A pragmatic video intervention to promote African American organ donor registration at the Department of Motorized Vehicles

务实的视频干预，促进非裔美国人器官捐献者在机动车辆部登记

• 批准号: 8954208
• 负责人: Derek A. DuBay
• 金额: $ 7.35万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-15 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8954208
• 关键词: Adult; Advertising; Advocate; African American; Alabama; Area; Audience Research; Binding; Caucasians; Consent; Contracts; Cross-Over Trials; Crossover Design; Data; Decision Making; Educational Intervention; Ensure; Feedback; Fees; Film; Frequencies; Future; Goals; Intervention; K-Series Research Career Programs; Knowledge; Laws; Letters; Licensing; Living Wills; Maintenance; Measures; Methods; Modeling; Organ; Organ Donations; Organ Donor; Outcome; Participant; Persons; Pilot Projects; Play; Population; Production; Race; Randomized; Series; Services; Television; Testing; Time; Transplantation; United States Dept. of Health and Human Services; Visit; abstracting; base; cost; design; experience; public health relevance; trial design

 DESCRIPTION (provided by applicant): A pragmatic video intervention to promote African American organ donor registration at the Department of Motorized Vehicles Abstract Rationale: There are 122,000 persons waiting for donor organs in the US, but only about 30,000 transplants are performed each year. The Department of Health and Human Services has set the goal that at least 50% of adults in each state become registered organ donors. Increasing donor registration is important with passage of first-person consent laws in all 50 states. First-person consent makes the indication of an adult's intent to donate organs (i.e. becoming a registered donor) legally binding, much like a living will. In Alabama, 77% of Caucasians are registered organ donors, but only 28% of African Americans are registered organ donors. There is need for persuasive educational interventions to increase African American organ donor registration. Objectives: Over 97% of organ donor registrations (for all races) occur at the Department of Motorized Vehicles (DMV), making this the obvious intervention venue to increase donor registration. A series of studies of African Americans that recently visited a DMV in Alabama and made the decision (yes or no) to become a registered donor was conducted through the PIs current K23 Career Development Award. Most African American participants who decided not to become a registered donor stated they had not considered becoming a registered donor prior to being asked, and the safe answer was "no". To increase African American donor registration, participants advocated presenting organ donor information on flat screen TVs while standing in line at the DMV, and prioritized organ donor topics for the educational video. Building on these preliminary findings, the goal of the proposed study is to pilot a video intervention at the DMV to promote African American donor registration. The pilot project will be conducted during years 4 and 5 of the K23. Design and Methods: The five Birmingham, Alabama area DMVs will be used for the pilot video intervention. Each DMV services a high proportion of African Americans. The Organ Donation Model will be used as the theoretical framework to help ensure that intervention is persuasive and effective. African American organ donor educational topics identified as most important through the PIs current K23 will be used to create a video storyboard. The video storyboard will be tested and modified based upon the results of audience research. A series of video narratives will be developed. The video narratives will then be further tested and modified with audience research. The final product will be a repeating 10-15 minute video intervention promoting the positive aspects of African American organ donor registration, presented via flat screen TVs to persons at the DMV. A randomized cross-over design using DMV facility as the unit of randomization will measure if the intervention increases African American donor registration when the video is playing compared to when the video is off. Significance: The developed video content and efficacy data will serve the basis of a future R01 rolling out this intervention on a larger scale in the South. f effective, the DMV-based flat screen TV intervention may be utilized for other populations with low organ donor registration rates.

 描述（由申请人提供）：一种务实的视频干预措施，以促进机动车辆的美国或GAN捐赠者注册抽象的理由：美国卫生和公共服务部有122,000人为捐赠机器人提供服务，其目标设定了一个目标，即50％的目标每个州的注册器官捐赠者都在所有50个州的第一人称同意法中都很重要。威尔在阿拉巴马州，有77％的ED器官捐赠者是有说服力的教育干预措施的注册器官。增加了美国人的捐助者登记册。为了成为供应捐赠者，他们没有来的捐助者，他们的捐助者是供捐赠者的，安全的答案是“否”。在K23的4和5中，非裔美国人的捐赠者注册。框架有助于确保干预是有效的，有效的非裔美国人捐赠者教育主题，因为PIS当前的K23将根据Audiente研究的结果进行测试和修改。通过Audiente的研究，通过平面电视向DMV的人呈现非裔美国人器官捐赠者注册的积极方面。与视频关闭时相比：开发的视频内容和功效数据将为未来的R01滚动而来，这可能会涉及此其他供体供体供体供体较低的其他选择。