Enhancing the Effectiveness of a Culturally Sensitive Organ Donation Intervention

提高文化敏感器官捐献干预措施的有效性

• 批准号: 7930187
• 负责人: Kimberly Ruth Jacob Arriola
• 金额: $ 6.59万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7930187
• 关键词: Address; Adult; African; African American; African Caribbean; Awareness; Behavioral; Cessation of life; Church; Communities; Data Analyses; Development; Donor Card; Educational Background; Effectiveness; Family; Focus Groups; Foundations; Fright; Future; Gender; Goals; Home environment; Immigrant; Individual; Intervention; Knowledge; Licensing; Life; Literature; Medical; Names; Organ; Organ Donations; Organ Transplantation; Participant; Phase; Population; Randomized; Readiness; Recruitment Activity; Religious Belief; Reporting; Research; Research Methodology; Research Personnel; Sampling Studies; Shapes; Superstitions; Testing; Time; Transplantation; United States; Writing; base; effectiveness trial; follow-up; improved; premature; programs; racism; theories; tool; Address; Adult; African; African American; African Caribbean; Awareness; Behavioral; Cessation of life; Church; Communities; Data Analyses; Development; Donor Card; Educational Background; Effectiveness; Family; Focus Groups; Foundations; Fright; Future; Gender; Goals; Home environment; Immigrant; Individual; Intervention; Knowledge; Licensing; Life; Literature; Medical; Names; Organ; Organ Donations; Organ Transplantation; Participant; Phase; Population; Randomized; Readiness; Recruitment Activity; Religious Belief; Reporting; Research; Research Methodology; Research Personnel; Sampling Studies; Shapes; Superstitions; Testing; Time; Transplantation; United States; Writing; base; effectiveness trial; follow-up; improved; premature; programs; racism; theories; tool

DESCRIPTION (provided by applicant): Black Americans are overrepresented among individuals in need of an organ transplant. For example, as of December 1, 2006, 28% of individuals awaiting a life-saving organ were Black whereas they only comprise 13% of the US population. A variety of factors contribute to Blacks' overrepresentation among those in need of a transplant, one of which is low donation rates. This application describes the continued development and testing of an intervention that seeks to improve donation intentions among Black adults. This three-phase study utilizes both qualitative and quantitative research methods. Phase I entails convening eight focus groups of 6-8 individuals each. Six focus groups will be with parishioners who participated in our previous randomized effectiveness trial. Two focus groups will be with individuals who are new to the study. The goal of this phase of the study is to understand factors that motivate individuals to review the intervention materials and ways to modify the intervention to maximize its effectiveness. From these findings we will modify the existing intervention package (hereby referred to as the "enhanced intervention package"). Phase II is a randomized effectiveness trial (N=750) that seeks to assess whether the enhanced intervention package is more effective at impacting behavioral intentions than the previously developed intervention materials. Additionally, this phase will assess whether the intervention is effective among non-churchgoing southern Blacks. Phase III entails data analysis and dissemination of findings. The specific aims of this study are to explore the factors that motivate individuals to review the intervention materials, to revise the intervention materials to maximize effectiveness and the likelihood of review, and to test whether the enhanced intervention is effective among Black adults recruited from non-church-based settings. This study will test two primary hypotheses: (a) The proportion of individuals who review the intervention materials (through watching the video and/or reviewing the written materials) will be greater among those who receive the enhanced Project ACTS intervention materials (Enhanced Intervention) as compared to those who receive the standard Project ACTS intervention materials (Intervention). (b) There will be no difference in the proportion of people who increase readiness to express written and verbal intentions to donate between those who review the materials and attend church regularly (at least weekly) and those who review the materials and do not attend church regularly.

描述（由申请人提供）： 在需要器官移植的人中，黑人美国人的人数过多。例如，截至2006年12月1日，等待挽救生命的器官的个人中有28％是黑色的，而它们仅占美国人口的13％。各种因素导致黑人在需要移植的人中的过度代表性，其中之一是捐赠率低。该应用描述了旨在提高黑人成年人捐赠意图的干预措施的持续开发和测试。 这项三相研究利用了定性和定量研究方法。第一阶段需要召集八个6-8个人的焦点小组。六个焦点小组将与参加我们以前的随机有效性试验的教区居民在一起。两个焦点小组将与研究新手的个人在一起。这项研究阶段的目的是了解激励个人审查干预材料的因素，以及修改干预措施以最大化其有效性的方法。从这些发现中，我们将修改现有的干预软件包（特此称为“增强干预软件包”）。 II期是一项随机有效性试验（n = 750），试图评估增强的干预套件是否比以前开发的干预材料更有效地影响行为意图。此外，此阶段将评估干预措施在非挑剔的南部黑人中是否有效。第三阶段需要数据分析和发现的传播。 这项研究的具体目的是探索激励个人审查干预材料的因素，修改干预材料以最大程度地提高有效性和审查的可能性，并测试增强的干预措施是否在非基于基于教会的情况下招募的黑人成年人中是否有效。这项研究将检验两个主要的假设：（a）与接受《标准项目法案干预材料》（干预材料（干预材料）相比，通过观看视频和/或审查书面材料的审查干预材料的个人（通过观看视频和/或审查书面材料）的比例将更大。 （b）在审查材料和定期审查材料的人（至少每周）和那些审查材料并不定期参加教堂的人之间，提出书面和口头捐款的人的比例没有差异。