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）：促进非裔美国人器官捐献者在机动车辆部门注册的务实视频干预摘要理由：美国有 122,000 人等待器官捐献，但该部门每年只进行约 30,000 例移植手术。卫生与公共服务部设定的目标是每个州至少 50% 的成年人成为注册器官捐献者，增加捐献者注册对于通过第一人同意非常重要。所有 50 个州的法律都使成年人捐赠器官的意愿（即成为注册捐赠者）具有法律约束力，就像阿拉巴马州的生前遗嘱一样，77% 的白人是注册器官捐赠者。 28% 的非裔美国人是登记的器官捐献者 需要有说服力的教育干预措施来增加非裔美国人的器官捐献者登记 目标：超过 97% 的器官捐献者登记（针对所有种族）是在机动车辆部门进行的。 (DMV)，使其成为增加捐赠者登记的明显干预场所。最近访问阿拉巴马州DMV并做出成为登记捐赠者的决定（是或否）的非裔美国人是通过当前的K23进行的。职业发展奖。大多数决定不成为注册捐赠者的非裔美国人参与者表示，他们在被询问之前没有考虑成为注册捐赠者，安全的答案是“不”。为了增加非裔美国人捐赠者的注册，参与者主张捐赠器官。站在平板电视上显示捐赠者信息基于这些初步发现，拟议研究的目标是在 DMV 进行视频干预，以促进非裔美国人捐赠者登记。 K23 的第 4 年和第 5 年的设计和方法：阿拉巴马州伯明翰地区的五个 DMV 将用于试点视频干预。每个 DMV 都将使用器官捐赠模型作为理论框架。帮助确保干预是通过 PI 当前 K23 确定的最重要的非裔美国器官捐赠者教育主题将用于创建视频故事板。将根据受众研究结果对视频故事板进行测试和修改。然后，视频叙述将通过观众研究进行进一步测试和修改，最终产品将是一个重复的 10-15 分钟的视频干预，通过平面电视向现场的人们展示非裔美国人器官捐赠者登记的积极方面。 DMV。使用 DMV 设施作为随机化单位的随机交叉设计将衡量视频播放时与视频关闭时相比干预措施是否增加非裔美国捐赠者注册。意义：开发的视频内容和功效数据将发挥作用。未来 R01 在南方大规模推广这种干预措施的基础上，如果有效的话，基于 DMV 的平板电视干预措施可用于器官捐献登记率较低的其他人群。