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Presenter: Andrew, Li, Sydney, Australia
Authors: Andrew Li, Michelle Irving, Stephen Jan, Kirsten Howard, Germaine Wong
Interventions to increase willingness for deceased organ donation: a systematic review
Andrew Li1,2, Michelle Irving1,2, Stephen Jan3, Kirsten Howard1, Germaine Wong2
1School of Public Health, University of Sydney, Sydney, Australia, 2Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia, 3The George Institute for Global Health, Sydney, Australia
Aims: The shortage of deceased donor organs for transplantation may be explained by community unwillingness to donate. We aimed to evaluate the effectiveness of interventions to increase willingness for deceased organ donation. Methods: Medline, Embase, PsycINFO and CINAHL were searched to December 2012 for analytic studies that evaluated any intervention targeting the willingness of the general public to become solid organ donors after death. Risk of bias was assessed, and data was collected for rates of registration and intention to donate. A descriptive synthesis of the results was undertaken, and where possible, the results were compared quantitatively. Results: 46 studies were included and incorporated over 50 000 participants. Interventions varied greatly in their approaches, e.g. advertising, community partnerships, educational materials and structured educational interventions. Most studies exhibited a low or unclear risk of bias. Due to the heterogeneity in participants, methods and outcome metrics, no one approach could be definitively identified as the most effective. However, a greater general trend towards significant increases in intention to donate was seen in interventions that included emotive components and/or interpersonal contact with participants, and a greater general trend towards significant increases in registration rates was seen in interventions that included interpersonal contact with participants. Conclusion: Interventions to increase community willingness for deceased organ donation varied in their approach and effectiveness, with no one approach definitively emerging as the most effective, although it seems that interventions that include emotive components and/or interpersonal contact with individuals or groups may help increase willingness for deceased organ donation.
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