Decision Support Tool to Enhance Germline Genetic Testing for Patients With Prostate Cancer

PRIMARY OBJECTIVES: I. Identify patient, provider, and health system factors contributing to the completion of recommended germline testing for men with prostate cancer. II. Develop a decision support tool for patients tailored to the cultural and socioeconomic context of the local community. III. Conduct a pilot intervention trial to evaluate a point-of-care decision support tool in a public safety net hospital in Harris County, Texas. SECONDARY OBJECTIVES: I. Assess the feasibility of point-of-care decision support tool in a public safety net hospital in Harris County, Texas. II. Assess the change in completion of germline genetic testing with utilization of the decision support tool. OUTLINE: At each stage of the proposed research, patients are recruited to 1 of 3 groups. Groups 1 and 2 are observational and group 3 is a pilot interventional trial. GROUP 1: Patients complete a qualitative interview that informs the development of the decision support tool. GROUP 2: Patients view the draft of the decision support tool and complete cognitive interviews for the refinement of the decision support tool on study. GROUP 3: Patients view the decision support tool that provides culturally tailored information about genetic testing and the collection process. Patients may then provide a blood sample for standard of care genetic testing and may additionally meet with a genetics counselor for additional information prior to testing. Patients with a positive germline genetic mutation will discuss results with a genetics counselor.