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Abstract

This study sought to evaluate the effectiveness of Project ACTS: About Choices in Transplantation and Sharing, which was developed to increase readiness for organ and tissue donation among African American adults. Nine churches (N = 425 participants) were randomly assigned to receive donation education materials currently available to consumers (control group) or Project ACTS educational materials (intervention group). The primary outcomes assessed at 1-year follow-up were readiness to express donation intentions via one’s driver’s license, donor card, and discussion with family. Results indicate a significant interaction between condition and time on readiness to talk to family such that participants in the intervention group were 1.64 times more likely to be in action or maintenance at follow-up than were participants in the control group (p = .04). There were no significant effects of condition or condition by time on readiness to be identified as a donor on one’s driver’s license and by carrying a donor card. Project ACTS may be an effective tool for stimulating family discussion of donation intentions among African Americans although additional research is needed to explore how to more effectively affect written intentions.

Keywords

organ donation intervention minority health

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References

Arriola, K.R.J. , Perryman, J.P. , & Doldren, M.A. ( 2005). Moving beyond attitudinal barriers: Understand African Americans’ support for organ and tissue donation. Journal of the National Medical Association, 97, 339-350.

Arriola, K.R.J. , Perryman, J.P. , Doldren, M.A. , Warren, C.M. , & Robinson, D.H.Z. (2007). Understanding the role of clergy in African American organ and tissue donation decision-making. Ethnicity & Health, 12, 465-482.

Boulware L.E. , Ratner, L. , Sosa J.A. , Cooper L.A. , LaVeist T.A. , & Powe N.R. ( 2002). Determinants of willingness to donate living related and cadaveric organs In identifying opportunities for intervention . Transplantation, 73, 1683-1691.

Callender, C.O. ( 1987). Organ donation in the Black population: Where do we go from here? Transplant Proceedings, 19, 36-40.

Callender, C.O. , Hall, M.B. , & Branch, D. ( 2001). An assessment of the effectiveness of the MOTTEP model for increasing donation rates and preventing the need for transplantation- Adult findings: Program years 1998 and 1999. Seminars in Nephrology , 21, 419-428.

Callender, C.O. , & Miles, P.V. ( 2001). Obstacles to organ donation in ethnic minorities. Pediatric Transplantation, 5, 383-385.

Callender, C.O. , Miles, P.V. , & Hall, M.B. ( 2002). National MOTTEP: Educating to prevent the need for transplantation . Ethnicity and Disease, 12(Suppl. 1), 34-37.

Davis, K. , Holtzman, S. , Durand, R. , Decker, P.J. , Zucha, B. , & Atkins, L. ( 2005). Leading the flock: Organ donation feelings, beliefs, and intentions among African American clergy and community residents. Progress in Transplantation, 15, 211-216.

DeJong, W. , Franz, H.G. , Wolfe, S.M. , Nathan, H. , Payne, D. , Reitsma, W. , et al. (1998). Requesting organ donation: An interview study of donor and nondonor families. American Journal of Critical Care, 7, 13-23.

10.

Durand, R. , Decker, P.J. , & Bruder, P. ( 2002). Organ donation among African Americans: Opportunities for increasing donor rates. Hospital Topics, 80, 34-37.

11.

Gallagher, C. ( 1996). Religious attitudes regarding organ donation. Journal of Transplant Coordination, 6, 186.

12.

Gillman, J. ( 1999). Religious perspectives on organ donation. Critical Care Nursing Quarterly, 22, 19-29.

13.

Hall, K.L. , Robbins, M.L. , Paiva, A. , Knott, J.E. , Harris, L. , & Mattice, B. ( 2007). Donation intentions among African American college students: Decisional balance and self-efficacy measures. Journal of Behavioral Medicine, 30, 483-495.

14.

Kane, C.M. ( 2000). African American family dynamics as perceived by family members. Journal of Black Studies, 30, 691-702.

15.

McNamara, P. , Guadagnoli, E. , Evanisko, M.J. , Beasley, C. , Santiago-Delpin E. , Callender, C. , et al. (1999). Correlates of support for organ donation among three ethnic groups. Clinical Transplantation, 3, 45-50.

16.

Morgan, S.E. , & Miller, J. ( 2002). Beyond the organ donor card: The effect of knowledge, attitudes, and values on willingness to communicate about organ donation to family members. Health Communication, 14, 121.

17.

National Institutes of Diabetes and Digestive Kidney Diseases. (2003). NIDDK strategic plan on minority health disparities. Retrieved October 11, 2007, from http://www.niddk.nih.gov/federal/planning/mstrathealthplan.htm

18.

Organ Procurement and Transplantation Network. (n.d.). Donors recovered in the U.S. by donor type, March 20, 2009. Retrieved March 26, 2009, from http://www.optn.org/latestData/rptData.asp

19.

Park, M.A. ( 1998). A statewide assessment of attitudes, beliefs, and behaviors among Black persons toward donation. Journal of Transplant Coordination, 8, 25-29.

20.

Prochaska, J.O. , & DiClemente, C.C. (1983). Stages and process of change of smoking: Toward integrative model. Journal Consulting and Clinical Psychology, 51, 390.

21.

Robbins, M.L. , Levesque, D.A. , Redding, C.A. , Johnson, J.L. , Prochaska, J.O. , Rohr, M.S. , et al. (2001). Assessing family members’ motivational readiness and decision making for consenting to cadaveric organ donation. Journal of Health Psychology, 6, 523-535.

22.

Schutte, L. , & Kappel, D. ( 1997). Barriers to donation in minority, low-income, and rural populations. Transplantation Proceedings, 29, 3746-3747.

23.

Siminoff, L.A. , Burant, C.J. , & Ibrahim, S.A. ( 2006). Racial disparities in preference and perceptions regarding organ donation. Journal of General Internal Medicine, 21, 995-1000.

24.

Smith, S.W. , Kopfman, J.E. , Lindsey, L.L.M. , Yoo, J. , & Morrison, K. ( 2004). Encouraging family discussion on the decision to donate organs: The role of willingness to communicate scale. Health Communication, 16, 333-346.

Project ACTS: An Intervention to Increase Organ and Tissue Donation Intentions Among African Americans

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