Communicating effectively about donation: an educational intervention to increase consent to donation.
BACKGROUND
Families' refusal to consent to solid organ donation is a major contributor to the organ deficit in the United States. Previous research has identified organ procurement coordinators as best able to obtain consent from families; however, few studies have examined the effects of coordinator training programs on consent rates.


OBJECTIVE
To test the effects of the Communicating Effectively About Donation intervention on the rate of family consent to solid organ donation.


METHODS
A nonrandomized repeated measures design.


METHODS
Participants included 17 hospitals, 502 donor-eligible patients and their families, and 22 coordinators from an organ procurement organization in Ohio.


METHODS
Coordinators were given in-service training on the use of effective relational and affective communication techniques through a day-long interactive workshop and simulated donation scenarios.


METHODS
Families' final donation decision and coordinators' donation-related behaviors.


RESULTS
Training of coordinators was associated with increases in coordinators' comfort speaking with patients' families about donation and answering donation-related questions, in the amount of time coordinators spent discussing donation with family members, and in the number of donation-related topics discussed with families. Consent rates increased from 46.3% to 55.5% after the intervention.


CONCLUSIONS
The results suggest that improving coordinators' communication skills may be a fruitful avenue for increasing the rate of family consent to donation; however, a more definitive test of the training is needed to confirm the intervention's effectiveness.
Siminoff
Laura A
LA
Department of Social and Behavioral Health, School of Medicine, Virginia Commonwealth University, P.O. Box 980149, 1112 E. Clay St., Richmond, VA 23220, USA. lasiminoff@vcu.edu
Marshall
Heather M
HM
Dumenci
Levent
L
Bowen
Gordon
G
Swaminathan
Aruna
A
Gordon
Nahida
N