Purpose/Goals of project: We compared the effectiveness of a satellite clinic vs. a mobile clinic as a method for recruiting men to a prostate cancer screening program, and to deliver prostate cancer education and awareness in an underserved patient population.

Methodology: Over 40 months, men were recruited to POP via mass media, community partnerships, and faith-based outreach at a satellite or mobile clinic. Recruitment was done in 4 phases and at 173 events; success was determined by the number of men screened/event (screening ratio [SR]) in each phase. An educational video was shown to all participants, and the initial 421 participants completed a Prostate Knowledge and Attitude Questionnaire before and after watching the video to assess change in knowledge. The Wilcoxon rank-sum test was used to assess differences in recruitment phases. McNemar's test was used to assess the differences in pre- and post-video responses.

Results: 2,713 men were screened during 173 events. An increase in SR was noted during recruitment Phases III/IV when mobile screenings were implemented compared to Phases I/II utilizing satellite locations. (SR I/II = 6.4–6.6, versus III/IV = 23.2–29, p<0.001). Mass media and community partnerships were noted for awareness of the program. Determinants of baseline questionnaire knowledge included age (p=0.02), education (p=0.002), having a physician, (p=0.02), and prior screening (p=0.02). Knowledge increased pre/post video watching for each factual question 79.1–89.2% of subjects (p=0.07–0.0006).

Implications: In this population the mobile-clinic was most effective in providing prostate education and screening.

Sustainability: The mobile-clinic may be useful in reducing prostate cancer mortality in this population.

Second AACR International Conference on the Science of Cancer Health Disparities— Feb 3–6, 2009; Carefree, AZ

American Association for Cancer Research
2009