Quinn Michael T, Alexander G Caleb, Hollingsworth Diane, O'Connor Kate Grubbs, Meltzer David
University of Chicago, Chicago, Illinois, USA.
Prog Transplant. 2006 Sep;16(3):253-9. doi: 10.1177/152692480601600312.
A number of efforts have been made to improve rates of deceased organ donation. However, few have been specifically designed for implementation in the workplace.
To design and evaluate a workplace intervention to increase documentation of intention to be posthumous organ donors, communication of donation intention to families, and family members' documentation of their donation intentions.
The study was a randomized controlled trial of corporate employees. Within each corporation, worksites were randomized to a control condition or 1 of 2 educational interventions. Measures included baseline and 1-month postintervention measures of stage of organ donation intention, stage of family notification, and family members' organ donation intention.
Across 12 corporations, 40 worksites with a total of 754 participants were randomized. At 1-month follow-up, 495 participants (66%) completed a posttreatment questionnaire. The percentage of participants who signed organ donor cards increased in the 2 intervention groups (29%, P < .001, and 31%, P < .002) but not in the control group (17%, P = .454). The percentage who discussed their donation intentions with family members increased significantly across all 3 arms (39%-47%, P < .001). The mean percentage of participants' family members who signed organ donor cards increased by 14% in the control group (P = .016) and by 17% in the 2 intervention groups (P < .001).
Educational interventions in the corporate workplace setting can be effective in increasing organ donation intention, family notification, and recruitment of family members as potential organ donors.
为提高 deceased 器官捐赠率已做出多项努力。然而,很少有专门设计用于在工作场所实施的措施。
设计并评估一项工作场所干预措施,以增加死后器官捐赠意愿的记录、将捐赠意愿告知家属以及家属对其捐赠意愿的记录。
该研究是对企业员工进行的随机对照试验。在每个企业中,工作场所被随机分配到对照条件或两种教育干预措施之一。测量指标包括器官捐赠意愿阶段、家属告知阶段以及家属器官捐赠意愿的基线和干预后 1 个月的测量值。
在 12 个企业中,40 个工作场所的 754 名参与者被随机分组。在 1 个月的随访中,495 名参与者(66%)完成了治疗后问卷。在两个干预组中,签署器官捐赠卡的参与者百分比有所增加(分别为 29%,P <.001,和 31%,P <.002),而对照组没有增加(17%,P =.454)。在所有三个组中,与家属讨论其捐赠意愿的百分比均显著增加(39% - 47%,P <.001)。对照组中参与者家属签署器官捐赠卡的平均百分比增加了 14%(P =.016),两个干预组增加了 17%(P <.001)。
在企业工作场所环境中进行教育干预可以有效地提高器官捐赠意愿、向家属告知以及招募家属作为潜在器官捐赠者。