title: Project ACTS II: organ donation education for African American adults.
abstract: OBJECTIVE
  Project ACTS "About Choices in Transplantation and Sharing" is a culturally sensitive intervention designed to address organ donation concerns among African American adults. Our study sought to evaluate the efficacy of two versions of the Project ACTS intervention and to determine whether reviewing materials in a group setting would be more effective at increasing participants' interest in organ and tissue donation than allowing participants to review the materials at home with friends and family.
  
  
  METHODS
  A pre-post simple factorial experimental design was used to assess differences between intervention package (Project ACTS I vs II) and mode of delivery (group vs take home).
  
  
  METHODS
  Participants completed a baseline and 1-year follow-up assessment of donation-related knowledge, attitudes, and interest.
  
  
  METHODS
  A summed score that represents participants' interest in being recognized as an organ donor on their driver's license, via donor card, and by talking to family.
  
  
  RESULTS
  From baseline to follow-up, participants increased their knowledge, attitudes, and interest in being recognized as an organ donor regardless of intervention package (Ps<.05). Regarding setting, participants who reviewed materials in a group setting demonstrated greater increase from baseline to follow-up in interest in organ donation (beta=.22, P<.01) and positive attitudes toward donation (beta=.22, P<.05) than those who were allowed to review materials at home with friends and family.
  
  
  CONCLUSIONS
  Project ACTS I and II are equally efficacious; reviewing the intervention in a group setting may be necessary for low vested interest/high ambivalence health behaviors such as organ donation.
authors.affiliation: Rollins School of Public Health of Emory University, Department of Behavioral Sciences and Health Education, Atlanta, GA 30322, USA. kjacoba@sph.emory.edu
authors.forename: Kimberly R Jacob
authors.initials: KR
authors.lastname: Arriola
authors.forename: Dana H Z
authors.initials: DH
authors.lastname: Robinson
authors.forename: Jennie P
authors.initials: JP
authors.lastname: Perryman
authors.forename: Nancy J
authors.initials: NJ
authors.lastname: Thompson
authors.forename: Emily F
authors.initials: EF
authors.lastname: Russell
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D003159:Community-Institutional Relations; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016730:Program Development; D012044:Regression Analysis; D014019:Tissue Donors / Q000193:education* / Q000706:statistics & numerical data*; D055815:Young Adult