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Item type Presentation
Format Text-based Document
Title Intent of Hispanic/Latino Adolescents toward Tissue andOrgan Donation: A Pilot Study of a Culturally SensitiveEducational Intervention
Authors Castellanos, Sharon A.
Downloaded 22-May-2018 01:18:03
Link to item http://hdl.handle.net/10755/603263
Intent of Hispanic/Latino Adolescents toward
Tissue and Organ Donation: A Pilot Study of a
Culturally Sensitive Educational Intervention.
Brandon’s Crossroads Foundation Inc.
Kaiser Permanente Division of Research
Sponsors
Alyssa Saquilayan BSN
Jaimee Avila BSN
Ronli Macalada BSN
East Side Union High School District
Dr. Gretchen J. Summer
Ruth Rosenblum DNP, RN, PNP-BC
Lori Rodriguez PhD, RN, CNE
Lynn Van Hofwegen, DNP, RN, APRN
Special Thanks
The purpose of this study was to
examine the outcomes of a culturally
sensitive educational intervention on
organ donation among
Hispanic/Latino students in three
urban high schools.
122,457 individuals are waiting for an organ of which 23,112 are Hispanic/Latino (UNOS, 2015).
Hispanic/Latino need for suitable organs has increased 260% (Alvaro et al, 2006).
Hispanics/Latinos are 60% less likely to donate vs non-Hispanics (Frates & Bohrer, 2002).
Background
Organ and Tissue Donation
Adolescents are an important target population for organ and tissue donation education as they are faced with this decision when applying for driver license or permit with little or no education on this end of life topic.
According to Donate Life California (DLC) data, young drivers (between the ages 15-19) are less likely to register as organ and tissue donors than 20-49 year olds.
Background
Organ and Tissue Donation
This study seeks to explore the impact of
applying Prochaska’s Transtheoretical Model
(TTM) to the willingness, attitudes and knowledge
of Hispanic/Latino adolescents regarding tissue
and organ donation.
Targeting adolescent Hispanics/Latinos at all five
of these stages may increase the number of
potential donors both directly as well as second-
hand, by increasing discussion of the issue among
families.
Theoretical Framework
Fresno State University and Kaiser Permanente
Committee for the Protection of Human Subjects
performed a full review and approval was granted to
proceed with this study.
A quasi- experimental design was conducted with
students from 3 high schools grades 9th -12th with a
predominantly Hispanic population.
All participating participants had signed parental
consent and completed self-reported demographic
characteristics with the pre-intervention surveys
prior to a 40 minute educational intervention given
by the principle investigator.
Methods
Post intervention surveys were administered by the study team 10-14 days after the educational intervention.
Changes in survey responses on knowledge and intent from pre to post intervention were compared using paired t-test and two sample t-test as a sensitivity analysis among study participants.
All statistical analysis was performed using SAS Systems for Windows, version 9.3.
Methods
Data analysis
133146
Males Females
9th 10th 11th 12th
33
108
63
23
0
20
40
60
80
100
120
1 2 3 4
Gender Religious175
78
020406080
100120140160180200
Yes No
Grade
Ethnicity
Data Analysis
To access the effect of educational pre and post intervention a univariate analysis was done to identify demographics, ethnicity and religion.
A total of 301 students participated of which 68% were Hispanic.
The percent increase in knowledge questions that were correctly answered following the intervention ranged from 9% to 35% (all p-values <0.001).
Outcomes
Outcome Intent
**Intent
Males from Pre-16% to Post-41%
Females from Pre-33% to Post-46%
26% of participants expressed intent to donate pre-intervention; this increased by 18% (95 CI: 12%-25%) to 44% post –intervention (p<0.0001).
At baseline, intent to donate was 26% and 22% among Hispanic and non-Hispanic.
Post-intervention, 51% of Hispanic and 28% non-Hispanic expressed intent to donate (p=0.001).
Outcomes
Pre-intervention, females were more likely to
discuss organ donation with family compared to
males (33% vs 16%, p=0.001).
Post intervention, the prevalence increased in
both groups (46% to 41%, in females and males,
respectively).
Outcomes
One minute paper students comments
“You can trust doctors nurses and emergency
people to keep me alive-donor”.
“The presentation was really great and now has me
thinking about donation my organs. Today I
Learned that you can save lives if you donate”.
“It was pretty cool to learn all about organ and
tissue donation”.
Data Analysis
Qualitative
“The presentation was very good, it changed my
mind about becoming a organ donor. I do not
need any of my body parts after I die, so I should
save some lives. Thank you”
“I liked the presentation it was very informative
and made me sure of what I want to do. I don’t
think my mom will agree with me, but she will
now know my wishes”.
“Being a donor YES!”
Data Analysis
One minute paper Continued
This study demonstrates that a culturally
appropriate, single classroom intervention can
correct misinformation and promote
communication tissue/organ donation among high
school students.
The intervention appeared particularly effective
among Hispanics a group traditionally
underrepresented among tissue and organ donors.
Conclusion
Partnering with Brandon’s Cross Foundation
Inc. a community nonprofit organization
provided the opportunity to create a culturally
sensitive educational curriculum.
Missing data
Predominate Hispanic/Latino Adolescents
Low socioeconomic demographics
Pre-Post test design
No control group
Limitations
Advocacy schools
Continue to build Brandon’s Crossroads
Foundation Inc. community presence.
Future research
What's Next
Intent to Donate a comparison of 2
high school curriculums
Current research in progress
Who is our audience?
All 320 million of us in the United States
The need for transplantation knows no boundaries
Not Age….Not gender…Not Race….Not Income
Not Religion
It’s Universal
WE all have a lot of work to do to end this
Healthcare Crises
Everything we do has the potential to help all humanity. This project will challenge how
adolescents receive educational information on organ and tissue donation.
How one challenges this is by creating an innovative educational program.
Alvardo, E. M., Jones, S. P., Robles, A. S., Siegel, J. (2006). Hispanic Organ Donation: Impact of a Spanish-Language Organ Donation Campaign. Journal of the National Medical Association, (1) 28-67
Cardenas, V. , Thornton, J. D., Wong, K. A. , Spigner, C. , & Allen, M. D. (2010). Effects of classroom education and att itudes regarding organ donation in ethnical ly diverse urban high schools. Clinica l Transplant , 24(6)784-793
Donate Life California, (2013). California to include important organ & tissue donation education in schools as Governor Brown signs AB 1967. Retrieved March 17, 2013, From https://www.donatelifeFrom https://www.donatelifecalifornia.org/index.php? option=comcontent&view=article& Id=173: governor-brown-signs-ab-1967&catid=22:press-releases&Itemid=242
Frates J, & Garcia Bohrer G.(2002). Hispanic perceptions of organ donation. Progress in Transplantion. 12(3):
169–175.
United Nation of Organ Sharing. ( 2015). Data reports and Policies. Retrieved October 11, 2015, From http://www.unos.org.
References
Brandons Crossroads Foundation Inc
Raising Youth Awareness on the Importance of Tissue and Organ Donation
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