Project ACTS II: Increasing Donor Registration among African Americans

描述（申请人提供）：项目III：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多学科小组，在行为科学，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的有效性（项目编号：关于移植和分享的选择），旨在增加非裔美国人（AA）比例最高的亚特兰大大都市地区的格鲁吉亚州捐赠者登记处的登记。也是州捐赠者登记比例最低的国家大约10年前，为了解决AA之间的许多众所周知的捐赠障碍，开发了Project E10（DVD和教育小册子）。它最初是基于文化敏感性的深层结构模型（Resnicow et al.，1999年），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，格鲁吉亚的立法已经改变，允许通过在州捐赠者登记处登记，在法律的表达捐赠意愿（即使面对家人的反对）。随后，对项目III进行了修改，不再强调家庭讨论，并纳入了在社区招募的AA成人中证明有效的捐赠/移植经验的更广泛代表性。虽然评估项目1002的初步证据令人鼓舞，但关于其增加公众对捐赠承诺的能力的核心问题仍然没有答案：项目1002在多大程度上有效地增加了在AA百分比最高和捐赠者登记百分比最低的地区的州捐赠者登记册上的登记？使用IIFF献血者登记模型（立即和完整的登记机会，信息，重点参与和有利的行动; Siegal等人，2010年），拟议的项目将在亚特兰大大都市的目标地区让16名社区卫生工作者参与执行项目III-II，以覆盖4 000名社区成员。具体目标如下：目标1：确定亚特兰大大都会区5个县中AA百分比最高和州捐助者登记册上登记者百分比最低的32个邮政编码;目标2：在目标1确定的16个邮政编码的每个邮政编码的25次讨论会上提供项目102 II;目标3：对项目102 II进行过程和成果评价。H1：参加项目III会议的个人将表现出显着改善捐赠相关的知识，对器官和组织捐赠的更有利的态度和信念，并增加从基线到立即随访在州捐赠者登记处登记的可能性。H2：与不开展项目102会议的控制区邮政编码相比，开展项目102会议的邮政编码区的捐助者登记数量将显著增加。

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.