Project ACTS II: Increasing Donor Registration among African Americans

项目 ACTS II：增加非裔美国人的捐助者登记

• 批准号: 8513980
• 负责人: Kimberly Ruth Jacob Arriola
• 金额: $ 44.69万
• 依托单位: EMORY UNIVERSITY
• 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 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8513980
• 关键词: Address; Adult; African American; Area; Attention; Attitude; Awareness; Behavioral Sciences; Belief; Blood typing procedure; Censuses; Cessation of life; Code; Communities; Community Health; County; Data; Data Set; Dose; Effectiveness; Epidemiology; Evaluation; Family; Heterogeneity; Histocompatibility Antigens; Histocompatibility Testing; Individual; Inequality; Intervention; Kidney; Kidney Transplantation; Knowledge; Legal; Life; Measures; Minority Groups; Modeling; Organ; Organ Donations; Organ Donor; Outcome; Pamphlets; Participant; Patients; Population Sizes; Process; Randomized; Recruitment Activity; Registries; Religion and Spirituality; Religious Belief; Research; Research Design; Series; Solid; Statutes and Laws; Structure; Testing; Time; Tissue Donations; Training; Transplantation; abstracting; base; data registry; design; experience; follow-up; improved; member; metropolitan; minority health; multidisciplinary; organ allocation; public health relevance; research study

DESCRIPTION (provided by applicant): Project ACTS II: Increasing Donor Registration among African Americans Abstract The proposed project brings together a multidisciplinary team with expertise in the behavioral sciences, epidemiology, ethnic/racial minority health, and transplantation to evaluate the effectiveness of a culturally- sensitive intervention (Project ACTS: About Choices in Transplantation and Sharing) designed to increase registration on the Georgia state donor registry in metropolitan Atlanta areas that have the highest percentages of African Americans (AAs) and the lowest percentage of state donor registrants. Almost 10 years ago, Project ACTS (a DVD and educational booklet) was developed to address many of the well-known barriers to donation among AAs. It was originally developed based on a deep structure model of cultural sensitivity (Resnicow et al., 1999) by virtue of its emphasis on encouraging family discussion of donation intentions and its focus on addressing religious myths. However, Georgia legislation has since changed to allow for the legal expression of donation wishes (even in the face of family objection) through registration on the state donor registry. Subsequently, Project ACTS II was modified to deemphasize family discussion and include wider representation of experiences in donation/transplantation with demonstrated efficacy among community- recruited AA adults. While the preliminary evidence evaluating Project ACTS II is encouraging, the central question about its ability to increase public commitment to donation remains unanswered: To what extent is Project ACTS II effective at increasing registration on the state donor registry in areas that have the highest percentage of AAs and the lowest percentage of donor registration? Using the IIFF Model of Donor Registration (Immediate and complete registration opportunity, Information, Focused engagement, and Favorable action; Siegal et al., 2010), the proposed project will engage 16 community health workers in the implementation of Project ACTS II in targeted metro-Atlanta areas in order to reach 4,000 community members. The specific aims are as follows: Aim 1: To determine the 32 ZIP codes in a 5-county metro-Atlanta area with both the highest percentage of AAs and the lowest percentage of registrants on the state donor registry; Aim 2: To deliver Project ACTS II at 25 discussion sessions in each of 16 ZIP codes identified in Aim 1; Aim 3: To conduct a process and outcome evaluation of Project ACTS II. H1: Individuals attending Project ACTS II sessions will demonstrate significantly improved donation-related knowledge, more favorable attitudes and beliefs towards organ and tissue donation, and increased likelihood to register on the state donor registry from baseline to immediate follow-up. H2: ZIP codes in which Project ACTS II sessions are being conducted will demonstrate a significant increase in donor registrations as compared to control ZIP codes in which Project ACTS II sessions are not being conducted.

描述（由申请人提供）：ACTS II 项目：增加非裔美国人的捐赠者登记 摘要 拟议的项目汇集了一个多学科团队，他们在行为科学、流行病学、少数族裔/种族健康和移植方面具有专业知识，以评估文化捐赠者登记的有效性。 - 敏感干预（ACTS项目：关于移植和共享的选择），旨在增加亚特兰大大都市区非裔美国人（AA）比例最高和国家捐赠者比例最低的佐治亚州捐赠者登记处的登记注册者。大约 10 年前，Project ACTS（DVD 和教育小册子）的开发是为了解决 AA 中许多众所周知的捐赠障碍。它最初是基于文化敏感性的深层结构模型（Resnicow et al., 1999）开发的，因为它强调鼓励家庭讨论捐赠意向并重点解决宗教神话。然而，佐治亚州立法此后发生了变化，允许通过在州捐赠登记处登记合法表达捐赠意愿（即使面临家庭反对）。随后，ACTS II 项目进行了修改，不再强调家庭讨论，而是纳入更广泛的捐赠/移植经验代表性，并在社区招募的 AA 成年人中证明了其有效性。虽然评估 ACTS II 项目的初步证据令人鼓舞，但关于其增加公众捐赠承诺的能力的核心问题仍未得到解答：ACTS II 项目在增加捐赠比例最高的地区在多大程度上有效地增加了国家捐赠者登记处的登记。 AA 和捐赠者注册比例最低？使用 IIFF 捐赠者登记模型（立即和完整的登记机会、信息、重点参与和有利行动；Siegal 等，2010），拟议项目将吸引 16 名社区卫生工作者参与目标地铁实施 ACTS II 项目- 亚特兰大地区，以达到 4,000 名社区成员。具体目标如下： 目标 1：确定亚特兰大都会区 5 个县的 32 个邮政编码，这些邮政编码在州捐助者登记处的 AA 比例最高，注册者比例最低；目标 2：在目标 1 中确定的 16 个邮政编码的每一个中，通过 25 场讨论会议交付项目 ACTS II；目标 3：对 ACTS II 项目进行过程和结果评估。 H1：参加 ACTS II 项目会议的个人将表现出显着提高的捐赠相关知识、对器官和组织捐赠更有利的态度和信念，以及从基线到立即后续在国家捐赠者登记处登记的可能性增加。 H2：与未进行 ACTS II 项目会议的对照邮政编码相比，正在开展 ACTS II 项目会议的邮政编码将显示捐助者登记数量显着增加。