A Delphi Panel Study for Public Education about Vascularized Composite Allograft Donation in the United States

Abstract

Introduction: Improving public awareness about the opportunity to become a vascularized composite allograft (VCA) donor is crucial to increasing access to organs. Prior research identified a need for comprehensive and comprehensible public education materials. A 2-round Delphi panel was conducted to garner US expert consensus on the topics and language to include in public education materials via an organ procurement organization-hosted website. Methods: The round 1 survey assessed the importance of educational topics and statements ( n = 19) using 5-point Likert scales. The round 2 survey asked experts to rate new and repeated educational topics ( n = 27). Open-ended comment boxes elicited experts’ feedback and language revisions for educational statements. Responses were analyzed using descriptive statistics and rapid qualitative analysis. Findings: Eighteen experts responded to the round 1 survey and 15 to round 2. After round 2, 20 topics had mean ( M) importance greater than neutral ( M > 3.00) and were retained in the educational materials. The 5 most important topics by mean Likert ratings were: consent process for donation ( M = 4.73), potential recipients ( M = 4.73), most common vascularized composite organs transplanted ( M = 4.47), purpose ( M = 4.47), and definition ( M = 4.47). Seven themes emerged from experts’ open-ended comments about the importance and language of educational statements. Conclusions: Delphi panel findings identified expert-endorsed topics and educational statements for public education about vascularized composite organ donation via an educational website. Future research should assess the website's impact on public knowledge of VCA donation.