A pragmatic video intervention to promote African American organ donor registration at the Department of Motorized Vehicles

 描述（由申请人提供）：一个务实的视频干预，以促进非洲裔美国人器官捐献者在机动车辆部登记摘要理由：在美国有122,000人等待捐献器官，但每年只有大约30,000例移植手术。美国卫生与公众服务部的目标是，每个州至少有50%的成年人成为注册的器官捐献者。随着所有50个州通过第一人称同意法，增加捐赠者登记非常重要。第一人称同意使成年人表示愿意捐赠器官（即成为登记捐赠者）具有法律约束力，就像生前遗嘱一样。在亚拉巴马州，77%的白人是注册的器官捐献者，但只有28%的非洲裔美国人是注册的器官捐献者。有必要进行有说服力的教育干预，以增加非裔美国人器官捐献者登记。目的：超过97%的器官捐献者登记（所有种族）发生在机动车辆部（DMV），使其成为增加捐献者登记的明显干预场所。最近访问了亚拉巴马的一家DMV并决定（是或否）成为注册捐赠者的非裔美国人的一系列研究是通过PI目前的K23职业发展奖进行的。大多数决定不成为注册捐赠者的非洲裔美国人表示，他们在被问到之前没有考虑成为注册捐赠者，安全的答案是“不”。为了增加非裔美国人的捐赠者登记，与会者主张在DMV排队时在平板电视上展示器官捐赠者的信息，并优先考虑教育视频中的器官捐赠者主题。基于这些初步调查结果，拟议研究的目标是在DMV试点视频干预，以促进非裔美国人捐助者登记。试点项目将在K23的第4年和第5年进行。设计和方法：五个伯明翰，亚拉巴马地区DMV将用于试点视频干预。每个DMV都为高比例的非洲裔美国人提供服务。器官捐献模式将被用作理论框架，以帮助确保干预是有说服力和有效的。非裔美国人器官捐赠者教育主题确定为最重要的通过PI目前的K23将被用来创建一个视频故事板。视频故事板将根据观众研究的结果进行测试和修改。将制作一系列视频说明。然后，将根据受众研究对视频叙述进行进一步测试和修改。最后的产品将是一个重复的10-15分钟的视频干预，促进非洲裔美国人器官捐赠者登记的积极方面，通过平板电视呈现给DMV的人。使用DMV设施作为随机化单位的随机交叉设计将测量与视频关闭时相比，视频播放时干预是否增加了非裔美国人供体登记。重要性：所开发的视频内容和功效数据将成为未来R 01在南方更大规模推广这一干预措施的基础。如果有效，基于DMV的平板电视干预可以用于器官捐献者登记率低的其他人群。

 DESCRIPTION (provided by applicant): A pragmatic video intervention to promote African American organ donor registration at the Department of Motorized Vehicles Abstract Rationale: There are 122,000 persons waiting for donor organs in the US, but only about 30,000 transplants are performed each year. The Department of Health and Human Services has set the goal that at least 50% of adults in each state become registered organ donors. Increasing donor registration is important with passage of first-person consent laws in all 50 states. First-person consent makes the indication of an adult's intent to donate organs (i.e. becoming a registered donor) legally binding, much like a living will. In Alabama, 77% of Caucasians are registered organ donors, but only 28% of African Americans are registered organ donors. There is need for persuasive educational interventions to increase African American organ donor registration. Objectives: Over 97% of organ donor registrations (for all races) occur at the Department of Motorized Vehicles (DMV), making this the obvious intervention venue to increase donor registration. A series of studies of African Americans that recently visited a DMV in Alabama and made the decision (yes or no) to become a registered donor was conducted through the PIs current K23 Career Development Award. Most African American participants who decided not to become a registered donor stated they had not considered becoming a registered donor prior to being asked, and the safe answer was "no". To increase African American donor registration, participants advocated presenting organ donor information on flat screen TVs while standing in line at the DMV, and prioritized organ donor topics for the educational video. Building on these preliminary findings, the goal of the proposed study is to pilot a video intervention at the DMV to promote African American donor registration. The pilot project will be conducted during years 4 and 5 of the K23. Design and Methods: The five Birmingham, Alabama area DMVs will be used for the pilot video intervention. Each DMV services a high proportion of African Americans. The Organ Donation Model will be used as the theoretical framework to help ensure that intervention is persuasive and effective. African American organ donor educational topics identified as most important through the PIs current K23 will be used to create a video storyboard. The video storyboard will be tested and modified based upon the results of audience research. A series of video narratives will be developed. The video narratives will then be further tested and modified with audience research. The final product will be a repeating 10-15 minute video intervention promoting the positive aspects of African American organ donor registration, presented via flat screen TVs to persons at the DMV. A randomized cross-over design using DMV facility as the unit of randomization will measure if the intervention increases African American donor registration when the video is playing compared to when the video is off. Significance: The developed video content and efficacy data will serve the basis of a future R01 rolling out this intervention on a larger scale in the South. f effective, the DMV-based flat screen TV intervention may be utilized for other populations with low organ donor registration rates.