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Alolod GP, Gardiner HM, Blunt R, Yucel RM, Siminoff LA. Organ Donation Willingness Among Asian Americans: Results from a National Study. J Racial Ethn Health Disparities 2023; 10:1478-1491. [PMID: 35595917 PMCID: PMC9675880 DOI: 10.1007/s40615-022-01333-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 05/05/2022] [Accepted: 05/13/2022] [Indexed: 10/18/2022]
Abstract
Asian Americans are the fastest growing racial group in the USA, but their health disparities are often overlooked. Although their needs for transplantable organs are substantial, they have the lowest rates of organ donation per million compared to other Americans by race. To better understand Asian Americans' disposition toward organ donation, a self-administered survey was developed based on formative data collection and guidance from a Community Advisory Board composed of Asian American stakeholders. The instrument was deployed online, and quota sampling based on the 2017 American Community Survey was used to achieve a sample representative (N = 899) of the Asian American population. Bivariate tests using logistic regression and the chi-square test of independence were performed. Over half (58.1%) of respondents were willing to be organ donors. A majority (81.8%) expressed a willingness to donate a family member's organs, but enthusiasm depended on the family member's donor wishes. Only 9.5% of respondents indicated that the decision to donate their organs was theirs alone to make; the remainder would involve at least one other family member. Other key sociodemographic associations were found. This study demonstrates both the diversity of Asian Americans but also the centrality of the family's role in making decisions about organ donation. Practice and research considerations for the field are also presented.
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Affiliation(s)
- Gerard P Alolod
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA.
| | - Heather M Gardiner
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
| | - Ryan Blunt
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
| | - Recai M Yucel
- Department of Biostatistics and Epidemiology, College of Public Health, Temple University, Philadelphia, PA, USA
| | - Laura A Siminoff
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
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Gardiner HM, Davis EE, Alolod GP, Sarwer DB, Siminoff LA. A mixed-methods examination of public attitudes toward vascularized composite allograft donation and transplantation. SAGE Open Med 2022; 10:20503121221125379. [PMID: 36147872 PMCID: PMC9486253 DOI: 10.1177/20503121221125379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 08/24/2022] [Indexed: 11/29/2022] Open
Abstract
Background: This mixed-methods study examined the general public’s knowledge and
attitudes about vascularized composite allografts. The availability of these
anatomical gifts to treat individuals with severe disfiguring injuries
relies largely on decisions made by family members. If vascularized
composite allograft transplantation is to become more readily available, the
knowledge and beliefs of the general public must be explored to ensure
vascularized composite allograft donation approaches adequately support the
donation decision-making process. Methods: We conducted six focus groups with 53 members of the general public, which
were audio-recorded for accuracy and transcribed. Before each session,
participants completed a brief survey assessing donation-related knowledge,
attitudes, and beliefs. Analysis of qualitative data entailed the constant
comparison method in the development and application of a schema for
thematic coding. Descriptive statistics and Spearman’s rank coefficient were
used in the analysis of the quantitative data. Results: Respondents were most knowledgeable about solid organ donation and least
knowledgeable about vascularized composite allograft donation. Six major
themes emerged: (1) strong initial reactions toward vascularized composite
allografts, (2) limited knowledge of and reservations about vascularized
composite allografts, (3) risk versus reward in receiving a vascularized
composite allograft, (4) information needed to authorize vascularized
composite allograft donation, (5) attitudes toward donation, and (6)
mistrust of the organ donation system. Conclusion: The general public has low levels of knowledge and high levels of hesitation
about vascularized composite allograft donation and transplantation.
Education campaigns to familiarize the general public with vascularized
composite allografts and specialized training for donation professionals to
support informed family decision-making about vascularized composite
allograft donation may address these issues.
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Affiliation(s)
- Heather M Gardiner
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
| | - Ellen E Davis
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
| | - Gerard P Alolod
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
| | - David B Sarwer
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
| | - Laura A Siminoff
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
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Acceptability of a Mobile-Health Living Kidney Donor Advocacy Program for Black Wait-Listed Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168239. [PMID: 34443991 PMCID: PMC8393864 DOI: 10.3390/ijerph18168239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 07/24/2021] [Accepted: 07/27/2021] [Indexed: 11/16/2022]
Abstract
Marked racial disparities exist in rates of living donor kidney transplantation (LDKT). The Living Organ Video Educated Donors (LOVED) program is a distance-based, mobile health program designed to help Black kidney transplant wait-list patients advocate for a living donor. This study reported on the acceptability outcomes to aid in future refinements. Participants were randomized to LOVED (n = 24, mean age = 50.9 SD (9.2) years), male = 50%) and usual care groups (n = 24 (mean age 47.9 SD (10.0), male 50%). Four LOVED groups completed an eight-week intervention that consisted of six online video education modules and eight group video chat sessions led by a Black navigator. Qualitative analysis from post-study focus groups resulted in six themes: (1) video chat sessions provided essential support and encouragement, (2) videos motivated and made participants more knowledgeable, (3) connectivity with tablets was acceptable in most areas, (4) material was culturally sensitive, (5) participation was overall a positive experience and (6) participants were more willing to ask for a kidney now. The video chat sessions were pertinent in participant satisfaction, though technology concerns limited program implementation. Results showed that the LOVED program was acceptable to engage minorities in health behavior changes for living donor advocacy but barriers exist that require future refinement.
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Kapikiran G, Bulbuloglu S, Ozdemir A, Saritas S. Knowledge and Attitudes on Organ Donation From the Perspective of Liver Transplant Patients. Transplant Proc 2020; 53:25-29. [PMID: 32616347 DOI: 10.1016/j.transproceed.2020.02.173] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2020] [Accepted: 02/05/2020] [Indexed: 01/24/2023]
Abstract
PURPOSE This study was performed to investigate the knowledge and attitudes about organ donation from the perspective of liver transplant patients. DESIGN AND METHODS The study was conducted at the organ transplantation clinics. The data were collected by the researchers from 129 participants using in-person interviews. FINDINGS In this study, 83% of patients received the organ from live donors, 36% received liver transplants in the previous 1 year, more than 70% agreed to donate their organs, and 80% thought awareness should be raised in society about organ donation. CONCLUSION It was found that the participants in the sample needed information on the issue, although the sample consisted of individuals who had experienced organ donation. It is important that nurses and nurse managers understand the level of knowledge and the attitudes of organ donation patients who have undergone liver transplantation. Worldwide, organ donation is not at the desired level. This study aims to enhance in nurses and nurse managers the foresight regarding and awareness about behaviors of transplantation patients.
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Affiliation(s)
| | - Semra Bulbuloglu
- Department of Surgical Nursing, Gaziosmanpasa University, Erbaa Campus, Tokat, Turkey
| | - Ahmet Ozdemir
- Department of Surgical Nursing, Sütcü İmam University, Kahramanmaraş, Turkey
| | - Serdar Saritas
- Department of Surgical Nursing, Inonu University, Faculty of Nursing, Malatya, Turkey
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DuBay DA, Ivankova NV, Herbey I, Redden DT, Holt C, Siminoff L, Fouad MN, Morinelli TA, Martin MY. An African American Perspective on Familial Notification of Becoming a Registered Organ Donor. Prog Transplant 2019; 29:164-172. [PMID: 30845889 DOI: 10.1177/1526924819835837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Studies demonstrate that family notification is much less frequent in African Americans than in Caucasians. Familial notification of one's decision to become a registered organ donor (ROD) is important to ensure adherence to the decedent's donation decision and to disseminate prodonation attitudes. The purpose of this study was to explore the experiences of familial notification among recent African American RODs and to identify intervention strategies to overcome potential barriers to the notification process. METHODS/APPROACH The study used a qualitative focus group approach. An inductive thematic analysis identified common categories and themes in the recorded and transcribed discussions. FINDINGS The focus groups consisted of 50 African American participants who had recently visited Alabama Department of Motorized Vehicles and made the voluntary decision (yes or no) about becoming an organ donor. Three major themes describing the African American experiences with notifying their family members about their decision to become a ROD emerged. These themes were as follows: motivation for the notification, notification conversation, and promoting familial notification. Specific discussions centered upon the importance of and barriers to familial notification, information, and strategies needed for successful notification. Strategies identified were use of media and social networks to provide enhanced knowledge on the notification process and the importance of health-care, community-provided knowledge about the donation process. DISCUSSION Findings from this study provide a framework for future interventions designed to assist African American RODs in notifying family members of their status.
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Affiliation(s)
- Derek A DuBay
- 1 Department of Surgery, College of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Nataliya V Ivankova
- 2 Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.,3 Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Ivan Herbey
- 4 Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - David T Redden
- 5 Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Cheryl Holt
- 6 Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA
| | - Laura Siminoff
- 7 College of Public Health, Temple University, Philadelphia, PA, USA
| | - Mona N Fouad
- 4 Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Thomas A Morinelli
- 1 Department of Surgery, College of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Michelle Y Martin
- 8 Preventive Medicine, University of Tennessee Health Sciences Center, Memphis, TN, USA
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Sieverdes JC, Treiber FA, Mueller M, Nemeth LS, Brunner-Jackson B, Anderson A, Baliga PK. Living Organ Video Educated Donors Program for Kidney Transplant-eligible African Americans to Approach Potential Donors: A Proof of Concept. Transplant Direct 2018; 4:e357. [PMID: 30123830 PMCID: PMC6089514 DOI: 10.1097/txd.0000000000000799] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 04/17/2018] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The purpose of the Living Organ Video Educated Donors (LOVED) program is to address living donor kidney transplantation (LDKT) disparities in African Americans who experience half the rates of LDKTs compared with whites in the United States. METHODS LOVED is an iterative-designed, distance-based, navigator-led, mobile health educational program, developed via guidance from patients, Self-determination Theory and Social Cognitive Theory. The purpose of this study was to assess the feasibility of LOVED using a proof-of-concept design to increase African Americans' knowledge about the living donor process to improve their willingness to approach others about being a potential kidney donor. The 8-week LOVED program consisted of (1) a computer tablet-delivered education program, (2) group video chat sessions with an African American LDKT recipient navigator, and (3) additional communication between group members and the navigator. RESULTS Twenty-five participants completed the LOVED study. Poststudy focus groups were analyzed using inductive and deductive qualitative descriptive techniques and analysts found 6 themes reporting LOVED being highly acceptable with the program being overall empowering and helpful. The study had 0% attrition, 90.9% adherence to the education videos and 88% adherence to the video chat sessions. Surveys showed statistically significant improvements in LDKT knowledge, higher willingness to communicate to others about their need, lower donor concerns, and higher self-efficacy about LDKT. CONCLUSIONS Findings indicate that participation in LOVED can lead to improvements in predictors to increase the number of evaluations and LDKTs in African Americans; however, these findings need to be confirmed in adequately powered, randomized controlled trials. Using LOVED may reduce barriers to broadly address LDKT disparities. Findings from this study will inform the design of a future statewide randomized controlled trials.
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Affiliation(s)
- John C. Sieverdes
- College of Nursing, Medical University of South Carolina, Charleston, SC
| | - Frank A. Treiber
- College of Nursing, Medical University of South Carolina, Charleston, SC
- College of Medicine, Medical University of South Carolina, Charleston, SC
| | - Martina Mueller
- College of Nursing, Medical University of South Carolina, Charleston, SC
| | - Lynne S. Nemeth
- College of Nursing, Medical University of South Carolina, Charleston, SC
| | | | - Ashley Anderson
- College of Nursing, Medical University of South Carolina, Charleston, SC
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7
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Sieverdes JC. Mobile health considerations for kidney disease and transplantation. Mhealth 2018; 4:13. [PMID: 29963558 PMCID: PMC5994452 DOI: 10.21037/mhealth.2018.05.02] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Accepted: 05/08/2018] [Indexed: 01/17/2023] Open
Affiliation(s)
- John C Sieverdes
- Medical University of South Carolina, College of Nursing, Technology Applications Center for Healthful Lifestyles, Charleston, SC 29425-1600, USA
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