Top

Gepubliceerd in:

01-06-2012

Testing the utility of a modified organ donation model among African American adults

Auteurs: Dana H. Z. Robinson, Jennie P. Perryman, Nancy J. Thompson, Sandra Amaral, Kimberly R. Jacob Arriola

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2012

Abstract

African Americans are overrepresented on the organ transplant waiting list because they are disproportionately impacted by certain health conditions that potentially warrant a life-saving transplant. While the African American need for transplantation is considerably high, organ and tissue donation rates are comparatively low, resulting in African Americans spending more than twice the amount of time on the national transplant waiting list as compared to people of other racial/ethnic backgrounds. There are a multitude of factors that contribute to the reluctance expressed by African Americans with respect to organ donation. This study proposes the use of an adaptation of the Organ Donation Model to explore the ways in which knowledge, trust in the donation/allocation process, and religious beliefs impact African American donation decision making. Bivariate and path analyses demonstrated that alignment with religious beliefs was the greatest driving factor with respect to attitudes towards donation; attitudes were significantly associated with donation intentions; and knowledge is directly associated with intentions to serve as a potential deceased organ donor. The significance of these variables speaks to the importance of their inclusion in a model that focuses on the African American population and offers new direction for more effective donation education efforts.

vorige artikel Promoting physical activity with goal-oriented mental imagery: a randomized controlled trial

Alleen toegankelijk voor geautoriseerde gebruikers

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRef

Arbuckle, J. L. (2008). AMOS programming reference guide. Chicago: Small Waters.

Arriola, K. J., Perryman, J. P., & Doldren, M. (2005). Moving beyond attitudinal barriers: Understanding African Americans’ support for organ and tissue donation. Journal of the National Medical Association, 97, 339–350. Retrieved from http://www.nmanet.org/index.php/publications_sub/jnma

Arriola, K. J., Perryman, J. P., Doldren, M. A., Warren, C. M., & Robinson, D. H. Z. (2007). Understanding the role of clergy in African American organ and tissue donation decision-making. Ethnicity and Health, 12, 465–482. doi:10.1080/13557850701616896 PubMedCrossRef

Arriola, K. J., Robinson, D. H. Z., Thompson, N. J., & Perryman, J. P. (2008). Understanding the relationship between knowledge and African American’s donation decision making. Patient Education and Counseling, 70, 242–250. doi:10.1016/j.pec.2007.09.017 CrossRef

Arriola, K. J., Robinson, D. H. Z., Thompson, N. J., & Perryman, J. P. (2010). Project ACTS: An intervention to increase organ and tissue donation intentions among African Americans. Health Education and Behavior, 37, 264–274. doi:10.1177/1090198109341725 PubMedCrossRef

Atkins, L., Davis, K., Holtzman, S. M., Durand, R., & Decker, P. J. (2003). Family discussion about organ donation among African Americans. Progress in Transplantation, 13, 28–32.PubMed

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. doi:10.1037/0033-2909.107.2.238 PubMedCrossRef

Bhengu, B. R., & Uys, H. H. (2004). Organ donation and transplantation within the Zulu culture. Curationis, 27, 24–33.PubMed

Blanchard, J., & Lurie, N. (2004). R-E-S-P-E-C-T: Patient reports of disrespect in the health care setting and its impact on care. The Journal of Family Practice, 53, 721–730. Retrieved from http://www.jfponline.com/

Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2003). Race and trust in the health care system. Public Health Reports, 118, 358–365. Retrieved from http://www.publichealthreports.org/index.cfm

Boulware, L. E., Ratner, L. E., Cooper, L. A., Sosa, J. A., LaVeist, T. A., & Powe, N. R. (2002a). Understanding disparities in donor behavior: Race and gender differences in willingness to donate blood and cadaveric organs. Medical Care, 40, 85–94. doi:10.1097/00005650-200202000-00003 PubMedCrossRef

Boulware, L. E., Ratner, L. E., Sosa, J. A., Cooper, L. A., LaVeist, T. A., & Powe, N. R. (2002b). Determinants of willingness to donate living related and cadaveric organs: Identifying opportunities for intervention. Transplantation, 73, 1683–1691. doi:10.1097/00007890-200205270-00029 PubMedCrossRef

Byrne, B. M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum Associated, Inc.

Callender, C. O. (1987). Organ donation in blacks: A community approach. Transplantation Proceedings, 19, 1551–1554.PubMed

Callender, C. O., Burston, B., Yeager, C., & Miles, P. A. (1997). A national minority transplant program for increasing donation rates. Transplantation Proceedings, 29, 1482–1483. doi:10.1016/S0041-1345(96)00697-5 PubMedCrossRef

Callender, C. O., Hall, M. B., & Branch, D. (2001). An assessment of the effectiveness of the Mottep model for increasing donation rates and preventing the need for transplantation–adult findings: program years 1998 and 1999. Seminars in Nephrology, 21, 419–428. Retrieved from http://www.seminarsinnephrology.org/

Callender, C. O., Miles, P. V., & Hall, M. B. (2002a). National MOTTEP: Educating to prevent the need for transplantation. Ethnicity and Disease, 12, 34–37. Retrieved from http://www.ishib.org/ed_index.asp

Callender, C. O., Miles, P. V., Hall, M. B., & Gordon, S. (2002b). Blacks and Whites and kidney transplantation: A disparity! but why and why won’t it go away? Transplantation Reviews, 16, 163–176. doi:#10.1053/trre.2002.127298 CrossRef

Callender, C. O., & Washington, A. W. (1997). Organ/tissue donation the problem! Education the solution: A review. Journal of the National Medical Association, 89, 689–693. Retrieved from http://www.nmanet.org/index.php/publications_sub/jnma

Chan, D. C. N., Wu, A. M. S., & Hung, E. P. W. (2010). Invulnerability and the intention to drink and drive: An application of the theory of planned behavior. Accident Analysis and Prevention, 42, 1549–1555. doi:10.1016/j.aap.2010.03.011 PubMedCrossRef

Corbie-Smith, G., Thomas, S. B., & St. George, D. M. (2002). Distrust, race, and research. Archives of Internal Medicine, 162, 2458–2463. Retrieved from http://archinte.ama-assn.org/

Danovitch, G. M., Cohen, D. J., Weir, M. R., Stock, P. G., Bennett, W. M., Christensen, L. L., et al. (2005). Current status of kidney and pancreas transplantation in the United States, 1994–2003. American Journal of Transplantation, 5, 904–915. doi:10.1111/j.1600-6135.2005.00835.x PubMedCrossRef

Darr, A. R., & Randhawa, G. (1999). Public opinion and perceptions of organ donation and transplantation among Asian communities: An exploratory study in Luton, UK. International Journal of Health Education, 37, 68–74.

Davis, K., Holtzman, S., Durand, R., Decker, P. J., Zucha, B., & Atkins, L. (2005). Leading the flock: Organ donation feelings, beliefs, and intentions among African American clergy and community residents. Progress in Transplantation, 15, 211–216.PubMed

DeJong, W., Franz, H. G., Wolfe, S. M., Nathan, H., Payne, D., Reitsma, W., & Beasley, C. (1998). Requesting organ donation: An interview study of donor and nondonor families. American Journal of Critical Care 7, 13–23. Retrieved from http://ajcc.aacnjournals.org/

Durand, R., Decker, P. J., & Bruder, P. (2002). Organ donation among African Americans: Opportunities for increasing donor rates. Hospital Topics, 80, 34. doi:10.1080/00185860209598002 PubMedCrossRef

Eng, E., & Parker, E. (2002). Natural helper models to enhance a community’s health and competence. In R. DiClemente, R. Crosby, & M. Kegler (Eds.), Emerging theories in health promotion practice and research (pp. 126–156). San Francisco: Jossey-Bass.

Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.

Gallagher, C. M. (1997). “Hear a just cause, O Lord, attend to my cry”: Organ donation and pastoral care. Journal of Pastoral Care, 51, 213–221. Retrieved from http://www.jpcp.org/

Gallagher, C. M. (1998). Religious outreach for organ and tissue donation. Journal of Transplant Coordination, 8, 60–62. Retrieved from http://www.medscape.com/viewpublication/130

Gamble, V. N. (1997). Under the shadow of Tuskegee: African Americans and health care. American Journal of Public Health, 87, 1773–1778.PubMedCrossRef

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2009). Multivariate data analysis (7th ed.). Upper Saddle River, NJ: Prentice Hall.

Ingram, K. L., Cope, J. G., Harju, B. L., & Wuensch, K. L. (2000). Applying to graduate school: A test of the theory of planned behavior. Journal of Social Behavior and Personality, 15, 215–226. Retrieved from http://www.sbp-journal.com/

Klem, L. (1995). Path analysis. In L. G. Grimm & P. R. Yarnold (Eds.), Reading and understanding multivariate statistics. Washington, DC: American Psychological Association.

Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: The Guilford Press.

Kurz, R. S., Scharff, D. P., Terry, T., Alexander, S., & Waterman, A. (2007). Factors influencing organ donation decisions by African Americans: A review of the literature. Medical Care Research and Review, 64, 475–517. doi:10.1177/1077558707304644 PubMedCrossRef

Lam, W. A., & McCullough, L. B. (2000). Influence of religious and spiritual values on the willingness of Chinese-Americans to donate organs for transplantation. Clinical Transplantation, 14, 449–456. doi:10.1034/j.1399-0012.2000.140502.x PubMedCrossRef

LaVeist, T. A., Nickerson, K. J., & Bowie, J. V. (2000). Attitudes about racism, medical mistrust, and satisfaction with care among African American and White cardiac patients. Medical Care Research and Review, 57, 146–161. doi:10.1177/1077558700574007 PubMed

LifeGift. (2002). The word is a lamp unto my feet, and a light unto my path: A biblical perspective to organ and tissue donation. Houston: LifeGift Organ Donation Center.

Louis, O. N., Sankar, P., & Ubel, P. A. (1997). Kidney transplant candidates’ views of the transplant allocation system. Journal of General Internal Medicine, 12, 478–484. doi:10.1046/j.1525-1497.1997.00086.x PubMedCrossRef

McCaskill-Stevens, W., Pinto, H., Marcus, A. C., Comis, R., Morgan, R., Plomer, K., & Schoentgen, S. (1999). Recruiting minority cancer patients into cancer clinical trials: A pilot project involving the Eastern Cooperative Oncology Group and the National Medical Association. Journal of Clinical Oncology, 17, 1029–1039. Retrieved on http://jco.ascopubs.org/

McNamara, P., Guadagnoli, E., Evanisko, M. J., Beasley, C., Santiago-Delpin, E. A., Callendar, C. O., et al. (1999). Correlates of support for organ donation among three ethnic groups. Clinical Transplantation, 13, 45–50. doi:10.1034/j.1399-0012.1999.t01-2-130107.x PubMedCrossRef

Minniefield, W. J., Yang, J., & Muti, P. (2001). Differences in attitudes toward organ donation among African Americans and Whites in the United States. Journal of the National Medical Association, 93, 372–379. Retrieved from http://www.nmanet.org/index.php/publications_sub/jnma

Modlin, C. S., Bairagi, D., Chidmeme-Mundowafa, A., Yoo, J. W., & Saffore, L. (2009). Religious beliefs as a negative predictor of kidney donations in African American men. Journal of Urology, 181, 807. Retrieved from http://www.jurology.com/

Morgan, S. E. (2004). The power of talk: African Americans’ communication with family members about organ donation and its impact on the willingness to donate. Journal of Social and Personal Relationships, 21, 112–124. doi:10.1177/0265407504039845 CrossRef

Morgan, S. E. (2006). Many facets of reluctance: African Americans and the decision (not) to donate organs. Journal of the National Medical Association, 98, 695–703. Retrieved from http://www.nmanet.org/index.php/publications_sub/jnma

Morgan, S. E., & Miller, J. K. (2001). Beyond the organ donor card: The effect of knowledge, attitudes and values on willingness to communicate about organ donation to family members. Health Communication, 14, 121–134. doi:10.1207/S15327027HC1401_6 CrossRef

Morgan, S. E., & Miller, J. K. (2002). Communicating about gifts of life: The effect of knowledge, attitudes, and altruism on behavior and behavioral intentions regarding organ donation. Journal of Applied Communication Research, 30, 163–178. doi:10.1080/00909880216580 CrossRef

Morgan, S. E., Miller, J. K., & Arasaratnam, L. A. (2003). Similarities and differences between African Americans’ and European Americans’ attitudes, knowledge, and willingness to communicate about organ donation. Journal of Applied Social Psychology, 33, 693–715. doi:10.1111/j.1559-1816.2003.tb01920.x CrossRef

Organ Procurement and Transplant Network (OPTN). (2010a). Current U.S. waiting list, overall by organ. U.S Department of Health and Human Services, Health Resources and Services Administration. Retrieved 26 July 2010, from http://optn.transplant.hrsa.gov/latestData/step2.asp

Organ Procurement and Transplant Network (OPTN). (2010b). Transplants by donor type, U.S. transplants Performed: January 1, 1988—April 30, 2010. U.S Department of Health and Human Services, Health Resources and Services Administration. Retrieved 26 July 2010, from http://optn.transplant.hrsa.gov/latestData/rptData.asp

Organ Procurement and Transplant Network (OPTN). (2010c). Donors recovered in the U.S. by donor type: January 1, 1988—April 30, 2010. U.S Department of Health and Human Services, Health Resources and Services Administration. Retrieved 26 July 2010, from http://optn.transplant.hrsa.gov/latestData/step2.asp

Organ Procurement and Transplant Network (OPTN). (2010d). Transplants in the U.S. by recipient ethnicity, U.S. Transplants Performed: January 1, 1988—April 30, 2010. U.S Department of Health and Human Services, Health Resources and Services Administration. Retrieved 26 July 2010, from http://optn.transplant.hrsa.gov/latestData/rptData.asp

Radecki, C. M., & Jaccard, J. (1997). Psychological aspects of organ donation: A critical review and synthesis of individual and next-of-kin donation decisions. Health Psychology, 16, 183–195. doi:10.1037/0278-6133.16.2.183 PubMedCrossRef

Radecki, C. M., & Jaccard, J. (1999). Signing an organ donation letter: The prediction of behavior from behavioral intentions. Journal of Applied Social Psychology, 29, 1833–1853. doi:10.1111/j.1559-1816.1999.tb00154.x CrossRef

Randall, V. R. (1996). Slavery, segregation and racism: Trusting the health care system ain’t always easy! An African American perspective on bioethics. Saint Louis University Public Law Review, 15, 191–235. Retrieved from http://law.slu.edu/journals/LawReview/

Randhawa, G. (2004). The challenge of kidney transplantation among minority ethnic groups in the UK. EDTNA/ERCA Journal, 30, 182–187.PubMed

Rozon-Solomon, M., & Burrows, L. (1999). Tis better to receive than to give: The relative failure of the African American community to provide organs for transplantation. The Mount Sinai Journal of Medicine, 66, 273–276. Retrieved from http://mountsinai.site-ym.com/?page=Journal_of_Medicine

Rumsey, S., Hurford, D. P., & Cole, A. K. (2003). Influence of knowledge and religiousness on attitudes toward organ donation. Transplantation Proceedings, 35, 2845–2850. doi:10.1016/j.transproceed.2003.10.078 PubMedCrossRef

Sander, S., & Miller, B. (2005). Public knowledge and attitudes regarding organ and tissue donation: An analysis of the northwest Ohio community. Patient Education and Counseling, 58, 154–163. doi:10.1016/j.pec.2004.08.003 PubMedCrossRef

Schutte, L., & Kappel, D. (1997). Barriers to donation in minority, low-income, and rural populations. Transplantation Proceedings, 29, 3746–3747. doi:10.1016/S0041-1345(97)01096-8 PubMedCrossRef

Siminoff, L. A., & Arnold, R. (1999). Increasing organ donation in the African-American community: Altruism in the face of an untrustworthy system. Annals of Internal Medicine, 130, 607–609. Retrieved from http://www.annals.org/

Siminoff, L. A., Burant, C. J., & Ibrahim, S. A. (2006). Racial disparities in preferences and perceptions regarding organ donation. Journal of General Internal Medicine, 21, 995–1000. doi:10.1111/j.1525-1497.2006.00516.x PubMedCrossRef

Stage, F. K., Carter, H. C., & Nora, A. (2004). Path analysis: An introduction and analysis of a decade of research. Journal of Educational Research, 98, 5–12. Retrieved from http://www.tandf.co.uk/journals/journal.asp?issn=0022-0671&linktype=1

Steiger, J. H. & Lind, J. M. (1980). Statistically based tests for the number of common factors. Iowa City, IA.

Streiner, D. L. (2005). Finding our way: An introduction to path analysis. Canadian Journal of Psychiatry, 50, 115–122. Retrieved from http://publications.cpa-apc.org/browse/sections/0

Terrell, F., Moseley, K. L., Terrell, A. S., & Nickerson, K. J. (2004). The relationship between motivation to volunteer, gender, cultural mistrust, and willingness to donate organs among Blacks. Journal of the National Medical Association, 96, 53–60. Retrieved from http://www.nmanet.org/index.php/publications_sub/jnma

United Network for Organ Sharing (UNOS). (2010). Donor designation (first person consent) status by state. Retrieved July 26, 2010, from http://www.unos.org/inTheNews/factsheets.asp?fs=6

U.S. Census Bureau. (2010). American fact finder. Retrieved 18 May 2010, from www.census.gov

U.S. Renal Data System (USRDS). (2009). Retrieved 26 July 2010, from www.usrds.org

Wagstaff, D. A., Korda, H., & McCleary, K. J. (2008). African Americans’ organ donor intentions: Who has used which registration mode to express her or his intentions? Journal of Public Health Management and Practice, 14, E7–E13. doi:10.1097/01.PHH.0000303420.83518.65 PubMed

Washington, H. A. (2006). Medical apartheid: The dark history of medical experimentation on Black Americans from colonial times to the present. New York: Doubleday Broadway Publishing Group.

Watkins, C. E., Terrell, F., Miller, F. S., & Terrell, S. L. (1989). Cultural mistrust and its effects on expectational variables in Black client-White counselor relationships. doi:10.1037/0022-0167.36.4.447

Weaver, M., Spigner, C., Pineda, M., Rabun, K. G., & Allen, M. D. (2000). Knowledge and opinions about organ donation among urban high school students: Pilot test of a health education program. Clinical Transplantation, 14, 292–303. doi:10.1034/j.1399-0012.2000.140404.x PubMedCrossRef

Wolinsky, H. (1997). Steps still being taken to undo damage of “America’s Nuremberg”. Annals of Internal Medicine, 127, I43–44. Retrieved from http://www.annals.org/

Wuensch, K. L. (2008). Conducting a path analysis with SPSS/AMOS. Available at http://core.ecu.edu/psyc/wuenschk/StatsLessons.htm. Retrieved 14 March 2011.

Young, C. J., & Gaston, R. S. (2002). African Americans and renal transplantation: Disproportionate need, limited access, and impaired outcomes. The American Journal of the Medical Sciences, 323, 94–99. Retrieved from http://journals.lww.com/amjmedsci/pages/default.aspx

Titel: Testing the utility of a modified organ donation model among African American adults
Auteurs: Dana H. Z. Robinson
Jennie P. Perryman
Nancy J. Thompson
Sandra Amaral
Kimberly R. Jacob Arriola
Publicatiedatum: 01-06-2012
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2012
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-011-9363-3

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2012

Promoting physical activity with goal-oriented mental imagery: a randomized controlled trial

Communication strategies for enhancing understanding of the behavioral implications of genetic and biomarker tests for disease risk: The role of coherence

A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV

Impact of Mindfulness-Based Stress Reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: A waitlist-controlled study

The interplay of dyadic and individual planning of pelvic-floor exercise in prostate-cancer patients following radical prostatectomy

Avoidant coping moderates the association between anxiety and patient-rated physical functioning in heart failure patients