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Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial.

ABSTRACT: Low organ donation rates remain a major barrier to organ transplantation.We aimed to determine the effect of a video and patient cueing on organ donation consent among patients meeting with their primary care provider.This was a randomized controlled trial between February 2013 and May 2014.The waiting rooms of 18 primary care clinics of a medical system in Cuyahoga County, Ohio.The study included 915 patients over 15.5 years of age who had not previously consented to organ donation.Just prior to their clinical encounter, intervention patients (n?=?456) watched a 5-minute organ donation video on iPads and then choose a question regarding organ donation to ask their provider. Control patients (n?=?459) visited their provider per usual routine.The primary outcome was the proportion of patients who consented for organ donation. Secondary outcomes included the proportion of patients who discussed organ donation with their provider and the proportion who were satisfied with the time spent with their provider during the clinical encounter.Intervention patients were more likely than control patients to consent to donate organs (22 % vs. 15 %, OR 1.50, 95%CI 1.10-2.13). Intervention patients were also more likely to have donation discussions with their provider (77 % vs. 18 %, OR 15.1, 95%CI 11.1-20.6). Intervention and control patients were similarly satisfied with the time they spent with their provider (83 % vs. 86 %, OR 0.87, 95%CI 0.61-1.25).How the observed increases in organ donation consent might translate into a greater organ supply is unclear.Watching a brief video regarding organ donation and being cued to ask a primary care provider a question about donation resulted in more organ donation discussions and an increase in organ donation consent. Satisfaction with the time spent during the clinical encounter was not affected.clinicaltrials.gov Identifier: NCT01697137.

SUBMITTER: Thornton JD

PROVIDER: S-EPMC4945548 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial.

Thornton J Daryl JD Sullivan Catherine C Albert Jeffrey M JM Cedeño Maria M Patrick Bridget B Pencak Julie J Wong Kristine A KA Allen Margaret D MD Kimble Linda L Mekesa Heather H Bowen Gordon G Sehgal Ashwini R AR

Journal of general internal medicine 20160801 8

<h4>Background</h4>Low organ donation rates remain a major barrier to organ transplantation.<h4>Objective</h4>We aimed to determine the effect of a video and patient cueing on organ donation consent among patients meeting with their primary care provider.<h4>Design</h4>This was a randomized controlled trial between February 2013 and May 2014.<h4>Setting</h4>The waiting rooms of 18 primary care clinics of a medical system in Cuyahoga County, Ohio.<h4>Patients</h4>The study included 915 patients o ...[more]

PMID: 26921161

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Project description:Primary ciliary dyskinesia (PCD) impairs pulmonary function, respiratory and peripheral muscle strength, and exercise capacity. We aimed to investigate the effects of active video games (AVGs) on pulmonary function, respiratory and peripheral muscle strength, exercise capacity, muscle oxygenation (SMO2), physical activity, activities of daily living (ADL), and quality of life (QOL) in PCD. Thirty-two PCD patients were randomly assigned to AVG group (n = 16) and the control group (n = 16). AVG group underwent AVGs using Xbox-Kinect-360 device for 40 min/day, 3 days/week for 8 weeks plus airway clearance techniques (ACT), and the control group was applied ACT only. Pulmonary function, respiratory and quadriceps muscle strength, exercise capacity (6-min walk test [6MWT], incremental shuttle walk test [ISWT]), and ADL (Glittre ADL test) were assessed. SMO2 during ISWT and ADL test was also recorded. Physical activity and QOL (PCD-QOL) were evaluated. Pulmonary function; respiratory and quadriceps muscle strength; 6MWT and ISWT distance; physical activity; ADL performance; SMO2; physical, emotional, and social functioning; treatment burden; and upper and lower symptom parameters of PCD-QOL significantly improved after 8 weeks in the AVG group (p < 0.05). There were no significant differences in measured parameters except emotional function and upper respiratory symptom scores of PCD-QOL in the control group (p > 0.05). Conclusion: The AVGs positively affect pulmonary (pulmonary function, respiratory muscle strength) and extrapulmonary (peripheral muscle strength, exercise capacity, SMO2, physical activity, ADL, and QOL) characteristics in children with PCD. The AVGs may be added to the pulmonary rehabilitation program as an exercise training modality in patients with PCD. Trial registration: This study registered at ClinicalTrials.gov with NCT03832491 on February 6, 2019. What is Known: • It is indicated that exercise capacity is increased with traditional exercise-training in a case report of Kartagener Syndrome. What is New: • No randomized controlled study investigated the effects of exercise-training in PCD. • 8-week moderate-intensity active video gaming (AVGs) improves pulmonary and extrapulmonary features in children with PCD. AVGs may be preferable due to being enjoyable, providing visual and audial feedback in the pulmonary rehabilitation programs of PCD.

Dataset Information

Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial.

Publications

Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial.

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