Communication, Tissue and Organ Donation
Conditions
Brief summary
The number of persons on the national solid organ waiting list continues to increase while the number of donated organs has failed to keep pace. In some portions of northeastern Ohio the donation rate is as low as 32%. There is a positive association between discussing organ donation with a primary care physician and signing a donor card. However, such discussions are rare. The investigators propose a blinded randomized controlled trial to evaluate the effectiveness of two interventions: 1) showing a donation video to patients in primary care settings waiting to see their physician and 2) cueing of primary care providers to have donation discussions with their patients. The study will be conducted throughout Cuyahoga County in at least 10 ambulatory clinics associated with a single county medical system. Nine hundred patients over 15.5 years of age will be enrolled. The investigators hypothesize that patients exposed to the interventions will be 1) more likely to consent to donate organs, 2) more likely to have donation discussions with their primary care providers, and 3) equally satisfied with the time spent with their doctor compared to patients who are not exposed to the interventions.
Interventions
BEHAVIORALParticipant Video and Provider Cueing
Participants will watch a 5-minute video and then select a question about donation to discuss with their primary care provider (provider cueing).
Sponsors
Case Western Reserve University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
15 Years to 78 Years
Healthy volunteers
Yes
Inclusion criteria
* At least 2 visits with their primary care provider in the last 3 years * Not previously consented to organ donation * At least 15.5 years of age * Less than 78 years of age
Exclusion criteria
* Visually impaired * Cognitively impaired * Non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants who consent to donate organs | 1 Day | Consent either on the electronic donor registry or by completion of a organ donor card. |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of participants who reported holding donation discussions with their primary care provider | 1 Day |
Other
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants who were satisfied with time spent with their provider on the study date | 1 Day | Proportion of participants who were somewhat or very satisfied with the amount of time spent with their provider during the date of the study. |
Countries
United States
Outcome results
None listed