J. Daryl Thornton, MD, MPH; Marilyn Alejandro-Rodriguez; Janeen B. León, MS, RD, LD; Jeffrey M. Albert, PhD; Evelyn L. Baldeon; Liza M. De Jesus, BA; Ana Gallardo; Sabina Hossain; Elba Adriana Perez; Jovana Y. Martin, MD; Susan Lasalvia, RN, BSN; Kristine A. Wong, MJ, MPH; Margaret D. Allen, MD, DrSC(Hon); Mark Robinson, MA; Charles Heald; Gordon Bowen, MS; Ashwini R. Sehgal, MD
Figure. No caption available.
The gap between the supply of organs available for transplantation and demand is growing, especially among ethnic groups.
To evaluate the effect of a video designed to address concerns of ethnic groups about organ donation.
Cluster randomized, controlled trial. Randomization was performed by using a random-number table with centralized allocation concealment. Participants and investigators assessing outcomes were not blinded to group assignment. (ClinicalTrials.gov registration number: NCT00870506)
Twelve branches of the Ohio Bureau of Motor Vehicles in northeastern Ohio.
952 participants aged 15 to 66 years.
Video (intervention; n = 443) or usual Bureau of Motor Vehicles license practices (control; n = 509).
The primary outcome was the proportion of participants who provided consent for organ donation on a newly acquired driver's license, learner's permit, or state identification card. Secondary outcomes included willingness to make a living kidney donation to a family member in need and personal beliefs about donation.
More participants who viewed the video consented to donate organs than control participants (84% vs. 72%; difference, 12 percentage points [95% CI, 6 to 17 percentage points]). The video was effective among black participants (76% vs. 54%; difference, 22 percentage points [CI, 9 to 35 percentage points]) and white participants (88% vs. 77%; difference, 11 percentage points [CI, 5 to 15 percentage points]). At the end of the trial, fewer intervention than control participants reported having insufficient information about organ donation (34% vs. 44%; difference, −10 percentage points [CI, −16 to −4 percentage points]), wanting to be buried with all of their organs (14% vs. 25%; difference, −11 percentage points [CI, −16 to −6 percentage points]), and having conflicts with organ donation (7% vs. 11%; difference, −4 percentage points [CI, −8 to −2 percentage points]).
How the observed increases in consent to donate organs might translate into a greater organ supply in the region is unclear.
Exposure to a brief video addressing concerns that ethnic groups have about organ donation just before obtaining a license, permit, or identification card increased consent to donate organs among white and black participants.
National Institutes of Health and the Robert Wood Johnson Foundation.
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Thornton JD, Alejandro-Rodriguez M, León JB, Albert JM, Baldeon EL, De Jesus LM, et al. Effect of an iPod Video Intervention on Consent to Donate Organs: A Randomized Trial. Ann Intern Med. 2012;156:483-490. doi: 10.7326/0003-4819-156-7-201204030-00004
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Published: Ann Intern Med. 2012;156(7):483-490.
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