Results of NKFM’s Living on Through Love program appear in June 2012 issue of Progress in Transplantation.
Context: African Americans are disproportionately represented amongst those awaiting transplantation but many are reluctant to donate their organs.
Objective: Test the efficacy of using lay health advisors to increase organ donation among church members.
Design: Churches were pair-matched by average estimated income and size then randomized to one of two interventions: one addressing organ donation and the other fruit and vegetable.
The study took place in 22 African American churches in Southeast Michigan.
Patients or Other Participants: Church members were trained to serve as lay health advisors (called Peer Leaders).
Interventions: Peer Leaders conducted organ donation discussions with church groups and showed a DVD, created for this program, tailored to the African American church.
Main Outcome Measures: The primary outcome was verified registration in the state’s Donor Registry. Participants also completed pre/post questionnaires regarding their attitudes about organ donation.
Results: Adjusting for clustering, baseline value, and demographics, there were no posttest differences between the intervention and comparison groups for any of the three attitude scales. In logistic regression analysis, controlling for baseline donation status, demographics and church clustering the odds of self-reported enrollment at 1-year posttest did not differ by condition (OR 1.08 CI 0.669-1.746). There were a total of 211 verified enrollments in the state registry from participating churches. Of these, 163 were from intervention churches and 48 were from comparison churches.
Conclusions: Utilizing lay health advisors through Black churches can increase minority enrollment in a donor registry.
For more information on this program and its publication in Progress in Transplantation contact Ann Andrews at 734-222-9800 or [email protected].