Increasing Donation by Helping Recipients Ask

通过帮助受助者提出请求来增加捐款

• 批准号: 6891370
• 负责人: Amy Doggette Waterman
• 金额: $ 11.51万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-01 至 2009-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6891370
• 关键词: Internet; behavioral /social science research tag; clinical research; communication; computer assisted instruction; educational resource design /development; emotions; epidemiology; ethics; health behavior; health care referral /consultation; health education; human subject; interpersonal relations; kidney transplantation; medical outreach /case finding; medical records; questionnaires; self help; social psychology; tissue donors; transplantation resource /registry /referral center; volunteer

DESCRIPTION (provided by applicant): As a Social and Health Psychologist at Washington University School of Medicine (WUSM), I am pursuing a Mentored Research Scientist Development Award (K01) in order to specialize in the clinical area of transplantation, receive scholarly training, and conduct research to increase living donation rates. I am committed to becoming an independent transplantation researcher and am supported in this goal by my proposed K01 mentors at WUSM: Barry Hong, Ph.D., a Transplant Psychologist, and Daniel Brennan, M.D., Transplant Nephrologist and Director of Barnes-Jewish Transplant Center (BJTC). I seek additional formal training in health education, survey design, advanced statistical analyses, ethics, and the clinical care of transplant patients. Building on existing collaborations and preliminary studies, the overall purpose of my proposed research project is to increase living donation rates by assisting kidney recipients in asking living donors to donate. My past research has shown that many kidney recipients are very uncomfortable discussing living donation with prospective donors and, because of this discomfort, will not consider living donation. The national availability of living donor kidneys is limited because willing living donors are never asked. Targeted health education for living donors has already been shown to increase living donation rates significantly. Education that ethically and effectively increases recipients' comfort asking living donors may be a second way to increase living donation. Utilizing kidney recipients from BJTC, the proposed K01 research project has three aims: Aim 1: To determine which factors predict recipient discomfort in asking living donors to donate and whether level of discomfort predicts recipients' time to transplantation. Aim 2: To develop two types of health education to help recipients ask living donors to donate: (A) recipient training on how to make the donation request (i.e., the direct approach) and (B) a living donor website for the recipient to refer living donors (i.e., the indirect approach). Aim 3: To conduct a group-randomized controlled trial of 225 potential recipients to compare the effectiveness of the direct and indirect educational approaches compared to standard-of-care on three important outcomes: recipient comfort asking, number of living donors evaluated, and number of recipients transplanted. At the conclusion of this project, I will have developed and validated two health education interventions that may help recipients ask living donors to donate. I also will have collected pilot data for a future R01 submission.

描述（由申请人提供）： 作为华盛顿大学医学院（WUSM）的社会和健康心理学家，我正在寻求指导的研究科学家发展奖（K01），以专门研究移植的临床领域，接受学术培训并进行研究以提高生活捐赠率。我致力于成为一名独立的移植研究人员，并由我在WUSM提议的K01导师提供支持：移植心理学家Barry Hong博士和Barnes-Jewish-Jewish-Jewish-Jewish-Jewish-Jewish-Jewish-Jewish-Jewish-neprant Center（BJTC）。我寻求健康教育，调查设计，高级统计分析，道德和移植患者的临床护理方面的其他正规培训。在现有的合作和初步研究的基础上，我提出的研究项目的总体目的是通过协助肾脏接受者要求活着的捐助者捐款来提高生活捐赠率。 我过去的研究表明，许多肾脏接受者在与潜在捐助者的生活捐赠讨论捐赠的情况下非常不舒服，并且由于这种不适，不会考虑捐赠生活。活着的捐助者肾脏的全国可用性是有限的，因为从未要求愿意活着的捐助者。针对活捐助者的有针对性的健康教育已被证明可以大大提高生活捐赠率。从道德上有效地增加接收者的舒适询问捐助者的教育可能是增加生活捐赠的第二种方法。拟议的K01研究项目利用BJTC的肾脏接受者具有三个目标： 目标1：确定哪些因素可以预测受体不适，以要求生物捐助者捐赠以及不适的水平是否预示了受体的移植时间。 目标2：开发两种类型的健康教育来帮助接收者要求活着的捐助者捐款：（a）有关如何提出捐赠请求（即直接方法）的接受者培训，以及（b）一个活着的捐助者网站供接收者推荐活着的捐助者（即间接方法）。 AIM 3：进行225名潜在接收者的组随机对照试验，以比较直接和间接教育方法的有效性与三种重要结果的标准护理相比：受体舒适性询问，评估的活着捐助者的数量以及接受移植的接受者的数量。 在该项目结束时，我将开发并验证了两项健康教育干预措施，这些干预措施可能会帮助接受者要求捐助者捐款。我还将为未来的R01提交收集试点数据。