Emory University, Atlanta, Georgia, USA.
Health Educ Behav. 2010 Apr;37(2):264-74. doi: 10.1177/1090198109341725. Epub 2009 Oct 26.
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.
本研究旨在评估项目 ACTS（关于器官和组织移植与共享的选择）的有效性，该项目旨在提高非裔美国成年人对器官和组织捐赠的准备程度。九个教堂（N=425 名参与者）被随机分配接受目前向消费者提供的捐赠教育材料（对照组）或项目 ACTS 教育材料（干预组）。在 1 年随访时评估的主要结果是通过驾照、捐赠卡和与家人讨论来表达捐赠意愿的准备情况。结果表明，在准备与家人交谈方面，条件与时间之间存在显著的交互作用，即干预组的参与者在随访时更有可能采取行动或维持行动，而对照组的参与者则没有（p=0.04）。在通过驾照和携带捐赠卡识别为捐赠者的准备情况方面，条件或条件与时间之间没有显著影响。项目 ACTS 可能是激发非裔美国人家庭讨论捐赠意愿的有效工具，但需要进一步研究如何更有效地影响书面意愿。
