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: 8880184
• 负责人: Kimberly Ruth Jacob Arriola
• 金额: $ 23.1万
• 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 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8880184
• 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; Health; 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; 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（申请人提供）：项目行为II：非洲裔美国人的捐助者注册摘要摘要拟议的项目汇集了一支具有行为科学，流行病学，族裔/种族少数群体健康和移植的多学科项目，以及评估一项文化敏感的干预措施的有效性（围绕着跨越的主管）的有效性：亚特兰大大都会地区的捐助者登记处，非裔美国人百分比最高（AAS）和州捐赠者注册人的百分比最低。大约10年前，开发了项目法案（DVD和教育手册），以解决许多著名的AAS捐赠障碍。它最初是基于文化敏感性的深层结构模型而开发的（Resnicow等，1999），它强调鼓励家庭讨论捐赠意图及其专注于解决宗教神话。但是，此后，佐治亚州的立法已更改，以允许通过对州捐赠者登记处的注册来实现捐赠愿望的法律表达（即使面对家庭反对）。随后，对II项目进行了修改，以指出家庭讨论，并包括更广泛的捐赠/移植经验，并在社区招募的AA成年人中证明了有效性。虽然评估项目法案II的初步证据令人鼓舞，但有关其提高公众对捐赠承诺能力的核心问题仍未得到答案：在多大程度上有效地增加了AAS比例最高的地区和捐助者最高比例的地区的州捐赠者注册机构的注册？使用捐助者注册的IIFF模型（立即和完整的注册机会，信息，重点参与和有利的行动； Siegal等人，2010年），该项目将与16名社区卫生工作者与有针对性的都会区域的项目Act II与全球的项目ACT实施II，以吸引4,000名社区成员。具体目的如下：目标1：确定5县都会区域中的32个邮政编码，该地区的AAS百分比最高，是州捐赠者注册表上注册人的最低百分比；目标2：在AIM 1中确定的16个邮政编码中的每一个中，在25个讨论会议上颁布项目行为II；目标3：进行项目法的过程和结果评估II。 H1：参加项目行为的个人会议将表明与捐赠有关的知识，对器官和组织捐赠的更有利的态度和信念可显着改善，并增加了从基线到立即随访的州捐赠者注册的可能性。 H2：与对照邮政编码相比，正在进行项目法第二会议的邮政编码将证明捐赠者注册的大幅度增加，而邮政编码没有进行项目法案II会议。