Effects of structured education program on organ donor designation of nursing students and their families: A randomized controlled trial

Abstract

Introduction: Little is known about the effect of education programs on changing attitudes and behaviors of participants and their families toward deceased organ donation. Methods:The subjects of this randomized trial were Japanese nursing students who were not previously designated organ donors. They were randomly assigned to either the education program or information booklet group. The program comprised a lecture followed by group discussion and information booklet. The primary outcome was self-reported organ donor designation. Outcomes were assessed by questionnaire.Results: Data of 203 (99.0%) students were analyzed. At study end, seven of 102 students (6.9%) of the program group and one of 101 students (1.0%) of the booklet group consented to donate organs (proportion ratio 6.93 [95% CI 0.87-55.32]). There were significant between-group differences in willingness to consent for donation (54.9% vs 39.6%; proportion ratio 1.39 [95% CI 1.03-1.87]), family discussion (31.4% vs 15.9%; 1.98 [1.16-3.38]), and organ donor designation of family members (11.8% vs 2. 0%; 5.94 [1.36-25.88]). No group differences were found in willingness for organ donation by students and family members. Conclusion:Although there were no significant between-group differences in organ donor designation, the program seems to indirectly promote consent to organ donation by their families. K E Y W O R D Seducation program, group discussion, organ donation, organ donor designation, transplant recipient 1

Identifying behaviour change techniques within randomized trials of interventions promoting deceased organ donation registration

“…The Cochrane review reported that classroom‐based interventions delivered in a lecture format by individuals from the transplant community (Alarcon et al, 2008; Murakami et al, 2016; Smits et al, 2006) increased registration intention versus control ( k = 3, N = 675; RR 1.33, 95% CI 1.15–1.55, I² = 0%). Within all three studies, the BCT’s ‘Instruction on how to perform the behaviour’, ‘Information about health consequences’, and ‘Salience of consequences’ were present.…”

Knowledge Does Not Correlate with Behavior toward Deceased Organ Donation: A Cross-Sectional Study in Japan

“…These included web-based registration and signed consent on either the health insurance card, driver's license, or donor card. We describe here these 4 modalities as "organ donor registration", indicating clear consent to donate organs after death [37].…”

“…Fourth, the outcome may not accurately reflect the actual behavior because of social desirability response bias among participants. Since all data were collected using the self-reported questionnaire, we could not directly confirm whether or not they actually registered as an organ donor [37]. However, the subjects were asked to select the modality that indicates consent for deceased organ donation when they responded by "Yes" to those questions.…”

“…We measured outcomes using an anonymous questionnaire developed by our group and validated in our previous studies [25,37]. The questionnaire asked about attitude toward deceased organ donation, with options of "Yes", "No", or "Uncertain".…”

Awareness and attitude to deceased kidney donation among health-care workers in Sokoto, Nigeria

“…[ 27 28 ] Similar interventions among college, health sciences, and nursing students and their families were found to be effective in improving knowledge on organ donation, correct misinformation, effect opinion change on organ donation, and also promote consent to organ donation by families. [ 29 30 31 ] It is therefore imperative for management of health institutions to give prominence to education of their students and trainees on organ donation in their curriculum. This would enable them to appreciate its importance and promote it among their colleagues, patients and members of the public when they qualify as health-care professionals.…”