1
|
Park B, Pires K, Jian CY, Sano L, Laganière N, Conway MA, Henstridge-Goudie J, Pavlenkova A, Pedram S, Okonofua S, Gélinas A, Bah B, Fattouh R, Farahbakhsh F, Fingrut WB. A library of TikToks to engage diverse populations to hematopoietic stem cell donation. Bone Marrow Transplant 2024:10.1038/s41409-024-02294-3. [PMID: 38755459 DOI: 10.1038/s41409-024-02294-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 03/29/2024] [Accepted: 04/19/2024] [Indexed: 05/18/2024]
Affiliation(s)
- Brady Park
- Stem Cell Club, Toronto, ON, Canada
- University of Toronto, Toronto, ON, Canada
| | | | - Cathy Yin Jian
- Stem Cell Club, Toronto, ON, Canada
- Western University, London, ON, Canada
| | - Lauren Sano
- Stem Cell Club, Toronto, ON, Canada
- Western University, London, ON, Canada
| | - Noémie Laganière
- Stem Cell Club, Toronto, ON, Canada
- University of Alberta, Edmonton, AB, Canada
| | - Margarita A Conway
- Stem Cell Club, Toronto, ON, Canada
- Memorial University, St. John's, NL, Canada
| | | | | | - Shirin Pedram
- Stem Cell Club, Toronto, ON, Canada
- Simon Fraser University, Burnaby, BC, Canada
| | | | - Alexa Gélinas
- Swab the World, Montreal, QC, Canada
- University of Montreal, Montreal, QC, Canada
| | - Bilguissou Bah
- Swab the World, Montreal, QC, Canada
- University of Montreal, Montreal, QC, Canada
| | - Richard Fattouh
- Swab the World, Montreal, QC, Canada
- University of Montreal, Montreal, QC, Canada
| | | | - Warren B Fingrut
- Stem Cell Club, Toronto, ON, Canada.
- Department of Stem Cell Transplantation and Cellular Therapy, Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
- Harvard T.H. Chan School of Public Health, Boston, MA, USA.
| |
Collapse
|
2
|
Hamed AB, Bruce JG, Kuniyil V, Ahmed N, Mattila D, Williams EP, Dew MA, Myaskovsky L, Confer DL, Switzer GE. Factors Associated with Opting Out of an Unrelated Hematopoietic Stem Cell Donor Registry: Differences and Similarities across Five Key Groups of Young Race/Ethnically Diverse Potential Donors in the United States. Transplant Cell Ther 2024; 30:512.e1-512.e15. [PMID: 38365082 DOI: 10.1016/j.jtct.2024.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 02/07/2024] [Accepted: 02/07/2024] [Indexed: 02/18/2024]
Abstract
Young adults from underserved racial/ethnic groups are critically needed as unrelated hematopoietic stem cell (HSC) donors, yet they are more likely than other groups to opt out of donation after having matched a patient. Understanding which factors are most strongly associated with opting out among young underserved racial/ ethnic registered donors compared with their White counterparts will provide the basis for specific interventions to improve donor retention. We sought to determine the key, modifiable psychosocial, registry-related, and donation-related characteristics that are uniquely associated with opting out across 5 key racial/ethnic groups of young HSC donor registry members who had been contacted as a potential match for a patient. This study examines data from a large cross-sectional survey of young (age 18 to 30) registry members shortly after they preliminarily matched a patient (CT-stage) and continued toward or opted out of donation (CT-C and CT-NI), stratified by racial/ethnic group and sex. We assessed psychosocial, registry-related, and donation-related characteristics for all participants. We used chi-squared and F tests to assess differences between racial/ethnic groups. A separate logistic regression analysis for each racial/ethnic group was conducted to quantify adjusted associations between each variable and opting out. Then, we compared these associations across the racial/ethnic groups by evaluating the interaction effect between each variable and racial/ethnic group, with the same outcome (CT-C versus CT-NI) in question. Nine hundred thirty-five participants were surveyed, including 284 White, 165 Hispanic, 191 Black, 192 Asian/Pacific Islander, and 103 Multiracial/multiethnic participants. There were significant differences across racial/ethnic groups in values/goals, religious objections to donation, HSC-related medical mistrust, and parental involvement in donation decisions. Adjusted logistic regression subgroup analyses indicated that ambivalence was strongly associated with opting out across all racial/ethnic groups. Greater focus on intrinsic life goals (e.g., raising a family, becoming a community leader, influencing social values) was associated with opting out in the Multiracial/multiethnic, Hispanic, and Asian/Pacific Islander groups. Healthcare mistrust and insufficient registry contact was a significant factor for Hispanic participants. Protective factors against opting out included remembering joining the registry (Black participants), and parental support for donation decision (Asian/Pacific Islander participants). The performance of each logistic regression model was strong, with area-under-the curve ≥.88, CT-stage outcome classification accuracy ≥89%, and good fit between expected and observed opt-out probabilities. In the analysis across different racial/ethnic groups, the only significant interaction was race/ethnicity by whether more contact with the registry would have changed the decision at CT-stage; this variable was significant only for the Hispanic group. In the within-group analysis for Hispanic participants, the "more registry contact" variable was strongly associated with opting out (odds ratio 5.8, P = .03). Consistent with a growing body of HSC donor research, ambivalence was a key factor associated with opting-out for all racial/ethnic groups. Other key variables were differentially associated with opting-out depending on racial/ethnic group. Our study highlights key variables that registries should focus on as they develop targeted and tailored strategies to enhance commitment and reduce attrition of potential donors.
Collapse
Affiliation(s)
- Ahmed B Hamed
- Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Surgery, University of Illinois at Chicago, Chicago, Illinois
| | - Jessica G Bruce
- Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Vidya Kuniyil
- Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Noor Ahmed
- North Allegheny Senior High School, Wexford, Pennsylvania
| | - Deborah Mattila
- CIBMTR® (Center for International Blood and Marrow Transplant Research), NMDP/Be The Match®, Minneapolis, Minnesota
| | - Eric P Williams
- CIBMTR® (Center for International Blood and Marrow Transplant Research), NMDP/Be The Match®, Minneapolis, Minnesota
| | - Mary Amanda Dew
- Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania; Departments of Psychology, Epidemiology, Nursing, and Biostatistics, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Larissa Myaskovsky
- Department of Internal Medicine, University of New Mexico, School of Medicine, Albuquerque, New Mexico; Center for Healthcare Equity in Kidney Disease, University of New Mexico Health Sciences Center, Albuquerque, New Mexico
| | - Dennis L Confer
- CIBMTR® (Center for International Blood and Marrow Transplant Research), NMDP/Be The Match®, Minneapolis, Minnesota
| | - Galen E Switzer
- Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania; Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
| |
Collapse
|
3
|
Hamad L, Anthias C, Gibson D, O'Leary A, Machin L. Prospective donors' perspectives on hematopoietic cell donation for cell and gene therapy research and development. Regen Med 2023; 18:301-311. [PMID: 36891911 DOI: 10.2217/rme-2022-0195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/10/2023] Open
Abstract
Aim: To explore prospective donors' attitudes and perceptions toward donating hematopoietic stem cells (HSCs) for novel treatments research and development (R&D). Methods: A survey was launched by Anthony Nolan (AN) to assess prospective donors' willingness to donate HSCs for novel therapies R&D, and their degree of comfort with the AN collaborating with and receiving payment from external organizations. Results: Most participants (87%) were willing to donate for novel treatment R&D and were comfortable with AN collaborating with external organizations and receiving payment (91% and 80%, respectively). Conclusion: Results reveal an overall positive response toward donating HSCs for R&D. These findings can support stakeholders and policymakers in outlining donation practices that uphold donors' safety and welfare.
Collapse
Affiliation(s)
- Lina Hamad
- Lancaster Medical School, Lancaster University, Lancaster, LA1 4YW, UK
| | - Chloe Anthias
- Donor and Transplantation Services, Anthony Nolan, London, NW3 2NU, UK
| | - Daniel Gibson
- Cell and Gene Therapy Services, Anthony Nolan, London, NW3 2NU, UK
| | - Ann O'Leary
- Donor and Transplantation Services, Anthony Nolan, London, NW3 2NU, UK
| | - Laura Machin
- Lancaster Medical School, Lancaster University, Lancaster, LA1 4YW, UK.,Faculty of Medicine, Imperial College London, SW7 2AZ, UK
| |
Collapse
|
4
|
Jagelaviciute G, Kum E, Li EW, Rosenfeld A, Williams K, Kandel R, DeGurse N, Park B, Okonofua S, Sano L, Gerofsky M, Sharp A, Hatkar R, Thyagu S, Fingrut WB. Why We Swab: A library of stories in stem cell donation. Transfusion 2022; 62:2095-2107. [PMID: 36062961 DOI: 10.1111/trf.17087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 06/30/2022] [Accepted: 07/13/2022] [Indexed: 12/13/2022]
Abstract
BACKGROUND Stories are powerful in their ability to disseminate information in a meaningful way. We hypothesized that a stem cell donation story library optimized for social media could support the education and recruitment of committed unrelated hematopoietic stem cell donors from needed demographic groups. STUDY DESIGN AND METHODS We developed Why We Swab, a library of stories on stem cell donation (facebook.com/WhyWeSwab; instagram.com/WhyWeSwab; twitter.com/WhyWeSwab), and evaluated its impact across social and traditional media as well as on eligible potential donors' knowledge and attitudes towards donation. RESULTS As of December 2021, the library included 28 story arcs featuring 45 storytellers from diverse ancestral backgrounds, including 8 donor-recipient stories. Overall, the stories reached >92,000 people across social media. Notably, stories were republished by 18 print/ broadcast media outlets in Canada and by major medical organizations. A series of stories shown to 33 eligible potential donors improved mean total scores on a donation knowledge test (64% to 85%, p < 0.001), reduced mean ambivalence scale scores (3.85 to 2.70, p < 0.001), and improved participants' willingness to register as donors (45% to 73%, p < 0.005). Data are also shown demonstrating that stakeholders valued the library and that its deployment was associated with improved donor recruitment outcomes in Canada. CONCLUSION Why We Swab is accessible and relevant to a wide audience, including stem cell donor registries and recruitment organizations seeking to improve their recruitment efforts as well as to blood and organ & tissue donation organizations who can adapt the Why We Swab model to their audiences.
Collapse
Affiliation(s)
- Gabriele Jagelaviciute
- Stem Cell Club, Toronto, Ontario, Canada.,School of Medicine, Queen's University, Kingston, Ontario, Canada
| | - Elena Kum
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Edward W Li
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Health Sciences and Wellness, Humber College, and University of New Brunswick, Toronto, Ontario, Canada
| | - Aaron Rosenfeld
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Kenneth Williams
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Rana Kandel
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Natalie DeGurse
- Stem Cell Club, Toronto, Ontario, Canada.,Schulich School of Medicine, Western University, London, Ontario, Canada
| | - Brady Park
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Western University, London, Ontario, Canada
| | - Sylvia Okonofua
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, University of Regina, Regina, Saskatchewan, Canada
| | - Lauren Sano
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Western University, London, Ontario, Canada
| | - Moriah Gerofsky
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Health Sciences, University of Wilfrid Laurier, Waterloo, Ontario, Canada
| | - Alexander Sharp
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Rupal Hatkar
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Santhosh Thyagu
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.,Princess Margaret Cancer Centre, Toronto, Ontario, Canada
| | - Warren B Fingrut
- Stem Cell Club, Toronto, Ontario, Canada.,Adult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA
| |
Collapse
|
5
|
Kum E, Jagelaviciute G, Chen AC, Baharmand I, Rihani S, Rumball G, Patel D, Kandel R, Okonofua S, Li EW, Hrycyshyn A, Chan SWS, Kumar SV, Williams K, Prokosch L, Ho M, Park B, Fingrut W. Development and evaluation of a community of practice to improve stem cell donor recruitment in Canada. Vox Sang 2021; 117:587-596. [PMID: 34725827 DOI: 10.1111/vox.13211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 09/24/2021] [Accepted: 09/27/2021] [Indexed: 11/27/2022]
Abstract
Background and Objectives Communities of practice (CoPs) represent effective models to achieve quality outcomes in health care. We report the development and evaluation of a CoP to improve stem cell donor recruitment in Canada. Materials and Methods In September 2017, we invited national stakeholders in stem cell donor recruitment to participate in a Facebook group and regular e-meetings. E-meetings involved speakers and roundtable discussion on topics related to donor recruitment. The Facebook group facilitated sharing of resources. We evaluated stakeholder perspective of the CoP and the impact on recruitment outcomes. Results As of December 2020, the CoP included 382 members who published 243 posts to the Facebook group about patient/donor stories (40%), resources (27%), updates/questions (21%) and recruitment outcomes (12%). In January 2020, we surveyed 44 CoP participants; the majority felt that the Facebook group (86%) and e-meetings (59%) supported the community, and that the CoP fostered collaboration (82%), improved their donor recruitment knowledge (75%) and practice (77%) and improved their ability to recruit needed donors (64%). The launch of the CoP correlated with improved donor recruitment outcomes. In 2016-2017, CoP participants recruited 2918 registrants (46% male; 55.9% non-Caucasian) compared to 4531 registrants in 2018-2019 (52.9% male; 62.7% non-Caucasian). Members of the CoP developed innovative resources to support recruitment efforts and led national campaigns securing coverage in major media outlets. Conclusion We describe the first CoP in stem cell donor recruitment to be formally evaluated. The CoP model may be adopted by donor recruitment organisations, registries and blood banks worldwide to improve recruitment outcomes. HIGHLIGHTS: • A community of practice (CoP) in stem cell donor recruitment was valued by participants and supported efforts to improve recruitment outcomes. • The CoP model may be adopted by donor recruitment organizations, donor registries, and blood banks worldwide to improve recruitment outcomes.
Collapse
Affiliation(s)
- Elena Kum
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Gabriele Jagelaviciute
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, Queen's University, Kingston, Ontario, Canada
| | - Angela C Chen
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Health, University of Waterloo, Waterloo, Ontario, Canada
| | - Iman Baharmand
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Samer Rihani
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Gabriella Rumball
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Laurentian University, Sudbury, Ontario, Canada
| | - Div Patel
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Laurentian University, Sudbury, Ontario, Canada
| | - Rana Kandel
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Sylvia Okonofua
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, University of Regina, Regina, Saskatchewan, Canada
| | - Edward W Li
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Adriyan Hrycyshyn
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, Queen's University, Kingston, Ontario, Canada
| | - Sze Wah Samuel Chan
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Shamini Vijaya Kumar
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Kenneth Williams
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Lillie Prokosch
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Wilfrid Laurier University, Waterloo, Ontario, Canada
| | - Michelle Ho
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Western University, London, Ontario, Canada
| | - Brady Park
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Science, Western University, London, Ontario, Canada
| | - Warren Fingrut
- Stem Cell Club, Toronto, Ontario, Canada.,Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.,Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| |
Collapse
|