Unknown

Dataset Information

0

Computerized assessment of competence-related abilities in living liver donors: the Adult-to-Adult Living Donor Liver Transplantation Cohort Study.


ABSTRACT: Despite its importance, determination of competence to consent to organ donation varies widely based on local standards. We piloted a new tool to aid transplant centers in donor assessment.We assessed competence-related abilities among potential living liver donors (LDs) in the nine-center A2ALL study. Prospective LDs viewed an educational video and were queried to assess Understanding, Appreciation, Reasoning, and ability to express a Final Choice using the MacArthur Competence Assessment Tool for Clinical Research, adapted for computerized administration in LDs ("MacLiver"). Videotaped responses were scored by a clinical neuropsychologist (JF).Ninety-three LDs were assessed. Mean (standard deviation; domain maximum) scores were as follows: Understanding: 18.1 (2.6; max = 22), Appreciation: 5.1 (1.0; max = 6), Reasoning: 3.1 (0.8; max = 4), and Final Choice: 3.8 (0.5; max = 4). Scores did not differ by demographics, relationship to the recipient, eligibility to donate, or eventual donation (p > 0.4). Higher education was associated with greater Understanding (p = 0.004) and Reasoning (p = 0.03).Standardized, computerized education with independent ratings of responses may (1) alert the clinical staff to potential donors who may not be competent to donate and (2) highlight areas needing further assessment and education, leading to better informed decision making.

SUBMITTER: Freeman J 

PROVIDER: S-EPMC4096778 | biostudies-literature | 2013 Jul-Aug

REPOSITORIES: biostudies-literature

altmetric image

Publications

Computerized assessment of competence-related abilities in living liver donors: the Adult-to-Adult Living Donor Liver Transplantation Cohort Study.

Freeman Jason J   Emond Jean J   Gillespie Brenda W BW   Appelbaum Paul S PS   Weinrieb Robert R   Hill-Callahan Peg P   Gordon Elisa J EJ   Terrault Norah N   Trotter James J   Ashworth April A   Dew Mary Amanda MA   Pruett Timothy T  

Clinical transplantation 20130716 4


<h4>Background</h4>Despite its importance, determination of competence to consent to organ donation varies widely based on local standards. We piloted a new tool to aid transplant centers in donor assessment.<h4>Methods</h4>We assessed competence-related abilities among potential living liver donors (LDs) in the nine-center A2ALL study. Prospective LDs viewed an educational video and were queried to assess Understanding, Appreciation, Reasoning, and ability to express a Final Choice using the Ma  ...[more]

Similar Datasets

| S-EPMC4276514 | biostudies-literature
| S-EPMC6153054 | biostudies-literature
| S-EPMC2131378 | biostudies-other
| S-EPMC9048132 | biostudies-literature
| S-EPMC9235445 | biostudies-literature
| S-EPMC8640566 | biostudies-literature
| S-EPMC4308432 | biostudies-literature
| S-EPMC4432787 | biostudies-literature
| S-EPMC11336521 | biostudies-literature
| S-EPMC5077637 | biostudies-literature