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，我正在追求指导研究科学家发展奖 (K01)，以便专注于移植临床领域、接受学术培训并开展研究以增加活体捐赠费率。我致力于成为一名独立的移植研究者，并得到了我在 WUSM 提议的 K01 导师的支持：移植心理学家 Barry Hong 博士和移植肾病学家兼 Barnes-Jewish 移植中心主任 Daniel Brennan 医学博士中心（北京交通大学）。我寻求健康教育、调查设计、高级统计分析、伦理学和移植患者临床护理方面的额外正式培训。在现有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体捐赠者捐赠来提高活体捐赠率。 我过去的研究表明，许多肾脏接受者在与潜在捐赠者讨论活体捐赠时感到非常不舒服，并且由于这种不适，不会考虑活体捐赠。全国范围内活体捐献肾脏的供应量有限，因为从来没有询问愿意的活体捐献者。事实证明，对活体捐献者进行有针对性的健康教育可以显着提高活体捐献率。在道德上和有效地增加接受者询问活体捐赠者舒适度的教育可能是增加活体捐赠的第二种方法。拟议的 K01 研究项目利用 BJTC 的肾脏接受者，有三个目标： 目标 1：确定哪些因素可以预测受赠者在要求活体捐献者捐献时感到不适，以及不适程度是否可以预测受赠者的移植时间。 目标 2：开展两种类型的健康教育，帮助受赠者请求活体捐赠者捐赠：(A) 培训受赠者如何提出捐赠请求（即直接方法）；(B) 建立一个活体捐赠者网站，供受赠者转介活体捐赠者（即间接方法）。 目标 3：对 225 名潜在接受者进行分组随机对照试验，比较直接和间接教育方法与护理标准在三个重要结果上的有效性：接受者舒适度询问、评估的活体捐赠者数量和数量移植受者的数量。 在该项目结束时，我将制定并验证两项健康教育干预措施，可以帮助受助者要求活体捐赠者捐赠。我还将为未来的 R01 提交收集试点数据。