A Video Intervention to Increase Organ Donor Registration at the Department of Motorized Vehicles

Abstract

Background. The goal of this study was to increase organ donor registrations at the Department of Motorized Vehicles (DMV) via utilization of a sustainable, low-cost, African American-centric organ donation educational video. Results from previous studies provided a framework to generate a 10-minute video that featured registered organ donors, deceased donor families, and transplant recipients. Methods. The video was presented via an interrupted time series design (repeating on 2 mo, off 2 mo) on televisions placed in 6 regional DMVs. During the 12-month study, 162 387 patrons visited the DMVs. Results. Increases in organ donor registration were consistently observed in each DMV while the video was on compared with off (mean = +2.3% [range +1.98% to +3.35%]; P < 0.0001). Multivariable analysis demonstrated that females (odds ratio [OR], 1.29; 95% confidence interval [CI], 1.26-1.31), younger age (OR, 0.982/y; 95% CI, 0.982-0.983), and the video intervention (OR, 1.09; 95% CI, 1.07-1.12) were significantly associated with increased registration; while compared with Caucasian race, African American race was not (OR, 0.22; 95% CI, 0.22-0.23). There was no video-dependent effect on registration between Caucasians and African Americans (P = 0.62). Exit interviews demonstrated only 16% of patrons could identify the key message in the video (becoming a registered organ donor). Conclusions. An educational video promoting organ donation resulted in increased organ donor registration at the DMV. The intervention was equally effective in African Americans and Caucasians. Future efforts should focus upon target-specific messaging and patron consumption of the educational video.

Rejecting bias: The case against race adjustment for OPO performance in communities of color

“…Because the minority population is higher in OPO 1 than the OPO 2 and OPO 3, risk adjustment for race/ethnicity would give the OPO 1 a bump relative to the other local OPOs, even though the data demonstrate that the lower donation rates in OPO 1 are due to systematic lower donation rates among all racial/ethnic groups. In fact, risk adjustment would "excuse" OPO 1 for having disproportionately lower donation rates poor among Hispanics, which would require further OPO-level data on process measures from targeted education materials at Department of Motor Vehicles (DMVs), [30][31][32] to use of ethnicity-matched requestors for potential Hispanic donors, to hospital development and outreach in hospitals that care predominantly for minority populations,. Unfortunately, such data on different process measures within OPOs are currently not available to researchers.…”

Targeting Versus Tailoring Educational Videos for Encouraging Deceased Organ Donor Registration in Black-Owned Barbershops

“…Prior outreach encouraged registration in schools, colleges, universities, businesses, clinical, and community settings − often via video, multimedia, and social media (K. R. J. Arriola et al, 2019; Callender & Miles, 2010; Deedat, Kenten, & Morgan, 2013; D. DuBay et al, 2020; Quick, King, Reynolds-Tylus, & Moore, 2019; Resnicow et al, 2010; Rodrigue, Boger, DuBay, & Fleishman, 2019; Rodrigue, Fleishman, Fitzpatrick, & Boger, 2015; Steenaart, Crutzen, Candel, & de Vries, 2019; Thornton et al, 2019; Thornton et al, 2016). The overwhelming majority of registrations (93%) occurs at Departments of Motor Vehicles (DMVs) (HRSA, 2019).…”

A Randomized Trial of Theory-Informed Appeals for Organ Donor Registration Using Internet Advertisements

“…The ability to take Internet-based interventions to scale may also address concerns that many creative efforts to augment organ donor registration have involved in-person interventions, which can be time-consuming, typically achieve modest effects, and are often not cost-effective. 11 , 12 , 13 …”

“…The ability to take Internet-based interventions to scale may also address concerns that many creative efforts to augment organ donor registration have involved in-person interventions, which can be time-consuming, typically achieve modest effects, and are often not cost-effective. [11][12][13] Features of a decision, such as framing it within a narrative, 14 presenting social norms, 15 opting-out, 6,16 and gift-giving, 17,18 can all influence the outcome. From the perspective of ethics, the manipulation of choice architecture has been proposed as a method to induce changes in how individuals make decisions without restricting the range of choices.…”