple physical and psychiatric comorbidities and are at an increased risk for cancer, especially for prostate cancer. Screening for prostate cancer is not part of the routine annual monitoring visit and thus the current study proposes to a) explore and develop a stepped approach to informed/shared decision making (SDM) about prostate cancer screening; b) evaluate the uptake of screening after informed/shared decision making during members’ annual monitoring visits; c) evaluate factors related to uptake/rejection of screening and d) evaluate costs associated with screening. Results from this study have the potential to change clinical care for all members of the WTC Health Program by introducing and evaluating an informed/shared approach to decision making for cancer screening and to ultimately reduce the cancer burden of this vulnerable population.
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