Project ACTS II: Increasing Donor Registration among African Americans

描述(由申请人提供)：项目ACTS II：增加非裔美国人的捐赠者登记摘要拟议的项目汇集了一个具有行为科学、流行病学、少数族裔健康和移植专业知识的多学科团队，以评估一项具有文化敏感性的干预措施(项目ACTS：关于移植和分享的选择)的有效性，该干预措施旨在增加亚特兰大大都市地区佐治亚州捐赠者登记的登记，这些地区的非裔美国人(AA)比例最高，州捐赠者登记比例最低。大约10年前，开发了ACTS项目(DVD和教育小册子)，以解决协会之间许多众所周知的捐赠障碍。它最初是基于文化敏感性的深层结构模型(ResNicow等人，1999年)制定的，因为它强调鼓励家庭讨论捐赠意向，并侧重于解决宗教神话。然而，自那以后，佐治亚州的立法已经改变，允许通过在州捐赠者登记上登记来合法表达捐赠意愿(即使面对家庭的反对)。随后，对ACTS II项目进行了修改，以淡化家庭讨论，包括在社区招募的再生障碍性贫血成人中证明有效的捐赠/移植经验的更广泛的代表性。虽然评估ACTS II项目的初步证据令人鼓舞，但关于其提高公众对捐赠的承诺的能力的核心问题仍未得到回答：ACTS II项目在多大程度上有效地增加了国家捐助者登记册上的登记，这些地区拥有最高比例的自愿捐款和最低百分比的捐助者登记？利用IIFF捐助者登记模式(立即和完整的登记机会、信息、有重点的参与和有利行动；西格尔等人，2010年)，拟议的项目将使16名社区卫生工作者参与在亚特兰大目标区域实施第二幕项目，以惠及4,000名社区成员。具体目标如下：目标1：确定亚特兰大5县都会区的32个邮政编码，在州捐赠者登记册上登记的AA比例最高，登记者百分比最低；目标2：在目标1确定的16个邮政编码中的每一个邮政编码中，在25次讨论会上提交ACTS II项目；目标3：对ACTS II项目进行过程和结果评估。H1：参加ACTS II项目会议的个人将显示出与捐赠有关的知识显著改善，对器官和组织捐赠的态度和信念更加有利，在州捐赠者登记处登记的可能性从基线到立即增加。H2：与没有举行项目第二幕会议的对照邮政编码相比，正在举行项目第二幕会议的邮政编码将显示捐助者登记人数显著增加。

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.