Ernesto P Molmenti1, Kayla D Finuf2,3, Vidhi H Patel2,3, Christine L Molmenti3,4, Daryl Thornton5,6, Renee Pekmezaris2,3. 1. Department of Surgery, North Shore University Hospital, New York, New York. 2. Division of Health Services Research, Northwell Health, New York, New York. 3. Center for Health Innovations and Outcomes Research, Northwell Health, New York, New York. 4. Department of Occupational Medicine, Epidemiology, and Prevention, Northwell Health, New York, New York. 5. Division of Pulmonary, Critical Care, and Sleep Medicine, Center for Reducing Health Disparities, Cleveland, Ohio. 6. MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio.
Abstract
Background: The primary objective of this study was to evaluate the effectiveness of an emotive educational video on organ donation intent in New York City. The secondary study objective was to determine if the educational video affected various factors associated with organ donation. Methods: New York City residents were recruited via a crowdsourcing online platform and randomized to one of two groups, with exposure to viewing (1) an educational video before completing an 81 question survey on organ donation ("video first" condition) or (2) after completing the survey ("video last" condition). Logistic regression analysis compared organ donation intent (i.e., "how likely are you to become an organ donor") between the two groups. Additional variables related to organ donation (e.g., religious beliefs, financial incentives) were also evaluated between the two groups. Analyses were adjusted for organ donation registration status. Results: In total, 1905 participants were randomized. We observed a statistically significant increased odds of organ donation intent among those randomized to the video first condition compared with those randomized to the video last condition (odds ratio [OR], 1.70; 95% confidence interval [95% CI], 1.29 to 2.24). Differences regarding both educational effect on nondonors and racial differences such that there was a decreased odds of organ donation intent among those who identified as Black compared with those who were White (OR, 0.66; 95% CI, 0.47 to 0.92). Black participants were also more likely to report bodily integrity and differential treatment by doctors compared with White participants. Conclusion: Our findings suggest that future interventions to increase organ donation registration among ethnically diverse populations could be effective if sufficient information is presented before decision making to addresses potential concerns.
Background: The primary objective of this study was to evaluate the effectiveness of an emotive educational video on organ donation intent in New York City. The secondary study objective was to determine if the educational video affected various factors associated with organ donation. Methods: New York City residents were recruited via a crowdsourcing online platform and randomized to one of two groups, with exposure to viewing (1) an educational video before completing an 81 question survey on organ donation ("video first" condition) or (2) after completing the survey ("video last" condition). Logistic regression analysis compared organ donation intent (i.e., "how likely are you to become an organ donor") between the two groups. Additional variables related to organ donation (e.g., religious beliefs, financial incentives) were also evaluated between the two groups. Analyses were adjusted for organ donation registration status. Results: In total, 1905 participants were randomized. We observed a statistically significant increased odds of organ donation intent among those randomized to the video first condition compared with those randomized to the video last condition (odds ratio [OR], 1.70; 95% confidence interval [95% CI], 1.29 to 2.24). Differences regarding both educational effect on nondonors and racial differences such that there was a decreased odds of organ donation intent among those who identified as Black compared with those who were White (OR, 0.66; 95% CI, 0.47 to 0.92). Black participants were also more likely to report bodily integrity and differential treatment by doctors compared with White participants. Conclusion: Our findings suggest that future interventions to increase organ donation registration among ethnically diverse populations could be effective if sufficient information is presented before decision making to addresses potential concerns.
Keywords:
basic science; educational status; health disparities; organ donation; organ registry; organ transplantation; survey research; tissue and organ procurement; transplantation
Authors: Jason T Siegel; Cara N Tan; Benjamin D Rosenberg; Mario A Navarro; Andrew L Thomson; Elena A Lyrintzis; Eusebio M Alvaro; Natalie D Jones Journal: Soc Sci Med Date: 2016-02-11 Impact factor: 4.634