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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