Targeting versus Tailoring Educational Videos for Encouraging Deceased Organ Donor Registration in Black-Owned Barbershops.

Targeting versus Tailoring Educational Videos for Encouraging Deceased Organ Donor Registration in Black-Owned Barbershops.
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DOI:
10.1080/10810730.2022.2035021
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发表时间:
2022-01-02
影响因子:
4.4
通讯作者:
Ravenell, Joseph E.
Ravenell, Joseph E.
中科院分区:
医学3区
文献类型:
--
作者:
Wall, Stephen P.;Castillo, Patricio;Shuchat-Shaw, Francine;Norman, Elizabeth;Brown, David;Martinez-Lopez, Natalia;Lopez-Rios, Mairyn;Seixas, Azizi A.;Plass, Jan L.;Ravenell, Joseph E.

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在美国,黑人男性需要肾脏移植的风险最高,但他们是最不可能登记器官捐赠的人。此前的外联活动使用了针对黑人社区的文化视频,但登记率仍然不足以满足需求。因此,我们评估了通用视频与基于先前器官捐献信念的文化目标或个人定制视频是否会差异化地增加器官捐献者登记。在一项随机对照试验中,1,353名黑人理发店的参与者观看了关于器官捐赠的通用,有针对性或定制的视频。Logistic回归模型评估了视频对以下方面的相对影响:1)立即器官捐献者登记,2)获取宣传册,3)器官捐献意愿阶段较基线的变化。随机分组产生了与人口统计学和基线意愿和信念相关的大致相等的组。与普通视频相比,有针对性的视频和定制的视频都不会对登记产生不同的影响,但有针对性和定制的群体中的参与者更有可能采取小册子。与普通视频相比,有针对性(OR = 1.74)和定制(OR = 1.57)的视频与器官捐赠意愿变化阶段的增量增加相关。分发有文化针对性和个性化定制的视频增加了黑人理发店黑人男子的器官捐赠意愿,但不足以鼓励登记。
In the U.S., Black men have highest risk for requiring kidney transplants but are among those least likely to register for organ donation. Prior outreach used videos culturally targeted for Black communities, yet registration rates remain insufficient to meet demand. Therefore, we assessed whether generic versus videos culturally targeted or personally tailored based on prior organ donation beliefs differentially increase organ donor registration. In a randomized controlled trial, 1,353 participants in Black-owned barbershops viewed generic, targeted, or tailored videos about organ donation. Logistic regression models assessed relative impact of videos on: 1) immediate organ donor registration, 2) taking brochures, and 3) change in organ donation willingness stage of change from baseline. Randomization yielded approximately equal groups related to demographics and baseline willingness and beliefs. Neither targeted nor tailored videos differentially affected registration compared with the generic video, but participants in targeted and tailored groups were more likely to take brochures. Targeted (OR=1.74) and tailored (OR=1.57) videos were associated with incremental increases in organ donation willingness stage of change compared to the generic video. Distributing culturally targeted and individually tailored videos increased organ donor willingness stage of change among Black men in black-owned barbershops but was insufficient for encouraging registration.
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