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
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.
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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