Computerized assessment of competence‐related abilities in living liver donors: the Adult‐to‐Adult Living Donor Liver Transplantation Cohort Study
Year: 2013
Type: article
Abstract: BACKGROUND: Despite its importance, determination of competence to consent to organ donation varies widely based on local standards. We piloted a new tool to aid transplant centers in donor assessment. METHODS: We assessed competence-related abilities among potential living liver donors (LDs) in the nine-center A2ALL study. Prospective LDs viewed an educational video and were queried to assess Understanding, Appreciation, Reasoning, and ability to express a Final Choice using the MacArthur Competence Assessment Tool for Clinical Research, adapted for computerized administration in LDs ("MacLiver"). Videotaped responses were scored by a clinical neuropsychologist (JF). RESULTS: Ninety-three LDs were assessed. Mean (standard deviation; domain maximum) scores were as follows: Understanding: 18.1 (2.6; max = 22), Appreciation: 5.1 (1.0; max = 6), Reasoning: 3.1 (0.8; max = 4), and Final Choice: 3.8 (0.5; max = 4). Scores did not differ by demographics, relationship to the recipient, eligibility to donate, or eventual donation (p > 0.4). Higher education was associated with greater Understanding (p = 0.004) and Reasoning (p = 0.03). CONCLUSION: Standardized, computerized education with independent ratings of responses may (1) alert the clinical staff to potential donors who may not be competent to donate and (2) highlight areas needing further assessment and education, leading to better informed decision making.
Source: Clinical Transplantation
DOI: 10.1111/ctr.12184
Institutions: University of Virginia, Columbia University Irving Medical Center, University of Michigan, University of Pennsylvania, Arbor Research Collaborative for Health, Northwestern University, University of California, San Francisco, Baylor University Medical Center, University of Colorado Anschutz, Virginia Commonwealth University Medical Center, University of Pittsburgh, University of Minnesota
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funders: University of Pennsylvania, Northwestern University, Virginia Commonwealth University, National Institutes of Health, Health Resources and Services Administration, University of California, Los Angeles, University of North Carolina at Chapel Hill, University of Colorado Denver, National Institute of Diabetes and Digestive and Kidney Diseases
Awards: Adult-to-Adult Living Donor Liver Transplantation Study Data Coordinating Center, G1383949932, G1433264716, G1469602633, Living Donor Liver Transplant :Short & Long-Term Impact on Donors and Recipients, G2029735444, G2418409112, G3732980780, G4062605622, Adult to Adult Living Donor Liver Transplantation Cohort Study, G4970618323, Adult to Adult Living Donor Liver Transplantation, G5633787660, G6210929720, G6485789737, G6533405083, G6907866384, G7113239606, G7969737238, G827852952, G8356652515, G8384303206, G8435409682, G8530861974, G8885385322, G9000032882, G9000046098, G9000129768, G9000198337, G9000208165, G9000244090, UCSF Liver Center
OpenAlex ID: W2022023313