Clinical Trial Details
— Status: Terminated
Administrative data
NCT number |
NCT02585921 |
Other study ID # |
1 R39OT26989-01-00 |
Secondary ID |
R39OT26989- |
Status |
Terminated |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
October 2015 |
Est. completion date |
February 2019 |
Study information
Verified date |
December 2021 |
Source |
Case Western Reserve University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The number of persons actively waiting on the national solid organ waiting list continues to
rise while the number donating organs has failed to keep pace. This is a particular problem
for some portions of northeastern Ohio where the donation rate is as low as 32%. Adolescents
are an important group for organ donation efforts as they have not yet applied for a driver's
license and represent the majority of future donors. Yet many organ donation interventions
have not targeted adolescents. The investigators propose to utilize existing high school teen
summits developed by our Consortium partners to evaluate the effectiveness of existing
donation interventions. Together, the investigators will conduct a randomized controlled 2x2
factorial trial to evaluate the independent and combined effects of two donor education
interventions on consent for organ donation on the electronic Ohio Donor Registry. One
thousand six hundred students over the age of 15.5 years from Cleveland-area high schools
will be enrolled.
Description:
Over 74,000 people are actively waiting for a solid organ to improve and extend their lives
yet each year the number of deceased donors remains less than 11,000.1 Substantial changes
are needed to increase the number of donated organs or many persons in need of a transplant
will die without receiving one. The major limiting factor to organ donation remains the low
consent rate.2 Increasing consent for organ donation will likely increase both the
availability of organs and, by extension, increase the duration and quality of life of those
waiting.3,4 While most people who consent to organ donation do so while obtaining their
driver's licenses at the bureau of motor vehicles,5,6 the bureau of motor vehicles' staff
generally do not have the training to provide sufficient information to answer questions
regarding donation. As a result, bureau of motor vehicle patrons may not be receiving the
information necessary to allay their fears and concerns sufficiently enough to provide
informed consent for donation. We have previously demonstrated that adolescents have concerns
regarding organ donation that stem from lack of knowledge about the process and from a
paucity of discussions regarding organ donation with their parents.7 We and others have also
found that efforts to increase consent for organ donation among adolescents must address
altruism regarding donation and the positive effects of donation.8,9. We incorporated these
findings into the development of a video intervention tailored towards adolescents. In a
community-based randomized trial, we found that the video was effective in increasing consent
for organ donation.10 This project incorporated the successful aspects of these multiple
organ donation interventions to facilitate consent for organ donation among adolescents.
Our consortium partners, the Cleveland branch of the Minority Organ and Tissue Transplant
Education Program (Cleveland MOTTEP), Lifebanc (the Organ Procurement Organization for
Northeast Ohio), the Cleveland Eye Bank, and the Kidney Foundation of Ohio, had been
collaborating to conduct twice yearly organ donation summits for adolescents for almost 10
years. The summits were 1-day meetings of 100 - 150 students from 5 high schools in Cleveland
and the surrounding neighborhoods. The goals of the summits were to increase knowledge and
awareness of organ and tissue donation and transplantation, as well as to assist in chronic
disease prevention. While the summits have become a mainstay in the community, they have been
limited in scope, devoid of a uniform curriculum, variable in execution, and have lacked
formal evaluation.
The purpose of this study was to expand on the existing high school education summits by
creating and implementing a uniform, validated organ donation curriculum based on successful
best practices with integration of successful organ donation video interventions and by
rigorously evaluating the effect of the individual and combined components. We employed a 2x2
factorial randomized design to explore the independent and combined effects of the
interventions.