CHAMPION Intervention in Improving Decision Making Processes in Patients with Advanced Prostate Cancer and Their Decision Partners or Proxies

Inclusion Criteria

• PATIENTS: Advanced prostate cancer
• PATIENTS: Patient experiencing disease progression
• PATIENTS: Karnofsky performance status (KPS) >= 60
• PATIENTS: Have decision partner/proxy (persons selected by the patient to provide support, care, or proxy decision-making) (if available) with complex and emotional decisions and
• PATIENTS: Ability to understand English. If patient has low literacy (score < 4 on The Rapid Estimate of Adult Literacy in Medicine-Short Form [REALM-SF]), oral reading and explanation of consent will be presented and occur in the presence of a community patient navigator (CPN)/registered nurse (RN). During the study, for these subjects the RN-CPN team may read/explain questionnaire items, but not provide any answers * NOTE: ethnicity groups will be based on ethnicity of the patient participant, with aim of sample composition as follows 40% of patient subjects to be African American, 60% other ethnicity
• DECISION PARTNERS: Identified by the eligible participant as a person who provides supportive care to him
• DECISION PARTNERS: Ability to understand English

Exclusion Criteria

• PATIENTS: Severe psychiatric problems -- following documentation: inpatient psychiatric treatment in the past 6 months, current treatment with antipsychotic medication, current hallucinations, and/or current serious thoughts of suicide, cognitive impairment (history of Short Portable Mental Status Questionnaire adjusted error score > 5 documented in the medical record)
• PATIENTS: Other pair issues preventing study participation (as discerned by investigator)
• PATIENTS: Prior malignancy within 3 years except treated basal cell/squamous cell skin cancer, superficial bladder cancer