BACKGROUND: Families' refusal to authorize solid organ donation contributes to the organ deficit in the United States. The importance of communication to reducing refusal to requests for solid organ donation at the bedside and thus increasing the supply of transplantable organs cannot be overstated. This research compares two versions of an innovative communication skills training program for Organ Procurement Organization (OPO) request staff, Communicating Effectively About Donation (CEaD), designed to improve the quantity and quality of organ donation discussions with family decision makers (FDM) of deceased patients. METHODS: We conducted a parallel-group randomized controlled trial of the CEaD intervention, comparing an online only version of the training (CEaD1) with the online version bolstered with in-person practice and feedback (CEaD2). Survey and interview data were collected from 1,603 FDMs and 273 requesters to assess the impact of both versions of the CEaD on requesters' communication skills and behaviors; the rate of family authorization to solid organ donation were obtained from administrative data provided by 9 OPOs. RESULTS: Results revealed higher rates of authorization for requesters with less tenure (78% to 89%, p < .03) for both versions; however, CEaD1 also increased authorization rates for requesters with three or more years of experience (89% to 92%, p < .03). Both conditions resulted in an improvement in overall communication quality. CONCLUSIONS: We conclude that the CEaD was effective in improving requesters' communication skills, rates of family authorization to organ donation, and the overall quality of the donation experience.
RCT Entities:
BACKGROUND: Families' refusal to authorize solid organ donation contributes to the organ deficit in the United States. The importance of communication to reducing refusal to requests for solid organ donation at the bedside and thus increasing the supply of transplantable organs cannot be overstated. This research compares two versions of an innovative communication skills training program for Organ Procurement Organization (OPO) request staff, Communicating Effectively About Donation (CEaD), designed to improve the quantity and quality of organ donation discussions with family decision makers (FDM) of deceased patients. METHODS: We conducted a parallel-group randomized controlled trial of the CEaD intervention, comparing an online only version of the training (CEaD1) with the online version bolstered with in-person practice and feedback (CEaD2). Survey and interview data were collected from 1,603 FDMs and 273 requesters to assess the impact of both versions of the CEaD on requesters' communication skills and behaviors; the rate of family authorization to solid organ donation were obtained from administrative data provided by 9 OPOs. RESULTS: Results revealed higher rates of authorization for requesters with less tenure (78% to 89%, p < .03) for both versions; however, CEaD1 also increased authorization rates for requesters with three or more years of experience (89% to 92%, p < .03). Both conditions resulted in an improvement in overall communication quality. CONCLUSIONS: We conclude that the CEaD was effective in improving requesters' communication skills, rates of family authorization to organ donation, and the overall quality of the donation experience.
Entities:
Keywords:
communication skills training; family authorization; organ donation; requester training
Authors: Aileen Ebadat; Carlos V R Brown; Sadia Ali; Tim Guitierrez; Eric Elliot; Sarah Dworaczyk; Carie Kadric; Ben Coopwood Journal: J Trauma Acute Care Surg Date: 2014-06 Impact factor: 3.313
Authors: G A Blok; J van Dalen; K J Jager; M Ryan; R M Wijnen; C Wight; J M Morton; M Morley; B Cohen Journal: Transpl Int Date: 1999 Impact factor: 3.782
Authors: Maureen Wilson-Genderson; K Laura Barker; Heather M Gardiner; Maghboeba Mosavel; Jeffrey Thomas; Laura A Siminoff Journal: Hum Genet Date: 2017-12-04 Impact factor: 4.132
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