Evaluation of an educational, theater-based intervention on attitudes toward organ donation in Risaralda, Colombia
Abstract
Introduction: The shortage of organs for transplantation is a worldwide problem and the main cause is the refusal of family members to donate. Consent to donate is influenced by many factors and educational interventions are strongly recommended.
Objective: To evaluate the impact of an educational, theater-based strategy on the attitudes toward organ donation.
Methodology: This study employed an intervention using theater as the central tool. The impact of this intervention on the intention to donate was assessed through a controlled, prospective, non randomized designed study. The sample consisted of 1,038 people. All the participants answered a survey that asked about sex, age and intent to donate. Afterward, one portion of the sample was exposed to the play, The Gift of Life, and a subsequent discussion forum that was guided by experts. The same survey was administered again after the intervention.
Results: Before the intervention, donation attitudes were positive in 68.3% of the responses, negative in 6.8% and uncertain in 24.9%. Females showed a greater intent to donate while age had no apparent influence on the donation decision. Those exposed to the intervention were found to be more likely to donate and show a favorable change in attitude toward donation than those who were not exposed to the intervention.
Conclusion: An educational intervention using theater is an effective tool to generate a short-term change in the intent to donate. Educational strategies should be employed to increase the rates of organ donation.
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Keywords
- Education
- tissue and organ procurement
- drama
- organ transplantation
- healtcare acceptability
- organ donations.
References
1. Cantarovich F. The organ shortage: a social paradox to be eversed. Transplant Proc. 2002; 34(8): 3031-4.
2. INS. Informe final Red Nacional de Donación y Trasplantes. In: Instituto Nacional de Salud C, editor. Informe Final Red Donacion y Trasplantes. Bogotá 2010. p. 30.
3. Whiting JF, Kiberd B, Kalo Z, Keown P, Roels L, Kjerulf M. Cost-effectiveness of organ donation: evaluating investment into donor action and other donor initiatives. Am J Transplant. 2004; 4(4): 569-73.
4. Abouna GM. Ethical issues in organ transplantation. Med Princ Pract 2003; 12(1): 54-69.
5. Alvaro EM, Jones SP, Robles AS, Siegel JT. Predictors of organ donation behavior among Hispanic Americans. Prog Transplant. 2005; 15(2): 149-56.
6. Anker AE, Feeley TH. Asking the difficult questions: message strategies used by organ procurement coordinators in requesting familial consent to organ donation. J Health Commun. 2011: 1-17.
7. Siminoff LA, Gordon N, Hewlett J, Arnold RM. Factors influencing families’ consent for donation of solid organs for transplantation. JAMA. 2001; 286(1): 71-7.
8. Martinez JM, Lopez JS, Martin A, Martin MJ, Scandroglio B, Martin JM. Organ donation and family decision-making within the Spanish donation system. Soc Sci Med. 2001; 53(4): 405-21.
9. Rando Calvo B., Blanca M. J., de Frutos MA. La toma de decisión sobre donación de órganos en la población andaluza. Psicothema. 2002; 14(2): 300-9.
10. Schulz PJ, Nakamoto K, Brinberg D, Haes J. More than nation and knowledge: cultural micro-diversity and organ donation in Switzerland. Patient Educ Couns. 2006; 64(1-3): 294-302.
11. Cantarovich F. Improvement in organ shortage through education. Transplantation. 2002; 73(11): 1844-6.
12. González RP, JM. Jiménez, O. Rodríguez, MS. Vásquez, P. González, F. Familiares de pacientes en muerte encefálica: actitudes frente a la muerte y donación de órganos / Patient’s family in brain death: attitudes in front of death and organ donation. Boletín del Hospital de San Juan de Dios. 2001; 48(6): 381-6.
13. Bohorquez H. Red de trasplantes: un trabajo en equipo para Santafé de Bogotá / The organ transplantation network: teamwork for Santafé de Bogotá. Rev Colomb Cir. 1999; 14(1): 31-53.
14. Bartlett R, Townsend N. Using drama to promote discussion of ethical issues: Pig in the Middle. Bull Med Ethics. 1998; 136: 18.
15. Sanchez JC, Gutierrez JC, Morales MD. Cinema and theater as training tools for health students. Fam Med. 2010; 42(6): 398-9.
16. Seguin A, Rancourt C. The theatre: an effective tool for health promotion. World Health Forum. 1996; 17(1): 64-9.
17. Conesa Bernal C, Rios Zambudio A, Ramirez Romero P, Parrilla Paricio P. The Catholics and organ donations. Med Clin. 2004; 123(10): 397-8.
18. Yeung I, Kong SH, Lee J. Attitudes towards organ donation in Hong Kong. Soc Sci Med. 2000; 50(11): 1643-54.
19. Rios A, Cascales P, Martinez L, Ramirez P, Sanchez J, Jarvis N, et al. Attitude of Scottish residents living in southeastern Spain toward organ donation. Transplant Proc 2008; 40(9): 2867-71.
20. Colak M, Ersoy K, Haberal M, Gurdamar D, Gercek O. A household study to determine attitudes and beliefs related to organ transplantation and donation: a pilot study in Yapracik Village, Ankara, Turkey. Transplant Proc. 2008; 40(1): 29-33.
21. Schauenburg H, Hildebrandt A. Public knowledge and attitudes on organ donation do not differ in Germany and Spain. Transplant Proc. 2006; 38(5): 1218-20.
22. Rios A, Febrero B, Martinez-Alarcon L, Lopez-Navas A, Sanchez J, Guzman D, et al. Evaluation of attitudes toward living organ donation: a multicenter study of compulsory secondary school education teachers. Transplant Proc. 2010; 42(8): 3106-8.
23. Callender CO, Miles PV. Minority organ donation: the power of an educated community. J Am Coll Surg. 2010; 210(5): 708-15.
24. Cantarovich F. Education, a chance to modify organ shortage: a different message to society. Transplant Proc 2002; 34(7): 2511-2. 25.25. Cantarovich F. The role of education in increasing organ donation. Ann Transplant. 2004; 9(1): 39-42.
25. Cantarovich F. The role of education in increasing organ donation. Ann Transplant. 2004; 9(1): 39-42.
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