Increasing organ donation among the general population would expand the organ supply and improve access to transplantation among minorities. Increasing organ donation by minorities would be especially helpful because genetic similarities within minority groups improve the likelihood of tissue type matches between donors and recipients. We identified several barriers to donation among minorities and developed a 5-minute video addressing these topics. We demonstrated that patrons of the Ohio Bureau of Motor Vehicles who were shown the video prior to getting their driver's licenses were 12% more likely to consent for future donation compared to patrons who did not view the video. However, individually administering the video was labor intensive, and our trial was limited to a single geographic area. Dissemination of successful efficacy trial interventions into widespread practice remains a challenge. We used a theory-driven approach to address impediments to dissemination of our intervention. Specifically, we plan to adapt the video for use with college students, to disseminate the video intervention by linking it to online course enrollment, and to rigorously evaluate its impact. We will conduct a randomized controlled trial involving 6 Ohio universities, 2000 randomly selected students who will form an intervention group, and another 2000 randomly selected students who will form a control group. The video will be automatically linked to online course enrollment for intervention but not control students. We will compare the proportion of intervention and control students who subsequently access their state's electronic donor registry to register as organ donors. Helping college students make informed decisions regarding donation may not only increase organ donation, but also reduce disparities in access to transplantation and serve as a model for dissemination of other successful health disparity interventions.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD002265-08
Application #
8618789
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2014-02-01
Budget End
2015-01-31
Support Year
8
Fiscal Year
2014
Total Cost
$81,326
Indirect Cost
$34,022
Name
Case Western Reserve University
Department
Type
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
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Prakash, Suma; Coffin, Rick; Schold, Jesse et al. (2014) Travel distance and home dialysis rates in the United States. Perit Dial Int 34:24-32
Cain, Katrice D; Theurer, Jacqueline R; Sehgal, Ashwini R (2014) Sharing of grant funds between academic institutions and community partners in community-based participatory research. Clin Transl Sci 7:141-4
Hand, Rosa K; Lawless, Mary Ellen; Deming, Nicole et al. (2014) Development and pilot testing of a human subjects protection training course unique to registered dietitian nutritionists. J Acad Nutr Diet 114:2009-16
Thornton, J Daryl; Schold, Jesse D (2013) The authors reply. Crit Care Med 41:e395-6
Thornton, J Daryl; Schold, Jesse D; Venkateshaiah, Lokesh et al. (2013) Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med 41:382-8
Schold, J D; Buccini, L D; Heaphy, E L G et al. (2013) The prognostic value of kidney transplant center report cards. Am J Transplant 13:1703-12
Huml, Anne M; Sullivan, Catherine M; Pencak, Julie A et al. (2013) Accuracy of dialysis medical records in determining patients' interest in and suitability for transplantation. Clin Transplant 27:541-5
Leon, Janeen B; Sullivan, Catherine M; Sehgal, Ashwini R (2013) The prevalence of phosphorus-containing food additives in top-selling foods in grocery stores. J Ren Nutr 23:265-270.e2
Schold, J D; Heaphy, E L G; Buccini, L D et al. (2013) Prominent impact of community risk factors on kidney transplant candidate processes and outcomes. Am J Transplant 13:2374-83

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