Multimedia intervention to motivate ethnic teens to be designated donors

多媒体干预激励少数民族青少年成为指定捐赠者

• 批准号: 7670178
• 负责人: Cheryl Lynn Albright
• 金额: $ 19.88万
• 依托单位: UNIVERSITY OF HAWAII AT MANOA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-01 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7670178
• 关键词: Adolescence; Adolescent; Advocate; Age; Alcohols; American; Asian Americans; Asians; Attitude; Awareness; Behavioral; Censuses; Cessation of life; Child; Church; Communities; Critical Illness; Data; Diffuse; Diffusion; Donor Card; Educational Intervention; Electronic Mail; Family; Family dynamics; Family member; Happiness; Hawaii; Health education; Individual; Intervention; Knowledge; Laws; Licensing; Life; Literature; Measures; Mediator of activation protein; Methods; Minority; Multimedia; Organ; Organ Donations; Organ Donor; Organ Procurements; Outcome; Outcome Study; Parents; Poetry; Proxy; Randomized; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Recruitment Activity; Registries; Religion; Religion and Spirituality; Religious Belief; Reporting; Self Efficacy; Staging; Surgeon; Teenagers; Testing; Text; Tissue Donations; Translating; Transplantation; Waiting Lists; Youth; aged; alcohol availability; base; cultural values; efficacy testing; ethnic minority population; follow-up; high school; innovation; interactive multimedia; primary outcome; programs; psychosocial; secondary outcome; therapy design; underage drinking; underage drinking prevention; underage drinking reduction; willingness

DESCRIPTION (provided by applicant): Less than a fourth of ethnic minority teens in the U.S. are a designated donor (DD) on their state-issued driver's license. Asian-American/Pacific Islander (AA/PI) adolescents in Hawaii are even less likely to be a DD or to have talked to their family about becoming an organ donor. Health education interventions for adolescents have demonstrated improvements in knowledge and intentions to be an organ donor; but, AA/PI teens are underrepresented in such studies. Nevertheless, whether changes in knowledge or intentions result in more organ donors is unclear, since previous studies have not included a concrete behavioral outcome such as the teen becoming a donor on their driver's license. This application will test, via a randomized clinical trial, the efficacy of an Interactive Multimedia Intervention (IMI) to increase the number of AA/PI adolescents who are a DD on their state issued driver's license, identification card, or organ donor card/donor registry. Teen groups will be recruited from the community (churches and high schools, n = 40 groups, 530 teens) and randomly assigned to either the intervention or a comparison condition on prevention of underage drinking of alcohol. The theoretically-derived intervention will include culturally sensitive messages and information about being a designated donor that will be delivered via a DVD, Email, text/instant messaging, slam poetry, and webpages (e.g., myspace.com). The comparison condition includes materials (DVD) previously shown to increase awareness about laws restricting access to alcohol by teens. The primary outcome is objectively validated donor status on a teens' driver's license/ID or donor card after 12 months of intervention. A secondary outcome is the reported rate of family discussions about organ donation and knowledge/intentions about donation. We hypothesize the youth groups assigned to the intervention will have higher rates for family discussions and DD status, compared to groups in the comparison condition. We will also test whether psychosocial and cultural factors act as mediators of any change in teens' knowledge, attitudes & stages of change to become a DD. After the randomized trial we will disseminate the intervention to Organ Procurement Organizations in Hawaii and other states, and track diffusion outcomes over a year. If IMI methods can increase the number of minority teens who become a DD on their driver's license by 10% this would translate to 500,000 more teenage designated donors in the U.S.

描述(由申请人提供)： 在美国，只有不到四分之一的少数民族青少年是州政府颁发的驾照上的指定捐赠者(DD)。夏威夷的亚裔美国人/太平洋岛民(AA/PI)青少年更不可能是DD，也不太可能与家人谈论成为器官捐赠者的事情。对青少年的健康教育干预表明，他们对器官捐赠者的知识和意愿有所改善；但是，在这类研究中，AA/PI青少年的代表性不足。然而，知识或意图的变化是否会导致更多的器官捐赠者尚不清楚，因为之前的研究没有包括具体的行为结果，比如青少年成为驾照上的捐赠者。这项应用将通过随机临床试验，测试交互式多媒体干预(IMI)的有效性，以增加州政府颁发的驾照、身份证或器官捐赠卡/捐赠者登记中患有DD的AA/PI青少年的数量。将从社区招募青少年小组(教堂和高中，n=40组，530名青少年)，并随机分配到预防未成年人饮酒的干预或对照条件。理论上的干预将包括文化敏感信息和关于指定捐赠者的信息，这些信息将通过DVD、电子邮件、文本/即时消息、SLAM诗歌和网页(例如myspace.com)传递。比较条件包括先前展示的材料(DVD)，以提高人们对限制青少年饮酒的法律的认识。主要结果是在干预12个月后客观地确认青少年驾照/身份证或捐赠者卡上的捐赠者身份。第二个结果是报告的关于器官捐赠的家庭讨论和关于捐赠的知识/意图的比率。我们假设，与处于比较状态的青少年组相比，被分配到干预组的青少年组在家庭讨论和DD状态方面的比率会更高。我们还将测试心理社会和文化因素是否对青少年的知识、态度和成为DD的变化阶段起到中介作用。在随机试验后，我们将向夏威夷和其他州的器官采购组织传播干预措施，并跟踪一年的传播结果。如果IMI方法可以将少数族裔青少年成为驾驶执照上的DD的人数增加10%，这将转化为美国多50万名青少年指定捐赠者。