Multimedia intervention to motivate ethnic teens to be designated donors

多媒体干预激励少数民族青少年成为指定捐赠者

• 批准号: 7892599
• 负责人: Cheryl Lynn Albright
• 金额: $ 19.64万
• 依托单位: UNIVERSITY OF HAWAII AT MANOA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-01 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7892599
• 关键词: Adolescence; Adolescent; Advocate; Age; Alcohols; American; Asian Americans; Asians; Attitude; Awareness; Behavioral; Censuses; Cessation of life; Child; Church; Communities; Critical Illness; Data; Diffuse; Diffusion; Donor Card; Educational Intervention; Electronic Mail; Family; Family dynamics; Family member; Happiness; Hawaii; Health education; Individual; Intervention; Knowledge; Laws; Licensing; Life; Literature; Measures; Mediator of activation protein; Methods; Minority; Multimedia; Organ; Organ Donations; Organ Donor; Organ Procurements; Outcome; Outcome Study; Parents; Poetry; Proxy; Randomized; Randomized Clinical Trials; Recruitment Activity; Registries; Religion; Religion and Spirituality; Religious Belief; Reporting; Self Efficacy; Staging; Surgeon; Teenagers; Testing; Text; Tissue Donations; Translating; Transplantation; Waiting Lists; Youth; aged; alcohol availability; base; cultural values; efficacy testing; ethnic minority population; follow-up; high school; innovation; interactive multimedia; primary outcome; programs; psychosocial; randomized trial; secondary outcome; therapy design; underage drinking; underage drinking prevention; underage drinking reduction; willingness

DESCRIPTION (provided by applicant): Less than a fourth of ethnic minority teens in the U.S. are a designated donor (DD) on their state-issued driver's license. Asian-American/Pacific Islander (AA/PI) adolescents in Hawaii are even less likely to be a DD or to have talked to their family about becoming an organ donor. Health education interventions for adolescents have demonstrated improvements in knowledge and intentions to be an organ donor; but, AA/PI teens are underrepresented in such studies. Nevertheless, whether changes in knowledge or intentions result in more organ donors is unclear, since previous studies have not included a concrete behavioral outcome such as the teen becoming a donor on their driver's license. This application will test, via a randomized clinical trial, the efficacy of an Interactive Multimedia Intervention (IMI) to increase the number of AA/PI adolescents who are a DD on their state issued driver's license, identification card, or organ donor card/donor registry. Teen groups will be recruited from the community (churches and high schools, n = 40 groups, 530 teens) and randomly assigned to either the intervention or a comparison condition on prevention of underage drinking of alcohol. The theoretically-derived intervention will include culturally sensitive messages and information about being a designated donor that will be delivered via a DVD, Email, text/instant messaging, slam poetry, and webpages (e.g., myspace.com). The comparison condition includes materials (DVD) previously shown to increase awareness about laws restricting access to alcohol by teens. The primary outcome is objectively validated donor status on a teens' driver's license/ID or donor card after 12 months of intervention. A secondary outcome is the reported rate of family discussions about organ donation and knowledge/intentions about donation. We hypothesize the youth groups assigned to the intervention will have higher rates for family discussions and DD status, compared to groups in the comparison condition. We will also test whether psychosocial and cultural factors act as mediators of any change in teens' knowledge, attitudes & stages of change to become a DD. After the randomized trial we will disseminate the intervention to Organ Procurement Organizations in Hawaii and other states, and track diffusion outcomes over a year. If IMI methods can increase the number of minority teens who become a DD on their driver's license by 10% this would translate to 500,000 more teenage designated donors in the U.S.

描述（由申请人提供）： 在美国，不到四分之一的少数青少年是其国家签发的驾驶执照的指定捐助者（DD）。夏威夷的亚裔美国/太平洋岛民（AA/PI）青少年甚至不太可能成为DD或与家人谈论成为器官捐赠者的可能性。对青少年的健康教育干预措施表明，知识和意图成为器官捐赠者的意图有所改善；但是，在此类研究中，AA/PI青少年的人数不足。然而，知识变化或意图的变化是否导致更多的器官捐赠者尚不清楚，因为以前的研究还没有包括诸如青少年成为驾驶执照的捐助者之类的具体行为结果。该申请将通过一项随机临床试验测试，即交互式多媒体干预（IMI）的功效增加是其国家发行的驾驶员许可证，身份供体卡或捐赠者/捐赠者注册表的DD的AA/PI青少年的数量。青少年团体将从社区（教堂和高中，n = 40个小组，530名青少年）中招募，并随机分配给干预措施或预防未成年人饮酒的比较条件。理论上衍生的干预将包括文化敏感的消息和有关作为指定捐助者的信息，该信息将通过DVD，电子邮件，文本/即时消息，猛击诗歌和网页（例如MySpace.com）提供。比较条件包括先前显示的材料（DVD），以提高人们对青少年限制酒精获取的法律的认识。在干预12个月后，主要结果是在青少年的驾驶执照/ID或捐赠卡上进行客观验证的捐助者状态。次要结果是有关器官捐赠和有关捐赠的知识/意图的家庭讨论的报道率。我们假设分配给干预措施的青年群体与在比较条件下的群体相比，家庭讨论和DD状态的比率更高。我们还将测试社会心理和文化因素是否是青少年知识，态度和变化阶段成为DD的任何变化的介体。在随机试验之后，我们将把干预措施传播给夏威夷和其他州的器官采购组织，并在一年内跟踪扩散结果。如果IMI方法可以将成为驾驶执照的DD的少数青少年数量增加10％，这将转化为500,000美国的少年指定捐助者