Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial

Thornton, J. Daryl; Sullivan, Catherine; Albert, Jeffrey M.; Cedeño, Maria; Patrick, Bridget; Pencak, Julie; Wong, Kristine A.; Allen, Margaret D.; Kimble, Linda; Mekesa, Heather; Bowen, Gordon; Sehgal, Ashwini R.

doi:10.1007/s11606-016-3630-5

Cited by 26 publications

(39 citation statements)

References 22 publications

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“…It was designed to address 6 common concerns expressed in prior organ donation research: a desire to not think about death and subsequent disfigurement, concern that consenting to donate may prevent receipt of adequate medical care if found to be carrying a donor card, distrust of the medical establishment, belief that religion may not support donation, desire to be buried with organs intact, and lack of knowledge regarding organ donation . The video was found to increase consent for donation among diverse participants in a variety of settings including the bureau of motor vehicles and in primary care providers’ offices …”

Section: Methodsmentioning

confidence: 99%

“…The optimal means to disseminate organ donation video interventions also is not known. Most studies examining the efficacy of video interventions were administered directly to the subject . However, direct administration of such interventions is costly and labor intensive.…”

Section: Introductionmentioning

confidence: 99%

“…Most studies examining the efficacy of video interventions were administered directly to the subject. 8,9 However, direct administration of such interventions is costly and labor intensive. Delivery of video interventions via the Internet may be efficacious and cost-effective.Using a randomized trial design, we sought to compare the Internet delivery of two widely used organ donation video interventions to general health and wellness information on readiness to consent to organ donation among university students.…”

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confidence: 99%

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Comparing web‐based video interventions to enhance university student willingness to donate organs: A randomized controlled trial

Thornton

Patrick

Sullivan

et al. 2019

Clinical Transplantation

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Background The efficacy of video interventions to increase organ donation willingness remains unclear. Methods Three‐arm web‐based randomized controlled trial involving 2261 students at 3 northeastern Ohio universities. Intervention students watched a live‐action (n = 755) or animated (n = 753) donation video. Control students (n = 753) viewed wellness information from the Centers for Disease Control and Prevention (CDC). The primary outcome was proportion of students who visited their state electronic donor registry to consent. The secondary outcome was intervention quality. Logistic regression assessed the effects of interventions on visiting the state registry to provide donation consent while controlling for baseline variables. Results Students in the live‐action video arm visited their state registry more frequently than students in the CDC arm (OR = 1.86, 95% CI = 1.20‐2.88). There was no difference between students in the animated video and CDC arms (OR = 1.10, 95% CI = 0.69‐1.76). The quality of the live‐action video was rated lower than the animated video and the CDC text (75% ± 18, 84% ± 16, 80% ± 16, respectively; P < 0.001). Conclusion Students who watched the live‐action video were more willing to visit their electronic donor registry to register as organ donors, but rated it lower in satisfaction. Future work should identify the most potent components of organ donation interventions.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Comparing web‐based video interventions to enhance university student willingness to donate organs: A randomized controlled trial

Thornton

Patrick

Sullivan

et al. 2019

Clinical Transplantation

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“…Although there has been been no previous work done on stability of organ donor designation, many previous studies have looked at the stability of advance directives, which are another important area of end-of-life decision-making and encompass organ donation [3,12]. Advance directives provide patients the opportunity to express their wishes regarding life-sustaining treatments (via a living will), their choice for a surrogate decision maker (via a durable power of attorney for health care), or both [13,14].…”

Section: Discussionmentioning

confidence: 99%

Stability of Organ Donor Designations on Driver's Licenses

Sehgal¹,

Sullivan

Figueroa

et al. 2016

Transplantation Proceedings

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Background Little is known about the stability of decisions that people make to be organ donors. We sought to determine the rate of stability of organ donor designations on driver’s licenses. Methods With the use of a cross-sectional study design, we reviewed the health records of 2500 randomly selected primary-care patients at a large urban safety-net medical system to obtain their demographic and medical characteristics. We also examined the two most recent unique driver’s licenses, state identification cards, or learner’s permits that were scanned into electronic health records as part of the patient registration process. We obtained organ donor designations from these documents for each patient. Results Of all patients, 1174 (47%) had two driver’s licenses, identification cards, or permits in their electronic medical records. The two documents were issued an average of 3.5 years apart. Overall, 114 (10%) patients had differing organ donor designations on their two documents. Among the 502 patients who were designated as organ donors on the first document, 32 (6%) were not designated as organ donors on the second document. Among the 672 patients who were not designated as organ donors on the first document, 82 (12%) were designated as organ donors on the second document. There was little relationship between stability of organ donor designations and patient demographic and medical characteristics. Conclusions About 1 of every 10 patients changed their organ donor designation, but stability was not associated with any demographic or medical factors. Further work is needed to understand why individuals change their organ donor designation.

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“…As Thornton et al 4 point out in this issue, many patients die while waiting for a transplant. The decision to donate is deeply personal and driven by values as well as by more pragmatic factors such as accurate information to address generally unfounded fears.…”

mentioning

confidence: 97%

Getting to the ‘Why’ of Behavior Change

Feldman

2016

J GEN INTERN MED

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Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial

Cited by 26 publications

References 22 publications

Comparing web‐based video interventions to enhance university student willingness to donate organs: A randomized controlled trial

Comparing web‐based video interventions to enhance university student willingness to donate organs: A randomized controlled trial

Stability of Organ Donor Designations on Driver's Licenses

Getting to the ‘Why’ of Behavior Change

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