S A Bidigare1, A R Ellis. 1. Department of Family Practice, St John Hospital and Medical Center, Detroit, Mich, USA.
Abstract
OBJECTIVE: To determine if family physicians can increase the commitment of patients to organ donation. DESIGN: Prospective, systematically randomized, cross-sectional study. SETTING:Family practice residency medical center associated with an urban, community-based teaching institution. PATIENTS: A total of 300 patients aged 18 years or older, able to give consent, and being seen for non-life-threatening visits; 247 patients returned valid second questionnaires. INTERVENTIONS: Instruments included 2 self-administered questionnaires. All patients received questionnaire 1 to be completed in the examination room. They also received an informational brochure, a Michigan Secretary of State driver's license sticker (donor sticker) and questionnaire 2. Group 1 received the written materials only. Group 2 received written materials plus a brief verbal discussion by the investigators following a standard protocol. Questionnaire 2 was to be completed and returned after the interventions. MAIN OUTCOME MEASURES: Self-reported completion of donor sticker was used to evaluate commitment to organ donation. Knowledge scores were summed for preintervention and postintervention means. RESULT: Thirty-three percent of patients had already committed to organ donation prior to the study. Of those not previously committed, 40% decided to do so after the interventions. There was no statistical difference in the recruitment of donors between the 2 intervention groups. Of new donors identified, 65% stated their decision was due to written materials provided, while 34% attributed this to discussion with a physician. Thirty-five percent of the family members made arrangements to donate their own organs after the discussion with the patient. There was a significant difference between mean pretest and posttest knowledge scores (10 questions; 7.9 vs 9.2; P<.01). CONCLUSION: Family physicians can increase the commitment to organ donation through a relatively simple intervention.
RCT Entities:
OBJECTIVE: To determine if family physicians can increase the commitment of patients to organ donation. DESIGN: Prospective, systematically randomized, cross-sectional study. SETTING: Family practice residency medical center associated with an urban, community-based teaching institution. PATIENTS: A total of 300 patients aged 18 years or older, able to give consent, and being seen for non-life-threatening visits; 247 patients returned valid second questionnaires. INTERVENTIONS: Instruments included 2 self-administered questionnaires. All patients received questionnaire 1 to be completed in the examination room. They also received an informational brochure, a Michigan Secretary of State driver's license sticker (donor sticker) and questionnaire 2. Group 1 received the written materials only. Group 2 received written materials plus a brief verbal discussion by the investigators following a standard protocol. Questionnaire 2 was to be completed and returned after the interventions. MAIN OUTCOME MEASURES: Self-reported completion of donor sticker was used to evaluate commitment to organ donation. Knowledge scores were summed for preintervention and postintervention means. RESULT: Thirty-three percent of patients had already committed to organ donation prior to the study. Of those not previously committed, 40% decided to do so after the interventions. There was no statistical difference in the recruitment of donors between the 2 intervention groups. Of new donors identified, 65% stated their decision was due to written materials provided, while 34% attributed this to discussion with a physician. Thirty-five percent of the family members made arrangements to donate their own organs after the discussion with the patient. There was a significant difference between mean pretest and posttest knowledge scores (10 questions; 7.9 vs 9.2; P<.01). CONCLUSION: Family physicians can increase the commitment to organ donation through a relatively simple intervention.
Authors: J Daryl Thornton; Catherine Sullivan; Jeffrey M Albert; Maria Cedeño; Bridget Patrick; Julie Pencak; Kristine A Wong; Margaret D Allen; Linda Kimble; Heather Mekesa; Gordon Bowen; Ashwini R Sehgal Journal: J Gen Intern Med Date: 2016-08 Impact factor: 5.128
Authors: Alvin H Li; Marcus Lo; Jacob E Crawshaw; Alexie J Dunnett; Kyla L Naylor; Amit X Garg; Justin Presseau Journal: Cochrane Database Syst Rev Date: 2021-04-04
Authors: Alvin H Li; Amit X Garg; Versha Prakash; Jeremy M Grimshaw; Monica Taljaard; Joanna Mitchell; Danny Matti; Stefanie Linklater; Kyla L Naylor; Stephanie Dixon; Cathy Faulds; Rachel Bevan; Leah Getchell; Greg Knoll; S Joseph Kim; Jessica Sontrop; Lise M Bjerre; Allison Tong; Justin Presseau Journal: Trials Date: 2017-12-21 Impact factor: 2.279