Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial.
Thornton JD, Sullivan C, et al.Journal of General Internal Medicine 2016; 31(8): 832-839.
Aims
To determine the effect of a video on organ donation consent among patients meeting with their primary care provider.
Interventions
Patients in the intervention group watched a 5-minute organ donation video on iPads and then chose a question regarding organ donation to ask their provider, prior to clinical encounter. Control patients visited their provider per usual routine.
Participants
The study included 915 patients > 15.5 years of age who had not previously consented to organ donation, did not have any significant cognitive, visual or auditory impairment or were not English proficient.
Outcomes
The primary outcome was the proportion of patients who consented for organ donation. Secondary outcomes included the proportion of patients who discussed organ donation with their provider and the proportion who were satisfied with the time spent with their provider during the clinical encounter.
Follow-up
Not described
CET Conclusions
The DECIDE study investigated the impact of a video intervention on organ donation consent for patients who had an appointment at primary care clinics in the upcoming week. The video had previously proven to be effective in increasing organ donation consent when shown just before obtaining a license, permit, or identification card. After watching the video patients were asked to choose a question regarding barriers to organ donation to discuss with their primary health care provider. Patients in the control group met with their care provider as usual. Power analysis showed that 915 patients were needed for 80% power allowing for 10% dropouts. The randomisation sequence was computer-generated and allocation to one of the interventions was concealed. The study population included 915 primary care patients and the intention-to-treat analysis showed that patients watching the video were more likely to consent to organ donation and more likely to consent within the next six months. The study shows that the intervention was effective to increase organ donation consent and that the primary care setting is suitable to discuss reservations regarding organ donation.
Data analysis
Strict intention-to-treat analysis
Trial registration
Clinicaltrials.gov - NCT01697137