Patient and Physician Intervention to Increase Organ Donation (DECIDE)

Case Western Reserve University

Status: Completed

Conditions: Tissue and Organ Donation; Communication

Treatments: Behavioral: Participant Video and Provider Cueing

Study type: Interventional

Funder types: Other

Identifiers

NCT01697137

6 R39OT22056-01-01

R39OT22056 (Other Grant/Funding Number)

Details and patient eligibility

About

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.

Enrollment: 916 patients

Sex: All

Ages: 15 to 78 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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916 participants in 2 patient groups

Usual Care

No Intervention group

Description:

Following enrollment, participants will visit with their primary care provider per usual.

Participant Video and Provider Cueing

Experimental group

Description:

Participants will watch a video prior to meeting with their provider. Participants will then cue their providers to discuss organ donation with them.

Treatment:

Behavioral: Participant Video and Provider Cueing