Project ACTS II: Increasing Donor Registration among African Americans

项目描述（由申请人提供）：项目ACTS II：增加非裔美国人的捐献登记摘要：提议的项目汇集了一个多学科团队，具有行为科学，流行病学，少数民族/种族健康和移植方面的专业知识，以评估文化敏感干预措施的有效性(项目ACTS：关于移植和共享的选择)，旨在增加亚特兰大大都会地区的佐治亚州捐赠登记注册，这些地区的非洲裔美国人（AAs）比例最高，而州捐赠登记比例最低。大约10年前，ACTS计划（一个DVD和教育小册子）被开发出来，以解决许多众所周知的aa之间的捐赠障碍。它最初是基于文化敏感性的深层结构模型（Resnicow et al., 1999）发展起来的，因为它强调鼓励家庭讨论捐赠意图，并专注于解决宗教神话。然而，格鲁吉亚的立法已经改变，允许通过在州捐赠登记处登记来合法表达捐赠意愿（即使面对家庭反对）。随后，ACTS II项目进行了修改，不再强调家庭讨论，而是纳入更广泛的捐赠/移植经验，并在社区招募的AA成人中证明了有效性。虽然评估ACTS II项目的初步证据令人鼓舞，但关于其增加公众捐赠承诺的能力的核心问题仍未得到解答：在aa比例最高和捐赠者注册比例最低的地区，ACTS II项目在多大程度上有效地增加了州捐助者登记册上的登记？利用IIFF捐助者登记模式（即时和完整的登记机会、信息、重点参与和有利行动；Siegal等人，2010年），拟议的项目将让16名社区卫生工作者参与在亚特兰大市区目标地区实施ACTS II项目，以便覆盖4000名社区成员。具体目标如下：目标1：确定5个县的亚特兰大大都会地区的32个邮政编码，其中aa的百分比最高，而州捐赠登记簿上的注册人百分比最低；目标2：在目标1中确定的16个邮政编码中，在每个地区举行25次讨论会议，交付项目ACTS II；目标3：对ACTS II项目进行过程和结果评估。H1：参加ACTS II项目会议的个人将表现出显著改善的捐赠相关知识，对器官和组织捐赠的更有利的态度和信念，并且从基线到立即跟进，在州捐赠者登记处登记的可能性增加。H2：与未举办第二期项目会议的控制邮政编码相比，在进行第二期项目会议的邮政编码中，捐助者登记人数将显著增加。

DESCRIPTION (provided by applicant): Project ACTS II: Increasing Donor Registration among African Americans Abstract The proposed project brings together a multidisciplinary team with expertise in the behavioral sciences, epidemiology, ethnic/racial minority health, and transplantation to evaluate the effectiveness of a culturally- sensitive intervention (Project ACTS: About Choices in Transplantation and Sharing) designed to increase registration on the Georgia state donor registry in metropolitan Atlanta areas that have the highest percentages of African Americans (AAs) and the lowest percentage of state donor registrants. Almost 10 years ago, Project ACTS (a DVD and educational booklet) was developed to address many of the well-known barriers to donation among AAs. It was originally developed based on a deep structure model of cultural sensitivity (Resnicow et al., 1999) by virtue of its emphasis on encouraging family discussion of donation intentions and its focus on addressing religious myths. However, Georgia legislation has since changed to allow for the legal expression of donation wishes (even in the face of family objection) through registration on the state donor registry. Subsequently, Project ACTS II was modified to deemphasize family discussion and include wider representation of experiences in donation/transplantation with demonstrated efficacy among community- recruited AA adults. While the preliminary evidence evaluating Project ACTS II is encouraging, the central question about its ability to increase public commitment to donation remains unanswered: To what extent is Project ACTS II effective at increasing registration on the state donor registry in areas that have the highest percentage of AAs and the lowest percentage of donor registration? Using the IIFF Model of Donor Registration (Immediate and complete registration opportunity, Information, Focused engagement, and Favorable action; Siegal et al., 2010), the proposed project will engage 16 community health workers in the implementation of Project ACTS II in targeted metro-Atlanta areas in order to reach 4,000 community members. The specific aims are as follows: Aim 1: To determine the 32 ZIP codes in a 5-county metro-Atlanta area with both the highest percentage of AAs and the lowest percentage of registrants on the state donor registry; Aim 2: To deliver Project ACTS II at 25 discussion sessions in each of 16 ZIP codes identified in Aim 1; Aim 3: To conduct a process and outcome evaluation of Project ACTS II. H1: Individuals attending Project ACTS II sessions will demonstrate significantly improved donation-related knowledge, more favorable attitudes and beliefs towards organ and tissue donation, and increased likelihood to register on the state donor registry from baseline to immediate follow-up. H2: ZIP codes in which Project ACTS II sessions are being conducted will demonstrate a significant increase in donor registrations as compared to control ZIP codes in which Project ACTS II sessions are not being conducted.