Department of Social and Behavioral Sciences, College of Public Health, 6558Temple University, Philadelphia, PA, USA.
91269Gift of Life Donor Program, Philadelphia, PA, USA.
Prog Transplant. 2022 Sep;32(3):233-240. doi: 10.1177/15269248221107040. Epub 2022 Jun 10.
Vascularized composite allotransplantation (VCA) donation relies on obtaining surrogate authorization. Yet, many donor professionals have limited experience discussing composite allograft donation. Using virtual and interactive elements, the eLearning program, Communicating Effectively about Donation for Vascularized Composite Allotransplantation (CEaD-VCA), was developed to enhance the quality of donor professionals' communication approach. We tested the effectiveness of the eLearning program in improving donor professionals' knowledge, preparedness, and confidence leading discussions with families. Donor professionals who primarily obtain family authorization for solid organ and tissue donation were recruited from 2 regional Organ Procurement Organizations. The training was evaluated using a nonrandomized pre-post design. Participants completed an online survey with items assessing their knowledge, preparedness, and confidence for donation discussions. Pre- and post-training responses were compared using paired sample t-tests. The sample included 42 donor professionals. The majority (71.4%) had at least 3 years of work experience, and over half (52.4%) had no experience discussing VCA donation with families. Post-training, significant increases in mean knowledge scores (6.4 pre to 7.0 post, P < 0.01) and mean self-reported preparation (6.6 pre to 7.9 post, P < 0.0001) were observed. There were significant increases in mean confidence scores for discussing face (6.2 pre to 7.9 post, P < 0.0001) and hand (6.2 pre to 8.0 post, P < 0.0001) transplants. The CEaD-VCA program was effective in increasing donor professionals' knowledge, preparation, and confidence when discussing donation, and holds potential for improving donor professional communication during donation discussions.
血管化复合组织同种异体移植（VCA）捐赠依赖于获得替代授权。然而，许多供体专业人员在讨论复合同种异体移植捐赠方面经验有限。使用虚拟和互动元素，开发了电子学习计划“有效沟通血管化复合组织同种异体移植捐赠（CEaD-VCA）”，以提高供体专业人员沟通方法的质量。我们测试了电子学习计划在提高供体专业人员与家属讨论的知识、准备和信心方面的有效性。从 2 个地区性器官获取组织中招募了主要获得实体器官和组织捐赠家属授权的供体专业人员。使用非随机前后设计评估培训效果。参与者完成了一项在线调查，其中包含评估他们对捐赠讨论的知识、准备和信心的项目。使用配对样本 t 检验比较培训前后的反应。该样本包括 42 名供体专业人员。大多数人（71.4%）有至少 3 年的工作经验，超过一半（52.4%）没有与家属讨论过 VCA 捐赠。培训后，知识得分的平均值（从 6.4 提高到 7.0，P<0.01）和自我报告的准备程度的平均值（从 6.6 提高到 7.9，P<0.0001）均显著增加。讨论面部（从 6.2 提高到 7.9，P<0.0001）和手部（从 6.2 提高到 8.0，P<0.0001）移植时的信心得分平均值也显著增加。CEaD-VCA 计划在提高供体专业人员讨论捐赠时的知识、准备和信心方面非常有效，并且具有提高供体专业人员在捐赠讨论期间沟通能力的潜力。
