Progress in transplantation (Aliso Viejo, Calif.) · 2012
Increasing donor designation through black churches: results of a randomized trial.
СтатьяРандомизированное исследованиеПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Andrews Ann M, Zhang Nanhua, Magee John C, Chapman Remonia, Langford Aisha T, Resnicow Ken
Аннотация
CONTEXT: African Americans are disproportionately represented among those awaiting a transplant, but many are reluctant to donate their organs.
OBJECTIVE: To test the effectiveness of using lay health advisors to increase organ donation among church members.
DESIGN: Churches were pair-matched by average estimated income and size and then randomized to 1 of 2 interventions: one addressing organ donation and the other addressing increasing consumption of fruits and vegetables.
SETTING: Twenty-two African American churches in Southeast Michigan.
PATIENTS OR OTHER PARTICIPANTS: Church members were trained to serve as lay health advisors (called peer leaders).
INTERVENTIONS: Peer leaders conducted organ donation discussions with church groups and showed a DVD created for this program that was tailored to African American churches.
MAIN OUTCOME MEASURES: The primary outcome was verified registration in the state's donor registry. Participants also completed pre/post questionnaires regarding their attitudes about organ donation.
RESULTS: Once clustering, baseline value, and demographics were adjusted for, the intervention and comparison groups did not differ on any of the 3 attitude scales on the posttest. In logistic regression analysis, with baseline donation status, demographics, and church clustering controlled for, the odds of self-reported enrollment at 1-year posttest did not differ by condition (odds ratio, 1.23; 95% CI, 0.87-1.72). A total of 211 enrollments in the state registry from participating churches were verified. Of these, 163 were from intervention churches and 48 were from comparison churches.
CONCLUSIONS: Use of lay health advisors through black churches can increase minority enrollment in a donor registry even absent change in attitudes.
OBJECTIVE: To test the effectiveness of using lay health advisors to increase organ donation among church members.
DESIGN: Churches were pair-matched by average estimated income and size and then randomized to 1 of 2 interventions: one addressing organ donation and the other addressing increasing consumption of fruits and vegetables.
SETTING: Twenty-two African American churches in Southeast Michigan.
PATIENTS OR OTHER PARTICIPANTS: Church members were trained to serve as lay health advisors (called peer leaders).
INTERVENTIONS: Peer leaders conducted organ donation discussions with church groups and showed a DVD created for this program that was tailored to African American churches.
MAIN OUTCOME MEASURES: The primary outcome was verified registration in the state's donor registry. Participants also completed pre/post questionnaires regarding their attitudes about organ donation.
RESULTS: Once clustering, baseline value, and demographics were adjusted for, the intervention and comparison groups did not differ on any of the 3 attitude scales on the posttest. In logistic regression analysis, with baseline donation status, demographics, and church clustering controlled for, the odds of self-reported enrollment at 1-year posttest did not differ by condition (odds ratio, 1.23; 95% CI, 0.87-1.72). A total of 211 enrollments in the state registry from participating churches were verified. Of these, 163 were from intervention churches and 48 were from comparison churches.
CONCLUSIONS: Use of lay health advisors through black churches can increase minority enrollment in a donor registry even absent change in attitudes.