James R. Rodrigue is with the Department of Surgery, Beth Israel Deaconess Medical Center, and the Departments of Surgery and Psychiatry, Harvard Medical School, Boston, MA. Matthew Boger is with New England Donor Services, Waltham, MA. Derek DuBay is with the Transplant Integrated Center of Clinical Excellence and the Department of Surgery, Medical University of South Carolina, Charleston. Aaron Fleishman is with the FIRST Program, Department of Surgery, Beth Israel Deaconess Medical Center, Boston.
Am J Public Health. 2019 Sep;109(9):1273-1279. doi: 10.2105/AJPH.2019.305178. Epub 2019 Jul 18.
To evaluate the effectiveness of video messaging on adolescent organ donor designation rates. We randomized adolescent driver education classes in Massachusetts, between July 2015 and February 2018, to receive 1 of 3 organ donation video messaging interventions (informational, testimonial, or blended). Adolescents completed questionnaires before and after the intervention and at 1-week follow-up; we compared their registration status at time of obtaining driver's license with that of a regionally matched historical comparison group. Donor designation rates were higher for those exposed to video messaging than for the historical comparison group (60% vs 50%; < .001). Testimonial (64%) and blended messaging (65%) yielded higher donor designation rates than informational messaging (51%; = .013). There was a statistically significant messaging × time interaction effect for donation knowledge ( = .03), with blended and informational messaging showing more gains in knowledge from before to after the intervention ( < .001; = 0.69 and < .001; = 0.45, respectively), compared with testimonial messaging ( = 0.09; = .22). Testimonial messaging is most effective in producing a verifiable and demonstrable impact on donor designation rates among adolescents, and driver education classes are an efficient venue for disseminating organ donation messaging to youths. ClinicalTrials.gov; identifier: NCT03013816.
评估视频信息对青少年器官捐献指定率的影响。我们在 2015 年 7 月至 2018 年 2 月期间对马萨诸塞州的青少年驾驶教育课程进行了随机分组，将其分为 3 组，分别接受 1 种器官捐献视频信息干预（信息性、见证性或混合性）。青少年在干预前后和 1 周随访时完成了问卷；我们将他们获得驾照时的登记状态与区域匹配的历史对照组进行了比较。与历史对照组相比，接受视频信息干预的青少年的登记指定率更高（60%比 50%；<0.001）。见证（64%）和混合消息传递（65%）的捐献指定率高于信息消息传递（51%；=0.013）。捐赠知识存在统计学上显著的信息×时间交互效应（=0.03），与见证和信息消息传递相比，干预前后知识的增益更大（<0.001；=0.69 和 <0.001；=0.45），而见证消息传递的增益更小（=0.09；=0.22）。见证消息传递在提高青少年捐献指定率方面最有效，而且驾驶教育课程是向年轻人传播器官捐献信息的有效途径。ClinicalTrials.gov；标识符：NCT03013816。
