Randomized trial using hair stylists as lay health advisors to increase donation in African Americans.
OBJECTIVE
To test the efficacy of using hair stylists as lay health advisors to increase organ donation among African American clients.


METHODS
This study was a randomized, controlled intervention trial where we randomized 52 salons (2,789 clients) to receive a 4 session, stylist-delivered health education program (comparison) or a four session brief motivational intervention that encouraged organ donation (intervention). Intervention stylists received a four-hour training in organ donation education and counseling. Organ donation was measured by self-report questionnaire at 4-month posttest as well as by verified enrollment in the Michigan Organ Donor Registry.


METHODS
Hair salons in Michigan urban areas.


METHODS
Blacks (n = 2,449), non-Blacks (n = 261) in Michigan.


METHODS
Self-reported donation status, registration in Michigan Organ Donor Registry.


RESULTS
At posttest, rates of self-reported positive donation status were 19.8% in the intervention group and 16.0% in the comparison group. In multivariate analyses, intervention participants were 1.7 times (95% Cl = 0.98-2.8) more likely than comparison participants to report positive donation status at posttest. Based on verified organ registry data, enrollment rates were 4.8% and 2%, respectively for the intervention and comparison groups. In multivariate analyses, intervention group members were 4.4 (95% CI = 1.3-15.3) more likely to submit an enrollment card than comparison participants.


CONCLUSIONS
Clients of hair stylists trained to provide brief motivational intervention for organ donation were approximately twice as likely to enroll in the donor registry as comparison clients. Use of lay health advisors appears to be a promising approach to increase donation among African Americans.
Resnicow
Ken
K
University of Michigan, School of Public Health, Department of Health Behavior & Health Education, Ann Arbor, MI 48109-2029, USA. kresnic@umich.edu
Andrews
Ann M
AM
Beach
Denise K
DK
Kuhn
Latoya
L
Krein
Sarah L
SL
Chapman
Remonia
R
Magee
John C
JC
D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D016000:Cluster Analysis; D005260:Female; D006197:Hair; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008824:Michigan; D008875:Middle Aged; D011446:Prospective Studies; D012042:Registries; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement