Center for Reducing Health Disparities, MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio.
Division of Pulmonary, Critical Care, and Sleep Medicine, MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio.
Clin Transplant. 2019 Apr;33(4):e13506. doi: 10.1111/ctr.13506. Epub 2019 Mar 13.
The efficacy of video interventions to increase organ donation willingness remains unclear.
Three-arm web-based randomized controlled trial involving 2261 students at 3 northeastern Ohio universities. Intervention students watched a live-action (n = 755) or animated (n = 753) donation video. Control students (n = 753) viewed wellness information from the Centers for Disease Control and Prevention (CDC). The primary outcome was proportion of students who visited their state electronic donor registry to consent. The secondary outcome was intervention quality. Logistic regression assessed the effects of interventions on visiting the state registry to provide donation consent while controlling for baseline variables.
Students in the live-action video arm visited their state registry more frequently than students in the CDC arm (OR = 1.86, 95% CI = 1.20-2.88). There was no difference between students in the animated video and CDC arms (OR = 1.10, 95% CI = 0.69-1.76). The quality of the live-action video was rated lower than the animated video and the CDC text (75% ± 18, 84% ± 16, 80% ± 16, respectively; P < 0.001).
Students who watched the live-action video were more willing to visit their electronic donor registry to register as organ donors, but rated it lower in satisfaction. Future work should identify the most potent components of organ donation interventions.
视频干预措施增加器官捐赠意愿的效果仍不清楚。
这是一项涉及俄亥俄州东北部 3 所大学的 2261 名学生的三臂网络随机对照试验。干预组学生观看真人(n=755)或动画(n=753)捐赠视频。对照组学生(n=753)观看美国疾病控制与预防中心(CDC)的健康信息。主要结果是观察学生访问其所在州电子捐赠登记处以表示同意的比例。次要结果是干预质量。逻辑回归评估了干预措施对访问州登记处以表示捐赠同意的影响,同时控制了基线变量。
真人视频组的学生比 CDC 组更频繁地访问其所在州的登记处(OR=1.86,95%CI=1.20-2.88)。动画视频组与 CDC 组之间没有差异(OR=1.10,95%CI=0.69-1.76)。真人视频的质量评分低于动画视频和 CDC 文本(分别为 75%±18、84%±16、80%±16;P<0.001)。
观看真人视频的学生更愿意访问其电子捐赠登记处注册为器官捐献者,但对其满意度评分较低。未来的工作应确定器官捐赠干预措施最有效的组成部分。