Dataset Information

Comparing web-based video interventions to enhance university student willingness to donate organs: A randomized controlled trial.

ABSTRACT: BACKGROUND:The efficacy of video interventions to increase organ donation willingness remains unclear. METHODS:Three-arm web-based randomized controlled trial involving 2261 students at 3 northeastern Ohio universities. Intervention students watched a live-action (n = 755) or animated (n = 753) donation video. Control students (n = 753) viewed wellness information from the Centers for Disease Control and Prevention (CDC). The primary outcome was proportion of students who visited their state electronic donor registry to consent. The secondary outcome was intervention quality. Logistic regression assessed the effects of interventions on visiting the state registry to provide donation consent while controlling for baseline variables. RESULTS:Students in the live-action video arm visited their state registry more frequently than students in the CDC arm (OR = 1.86, 95% CI = 1.20-2.88). There was no difference between students in the animated video and CDC arms (OR = 1.10, 95% CI = 0.69-1.76). The quality of the live-action video was rated lower than the animated video and the CDC text (75% ± 18, 84% ± 16, 80% ± 16, respectively; P < 0.001). CONCLUSION:Students who watched the live-action video were more willing to visit their electronic donor registry to register as organ donors, but rated it lower in satisfaction. Future work should identify the most potent components of organ donation interventions.

SUBMITTER: Thornton JD

PROVIDER: S-EPMC6474353 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Comparing web-based video interventions to enhance university student willingness to donate organs: A randomized controlled trial.

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

Clinical transplantation 20190313 4

<h4>Background</h4>The efficacy of video interventions to increase organ donation willingness remains unclear.<h4>Methods</h4>Three-arm web-based randomized controlled trial involving 2261 students at 3 northeastern Ohio universities. Intervention students watched a live-action (n = 755) or animated (n = 753) donation video. Control students (n = 753) viewed wellness information from the Centers for Disease Control and Prevention (CDC). The primary outcome was proportion of students who visited ...[more]

PMID: 30793375

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Project description:BackgroundThe gap between the supply of organs available for transplantation and demand is growing, especially among ethnic groups.ObjectiveTo evaluate the effect of a video designed to address concerns of ethnic groups about organ donation.DesignCluster randomized, controlled trial. Randomization was performed by using a random-number table with centralized allocation concealment. Participants and investigators assessing outcomes were not blinded to group assignment. (ClinicalTrials.gov registration number: NCT00870506)SettingTwelve branches of the Ohio Bureau of Motor Vehicles in northeastern Ohio.Participants952 participants aged 15 to 66 years.InterventionVideo (intervention; n = 443) or usual Bureau of Motor Vehicles license practices (control; n = 509).MeasurementsThe primary outcome was the proportion of participants who provided consent for organ donation on a newly acquired driver's license, learner's permit, or state identification card. Secondary outcomes included willingness to make a living kidney donation to a family member in need and personal beliefs about donation.ResultsMore participants who viewed the video consented to donate organs than control participants (84% vs. 72%; difference, 12 percentage points [95% CI, 6 to 17 percentage points]). The video was effective among black participants (76% vs. 54%; difference, 22 percentage points [CI, 9 to 35 percentage points]) and white participants (88% vs. 77%; difference, 11 percentage points [CI, 5 to 15 percentage points]). At the end of the trial, fewer intervention than control participants reported having insufficient information about organ donation (34% vs. 44%; difference, -10 percentage points [CI, -16 to -4 percentage points]), wanting to be buried with all of their organs (14% vs. 25%; difference, -11 percentage points [CI, -16 to -6 percentage points]), and having conflicts with organ donation (7% vs. 11%; difference, -4 percentage points [CI, -8 to -2 percentage points]).LimitationHow the observed increases in consent to donate organs might translate into a greater organ supply in the region is unclear.ConclusionExposure to a brief video addressing concerns that ethnic groups have about organ donation just before obtaining a license, permit, or identification card increased consent to donate organs among white and black participants.Primary funding sourceNational Institutes of Health and the Robert Wood Johnson Foundation.

Project description:BackgroundMaintaining adequately high organ donation rates proves essential to offering patients all appropriate and available treatment options. However, the act of donation is in itself an individual decision that requires a depth of understanding that interacts with the social setting and the institutional framework into which an individual is embedded. This study contributes to understanding factors driving organ donation rates by examining how country regulation, individuals' awareness of regulatory setting, social interactions and socio-demographic determinants influence individuals' willingness to donate their own organs or those of a relative.MethodsWe draw representative data from the Eurobarometer survey 58.2 undertaken in 2002 with respondents throughout the European Union to capture heterogeneity in institutional setting. We use logistic regression techniques to estimate the determinants of willingness to donate one's own organs and those of a deceased relative. We employ interaction terms to examine the relationship between institutional setting and respondent's awareness of organ donation legislation in their country.ResultsOur findings indicate that individuals are more likely to donate their organs than to consent to the donation of a relative's organs. Both decisions are affected by regulation (presumed consent), awareness of regulation and social interactions such as the ability to count on others in case of a serious problem (reciprocity). Furthermore, education (more educated), age (younger), expressing some sort of political affiliation determine willingness to donate one's own organs and consent to the donation of those of a relative.ConclusionThis study confirms and develops further previous research findings that presumed consent organ donation policy positively affects the willingness of individuals to donate their own organs and those of relative by highlighting the importance of awareness of this regulation and an individual's level of social interactions in making choices about donation. Results found using interaction terms underline the importance of population awareness of organ donation legislation as well as the legislation type itself. Findings also point to the role of social interactions in influencing individuals' willingness to donate their organs or those of a relative.

Dataset Information

Comparing web-based video interventions to enhance university student willingness to donate organs: A randomized controlled trial.

Publications

Comparing web-based video interventions to enhance university student willingness to donate organs: A randomized controlled trial.

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