Willingness of Veterans to Consider Organ and VCA Donation: Effects of a Randomized Educational Trial

IF 1.9 4区医学 Q2 SURGERY

Clinical Transplantation Pub Date : 2025-06-01 DOI:10.1111/ctr.70191

James R. Rodrigue, Jessica Lombardi, Matthew Boger, Aaron Fleishman

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引用次数: 0

Abstract

There are 18 million living military veterans in the United States, yet this population has not been the focus of educational campaigns to increase donation awareness and willingness to donate organs. This study examined whether willingness to donate organs varies by veteran-inclusive and vascularized composite allograft (VCA)-inclusive messaging. A total of 549 US veterans nondonors were randomized to four education groups: (1) general donation messaging, no veterans or VCA, (2) veteran-inclusive donation messaging, no VCA, (3) veteran- and VCA-inclusive donation messaging, or (4) no donation messaging (Control). Willingness to donate traditional and VCA organs was assessed pre-intervention, post-intervention, and at 3-weeks. Generalized Estimating Equations (GEE) models showed significant group X time interaction effects for traditional (Wald χ² = 91.3, p < 0.001) and VCA (Wald χ² = 36.3, p < 0.001) donation willingness. For traditional donation willingness, improvements were higher in veteran-inclusive messaging groups than the Control group (p < 0.01). There was no difference between veteran-inclusive and non-veteran groups, nor between VCA-inclusive and non-VCA video groups. For VCA donation willingness, significant increases were observed in the veteran-inclusive plus VCA messaging group compared to messaging without veterans or VCA and Control groups (p < 0.03). At follow-up, the education groups had more veterans who registered as donors, compared to the Control group (p = 0.02). Veteran-inclusive donation messaging may not be necessary to increase willingness to donate traditional organs, although it offers some advantages for increasing VCA donation willingness.

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退伍军人考虑器官和VCA捐赠的意愿：一项随机教育试验的影响

美国有1800万现役退伍军人，但这些人并没有成为提高捐赠意识和捐赠意愿的教育活动的重点。本研究考察了捐赠器官的意愿是否会因退伍军人包容性和血管化复合同种异体移植（VCA）包容性信息而变化。共有549名美国退伍军人不捐赠被随机分为四个教育组：(1)一般捐赠信息，没有退伍军人或VCA，(2)包括退伍军人的捐赠信息，没有VCA，(3)包括退伍军人和VCA的捐赠信息，或(4)没有捐赠信息（对照组）。在干预前、干预后和3周时评估捐献传统器官和VCA器官的意愿。广义估计方程（GEE）模型显示传统的组X时间交互效应显著(Wald χ2 = 91.3, p <；0.001)和VCA (Wald χ2 = 36.3, p <；0.001)捐赠意愿。对于传统的捐赠意愿，包括退伍军人在内的消息传递组的改善高于对照组(p <；0.01)。包括退伍军人和非退伍军人的视频组之间没有差异，包括vca和非vca的视频组之间也没有差异。对于VCA捐赠意愿，与没有退伍军人或VCA和对照组相比，在包含退伍军人的VCA消息组中观察到显著增加(p <；0.03)。在随访中，与对照组相比，教育组有更多的退伍军人登记为捐赠者（p = 0.02）。虽然退伍军人包容性捐赠信息对提高传统器官捐赠意愿有一定的优势，但可能不是提高传统器官捐赠意愿所必需的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Transplantation 医学-外科

CiteScore

3.70

自引率

4.80%

发文量

286

审稿时长

2 months

期刊介绍： Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.