Downing Kimberly, Jones Linda L
1 Institute for Policy Research, University of Cincinnati, Cincinnati, OH, USA.
2 Lifeline of Ohio Organ Procurement, Columbus, OH, USA.
Prog Transplant. 2018 Sep;28(3):207-212. doi: 10.1177/1526924818781563. Epub 2018 Jun 11.
Older adults (50-70 years old) have lower organ donor registration rates than younger adults. Older adults have different informational needs and donor registration behavior than younger age groups.
The objective of this qualitative study was to understand insights of older adults about organ donation to effectively address the barriers to becoming an organ donor. This study identified turning points as "Aha!" moments that occurred during a dialogue intervention where older adults discussed benefits, barriers, and process to organ donation.
Dialogues were held with small groups of older adults in 11 communities in a Midwestern organ procurement organization service area. Participants were positive to organ donation, but not registered as an organ donor. Methods/Approach: Qualitative analysis of verbatim comments from the dialogue and a follow-up survey were used to examine turning points or "Aha!" moments of participants' decision-making about organ donation and organ donor registration.
Twenty-one separate in-depth dialogues were conducted with 198 participants, with mean age of 60.57 years. There were 2757 separate comments coded with 465 of the comments (17%) identified as providing Aha! moments during the dialogue. Three themes include benefits of organ donation (30%), barriers about organ donation (39%), and organ donation process (31%).
The research identified moments in the dialogue where possible learning about organ donation may have occurred. After participation in the dialogue process, there was an increase in intent to register to be an organ donor, organ donation discussion with family and friends, and organ donor registration.
老年人（50 - 70岁）的器官捐赠登记率低于年轻人。老年人与年轻人群体在信息需求和捐赠登记行为方面存在差异。
这项定性研究的目的是了解老年人对器官捐赠的见解，以有效解决成为器官捐赠者的障碍。本研究将转折点确定为在对话干预过程中出现的“顿悟”时刻，在此过程中老年人讨论了器官捐赠的益处、障碍和流程。
在中西部器官采购组织服务区域的11个社区，与一小群老年人进行了对话。参与者对器官捐赠持积极态度，但未登记为器官捐赠者。方法/途径：对对话中的逐字评论进行定性分析，并通过后续调查来考察参与者在器官捐赠和器官捐赠登记决策中的转折点或“顿悟”时刻。
对198名参与者进行了21次单独的深入对话，平均年龄为60.57岁。共编码了2757条单独评论，其中465条评论（17%）被确定为在对话中提供了“顿悟”时刻。三个主题包括器官捐赠的益处（30%）、器官捐赠的障碍（39%）和器官捐赠流程（31%）。
该研究确定了对话中可能发生有关器官捐赠学习的时刻。参与对话过程后，登记成为器官捐赠者的意愿、与家人和朋友进行器官捐赠讨论以及器官捐赠登记均有所增加。
