Including Medical Footage and Emotional Content in Organ Donation Educational Videos for Latinx Viewers.

Including Medical Footage and Emotional Content in Organ Donation Educational Videos for Latinx Viewers.
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DOI:
10.1177/10901981211022240
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发表时间:
2022-06
期刊:
Health education & behavior : the official publication of the Society for Public Health Education
影响因子:
--
通讯作者:
Ravenell JE
Ravenell JE
中科院分区:
其他
文献类型:
--
作者:
Wall SP;Castillo P;Shuchat Shaw F;Norman E;Martinez-Lopez N;Lopez-Rios M;Paulino H;Homer B;Plass JL;Ravenell JE

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我们评估了器官保存和移植的医疗镜头加上悲伤、悬而未决或振奋人心的故事的视频是否会不同地影响Latinx拥有的理发店和美容院客户的已故器官捐赠者登记。在一项2×3的随机对照试验中,参与者(N=1,696,平均年龄33岁,67%为女性)观看了六个视频中的一个。控制组描绘了一位母亲接受了肾脏(令人振奋),不包括医疗录像。实验视频包括医疗录像和/或母亲等待(悬而未决)或姐妹哀悼她们兄弟的死亡(悲伤)。回归模型评估了医疗录像和故事情节对以下几个方面的相对影响:1)注册登记,2)捐赠意愿变化阶段,以及3)情绪。随机分组在年龄、性别、教育程度、宗教、出生地、器官捐献意愿、信仰和情绪方面大致相等。总体而言,14.8%的参与者注册了。医疗录像、悲伤或未解决的故事都不会对登记和器官捐赠意愿的变化产生不同的影响。与令人振奋的故事相比,悲伤和悬而未决的故事增加了悲伤,减少了约0.1logits的积极情绪。关于器官捐赠的教育视频排除或包括医疗录像,以及不同情感价态的故事,略微引起情绪,但对观众的登记决定没有不同影响。视频组内反应的异质性可能解释了包括医疗镜头和不同情感内容的影响减弱的原因。在未来的工作中,我们将通过分析来自随机试验的自由文本回复和对参与者子集进行的半结构化访谈数据来报告参与者做出注册决定的定性原因。
We assessed whether videos with medical footage of organ preservation and transplantation plus sad, unresolved, or uplifting stories differentially affect deceased organ donor registration among clients in Latinx-owned barbershops and beauty salons. In a 2 × 3 randomized-controlled trial, participants (N=1,696, mean age 33 yrs., 67% female) viewed one of six videos. The control portrayed a mother who received a kidney (uplifting), excluding medical footage. Experimental videos included medical footage and/or showed a mother waiting (unresolved) or sisters mourning their brother’s death (sad). Regression models assessed relative impact of medical footage and storylines on: 1) registry enrollment, 2) donation willingness stage of change, and 3) emotions. Randomization yielded approximately equal groups relative to age, sex, education, religion, nativity, baseline organ donation willingness, beliefs and emotions. Overall, 14.8% of participants registered. Neither medical footage, sad, nor unresolved stories differentially affected registration and changes in organ donation willingness. Sad and unresolved stories increased sadness and decreased positive affect by ~0.1 logits compared with the uplifting story. Educational videos about organ donation which excluded or included medical footage and varying emotional valence of stories induced emotions marginally but did not affect viewers’ registration decisions differently. Heterogeneity of responses within video groups might explain the attenuated impact of including medical footage and varying emotional content. In future work, we will report qualitative reasons for participants’ registration decisions by analyzing the free text responses from the randomized trial and data from semi-structured interviews that were conducted with a subset of participants.
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