Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation

Objective:. Despite the success of composite tissue allograft (CTA) such as face and hand transplant at improving recipients’ quality of life, organ donors’ hesitation needs to be better understood. The aim of the study was to assess Canadian organ donors’ willingness to donate their face and hands,...

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Autores principales:	Ann-Sophie Lafreniere, MD, Becher Al-Halabi, MD, MHPE, PhD, Stephanie Thibaudeau, MD, FRCSC, Claire Temple-Oberle, MD, MSc, FRCSC
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/96b3cb98a713479db598c8ba4a7411b8
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spelling	oai:doaj.org-article:96b3cb98a713479db598c8ba4a7411b82021-11-25T07:58:05ZAttitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation2169-757410.1097/GOX.0000000000003958https://doaj.org/article/96b3cb98a713479db598c8ba4a7411b82021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003958https://doaj.org/toc/2169-7574Objective:. Despite the success of composite tissue allograft (CTA) such as face and hand transplant at improving recipients’ quality of life, organ donors’ hesitation needs to be better understood. The aim of the study was to assess Canadian organ donors’ willingness to donate their face and hands, and the efficacy of an educational intervention. Methods:. Canadians registered for organ donation were invited to complete an online survey about CTA. An interactive vignette was introduced part way through to clarify transplant-related concepts, with repeat of questions post-vignette exposure to assess attitudes pliability. Results:. A total of 942 participants completed the survey. Fifty-two percent of donors were willing to donate their face after passing, whereas 80% were willing to donate their hands. Reasons to refuse CTA donation included the risk of upsetting their family, having someone look like them, and wanting their body to remain intact. Donors’ willingness to donate their face (38%, P < 0.001) and hands (79%, P = 0.67) decreased following vignette exposure. Comparative analysis of our interventional vignette with a similar study where donors’ donation readiness increased after an educational intervention revealed that our vignette lacked a strong enough emotional component to positively impact donors’ attitude to CTA, and may have exposed participants to alternatives to transplant they were not previously aware of. Conclusions:. Canadian organ donors surveyed were willing to donate their face and hands following death, a willingness reduced after watching our informative vignette. Further qualitative work is required to better understand the educational needs and areas to address to increase donors’ acceptance of CTA.Ann-Sophie Lafreniere, MDBecher Al-Halabi, MD, MHPE, PhDStephanie Thibaudeau, MD, FRCSCClaire Temple-Oberle, MD, MSc, FRCSCWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3958 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Ann-Sophie Lafreniere, MD Becher Al-Halabi, MD, MHPE, PhD Stephanie Thibaudeau, MD, FRCSC Claire Temple-Oberle, MD, MSc, FRCSC Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation
description	Objective:. Despite the success of composite tissue allograft (CTA) such as face and hand transplant at improving recipients’ quality of life, organ donors’ hesitation needs to be better understood. The aim of the study was to assess Canadian organ donors’ willingness to donate their face and hands, and the efficacy of an educational intervention. Methods:. Canadians registered for organ donation were invited to complete an online survey about CTA. An interactive vignette was introduced part way through to clarify transplant-related concepts, with repeat of questions post-vignette exposure to assess attitudes pliability. Results:. A total of 942 participants completed the survey. Fifty-two percent of donors were willing to donate their face after passing, whereas 80% were willing to donate their hands. Reasons to refuse CTA donation included the risk of upsetting their family, having someone look like them, and wanting their body to remain intact. Donors’ willingness to donate their face (38%, P < 0.001) and hands (79%, P = 0.67) decreased following vignette exposure. Comparative analysis of our interventional vignette with a similar study where donors’ donation readiness increased after an educational intervention revealed that our vignette lacked a strong enough emotional component to positively impact donors’ attitude to CTA, and may have exposed participants to alternatives to transplant they were not previously aware of. Conclusions:. Canadian organ donors surveyed were willing to donate their face and hands following death, a willingness reduced after watching our informative vignette. Further qualitative work is required to better understand the educational needs and areas to address to increase donors’ acceptance of CTA.
format	article
author	Ann-Sophie Lafreniere, MD Becher Al-Halabi, MD, MHPE, PhD Stephanie Thibaudeau, MD, FRCSC Claire Temple-Oberle, MD, MSc, FRCSC
author_facet	Ann-Sophie Lafreniere, MD Becher Al-Halabi, MD, MHPE, PhD Stephanie Thibaudeau, MD, FRCSC Claire Temple-Oberle, MD, MSc, FRCSC
author_sort	Ann-Sophie Lafreniere, MD
title	Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation
title_short	Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation
title_full	Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation
title_fullStr	Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation
title_full_unstemmed	Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation
title_sort	attitudes may be hard to change: canadian organ donors consider face and hand donation
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/96b3cb98a713479db598c8ba4a7411b8
work_keys_str_mv	AT annsophielafrenieremd attitudesmaybehardtochangecanadianorgandonorsconsiderfaceandhanddonation AT becheralhalabimdmhpephd attitudesmaybehardtochangecanadianorgandonorsconsiderfaceandhanddonation AT stephaniethibaudeaumdfrcsc attitudesmaybehardtochangecanadianorgandonorsconsiderfaceandhanddonation AT clairetempleoberlemdmscfrcsc attitudesmaybehardtochangecanadianorgandonorsconsiderfaceandhanddonation
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Attitudes May Be Hard to Change: Canadian Organ Donors Consider Face and Hand Donation

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