COMMUNITY ENGAGEMENT AND OUTREACH

社区参与和外展

• 批准号: 7418037
• 负责人: J. DARYL THORNTON
• 金额: $ 18.9万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7418037
• 关键词: Address; Brain Death; Church; Cities; Collaborations; Color; Communities; Country; Donor Card; Education; Event; Family member; Feeling; Genetic; Health Professional; Histocompatibility Testing; Human Resources; Improve Access; Individual; Intervention; Interview; Knowledge; Left; Licensing; Life; Minority; Minority Groups; Motor Vehicles; Numbers; Ohio; Organ; Organ Donations; Organ Donor; Organ Procurements; Organ Transplantation; Outcome; Participant; Persons; Population; Public Health; Randomized Controlled Trials; Rate; Recovery; Schools; Site; Teenagers; Time; Tissues; Training; Transplantation; Transplanted tissue; Visit; Work; base; improved; member; outreach; programs; willingness

An increase in organ donation, particularly among minorities, would significantly reduce disparities in access to organ transplantation. Our local community partners, Cleveland MOTTEP (Minority Organ Tissue Transplant Education Program) and LifeBanc (organ and tissue recovery agency for northeast Ohio), have worked to educate the public through a number of outreach activities. While such educational campaigns have been associated with some improvements in donation rates, many members of minority groups are reluctant to donate organs. The driver's license is the most common means to sign up to become an organ donor. Yet prior efforts have not aggressively targeted individuals at the time they obtain their driver's license. We hypothesized that understanding barriers and facilitators to donation among minorities and using this information to target individuals at the time they obtain their first driver's license would enhance signing of organ donor cards. We therefore identified barriers and facilitators to donation among diverse groups and used this information to develop a 5-minute video to encourage donation among groups that have been historically reluctant to donate. We now propose a community-based randomized controlled trial involving 450 intervention and 450 control patrons visiting 68 Ohio Bureau of Motor Vehicle (OBMV) branches to obtain an initial driver's license. Intervention patrons will watch the video prior to entering the OBMV. Study personnel will interview intervention and control patrons after they leave the OBMV to determine whether they signed an organ donor card and the reasons for their decision. We will also determine the effect of the video intervention on willingness to donate organs while living. Our community partners, LifeBanc and MOTTEP will help train and supervise our study staff, troubleshoot problems along the way, and help analyze and interpret the findings. More importantly, they are ideally situated to disseminate our findings. If our intervention is successful, they will collaborate with us to expand the intervention to additional sites such as schools, churches, and other Ohio BMV branches. They will also share details of the intervention with other organ procurement agencies throughout the country and with other branches of MOTTEP located in 16 cities with large minority populations.

器官捐赠的增加，特别是在少数民族中，将大大降低进入的差异 到器官移植。我们当地的社区合作伙伴克利夫兰·莫特普（少数族裔组织 移植教育计划）和救生显示（俄亥俄州东北部的器官和组织恢复机构） 努力通过许多外展活动对公众进行教育。而这样的教育运动 与捐赠率的一些提高有关，许多少数群体的成员是 不愿捐赠器官。 驾驶执照是注册成为器官捐赠者的最常见手段。然而先前的努力已经 在获得驾驶执照时，他们并非积极针对的人。我们假设了这一点 了解障碍和促进者在少数群体之间捐款，并使用此信息来针对 个人在获得第一个驾驶执照时将增强器官捐赠卡的签名。我们 因此，确定了不同群体之间捐赠的障碍和促进者，并将这些信息用于 制定一个5分钟的视频，以鼓励在历史上不愿意的团体之间捐款 捐。 现在，我们提出了一项基于社区的随机对照试验，涉及450次干预和450个控制 访问68俄亥俄州汽车局（OBMV）分支机构的顾客获得了初始驾驶执照。 干预顾客将在进入OBMV之前观看视频。学习人员将面试 干预和控制顾客离开OBMV以确定他们是否签署器官捐赠者 卡和他们决定的原因。我们还将确定视频干预对 愿意在生活中捐赠器官。 我们的社区合作伙伴，LifeBanc和Mottep将帮助培训和监督我们的学习人员，故障排除 一路上的问题，并有助于分析和解释发现。更重要的是，他们是理想情况 位于传播我们的发现。如果我们的干预成功，他们将与我们合作以扩展 干预其他地点，例如学校，教堂和其他俄亥俄BMV分支机构。他们也会 与全国各地的其他器官采购机构共享干预措施的详细信息 Mottep的其他分支机构位于16个城市，少数人口。