Patient and Physician Intervention to Increase Organ Donation (DECIDE)
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. We 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 physicians 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. We 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 physicians, and 3) equally satisfied with the time spent with their doctor compared to patients who are not exposed to the interventions.
Tissue and Organ Procurement
Behavioral: Participant Video and Physician Cueing
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Health Services Research
|Official Title:||Patient and Physician Intervention to Increase Organ Donation in Primary Care Settings|
- Proportion of participants who consent to donate organs [ Time Frame: 1 Day ] [ Designated as safety issue: No ]Consent either on the electronic donor registry or by completion of a organ donor card.
- Proportion of participants who reported holding donation discussions with their physician [ Time Frame: 1 Day ] [ Designated as safety issue: No ]
- Proportion of participants who were satisfied with time spent with doctor on study date [ Time Frame: 1 Day ] [ Designated as safety issue: Yes ]Proportion of participants who were somewhat or very satisfied with the amount of time spent with their doctor during the date of the study.
|Study Start Date:||September 2012|
|Estimated Study Completion Date:||October 2015|
|Estimated Primary Completion Date:||October 2015 (Final data collection date for primary outcome measure)|
|No Intervention: Usual Care|
Experimental: Participant Video and Physician Cueing
Participants will watch a video prior to meeting with their physician. Participants will then cue their physicians to discuss organ donation with them.
|Behavioral: Participant Video and Physician Cueing|
|Contact: John D Thornton, MD, MPHemail@example.com|
|United States, Ohio|
|The MetroHealth System||Recruiting|
|Cleveland, Ohio, United States, 44109|
|Principal Investigator: John D Thornton, MD, MPH|
|Principal Investigator:||John D Thornton, MD, MPH||Case Western Reserve University|