title: Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial.
abstract: Low organ donation rates remain a major barrier to organ transplantation.
  
  
  
  We aimed to determine the effect of a video and patient cueing on organ donation consent among patients meeting with their primary care provider.
  
  
  
  This was a randomized controlled trial between February 2013 and May 2014.
  
  
  
  The waiting rooms of 18 primary care clinics of a medical system in Cuyahoga County, Ohio.
  
  
  
  The study included 915 patients over 15.5 years of age who had not previously consented to organ donation.
  
  
  
  Just prior to their clinical encounter, intervention patients (n = 456) watched a 5-minute organ donation video on iPads and then choose a question regarding organ donation to ask their provider. Control patients (n = 459) visited their provider per usual routine.
  
  
  
  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.
  
  
  
  Intervention patients were more likely than control patients to consent to donate organs (22 % vs. 15 %, OR 1.50, 95%CI 1.10-2.13). Intervention patients were also more likely to have donation discussions with their provider (77 % vs. 18 %, OR 15.1, 95%CI 11.1-20.6). Intervention and control patients were similarly satisfied with the time they spent with their provider (83 % vs. 86 %, OR 0.87, 95%CI 0.61-1.25).
  
  
  
  How the observed increases in organ donation consent might translate into a greater organ supply is unclear.
  
  
  
  Watching a brief video regarding organ donation and being cued to ask a primary care provider a question about donation resulted in more organ donation discussions and an increase in organ donation consent. Satisfaction with the time spent during the clinical encounter was not affected.
  
  
  
  clinicaltrials.gov Identifier: NCT01697137.
authors.affiliation: Center for Reducing Health Disparities, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Drive, Rammelkamp R209A, Cleveland, OH, USA. daryl.thornton@case.edu.|Division of Pulmonary, Critical Care, and Sleep Medicine, MetroHealth Campus of Case Western Reserve University, Cleveland, OH, USA. daryl.thornton@case.edu.
authors.forename: J Daryl
authors.initials: JD
authors.lastname: Thornton
authors.affiliation: Center for Reducing Health Disparities, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Drive, Rammelkamp R209A, Cleveland, OH, USA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Sullivan
authors.affiliation: Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Albert
authors.affiliation: Center for Reducing Health Disparities, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Drive, Rammelkamp R209A, Cleveland, OH, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Cedeño
authors.affiliation: Center for Reducing Health Disparities, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Drive, Rammelkamp R209A, Cleveland, OH, USA.
authors.forename: Bridget
authors.initials: B
authors.lastname: Patrick
authors.affiliation: Center for Reducing Health Disparities, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Drive, Rammelkamp R209A, Cleveland, OH, USA.
authors.forename: Julie
authors.initials: J
authors.lastname: Pencak
authors.affiliation: , Oakland, CA, USA.
authors.forename: Kristine A
authors.initials: KA
authors.lastname: Wong
authors.affiliation: Benaroya Research Institute, Seattle, WA, USA.|University of Washington, Seattle, WA, USA.
authors.forename: Margaret D
authors.initials: MD
authors.lastname: Allen
authors.affiliation: Cleveland Minority Organ Tissue Transplant Education Program (MOTTEP), Cleveland, OH, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Kimble
authors.affiliation: LifeBanc, Cleveland, OH, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Mekesa
authors.affiliation: LifeBanc, Cleveland, OH, USA.
authors.forename: Gordon
authors.initials: G
authors.lastname: Bowen
authors.affiliation: Center for Reducing Health Disparities, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Drive, Rammelkamp R209A, Cleveland, OH, USA.|Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA.|Division of Nephrology, MetroHealth Campus of Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Ashwini R
authors.initials: AR
authors.lastname: Sehgal
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D009927:Tissue and Organ Procurement / Q000379:methods*; D014741:Video Recording / Q000379:methods*
keywords: donor designation; minority donation; organ donation; organ transplantation; public attitudes; racial disparities; randomized controlled trial