Qualitative Analysis of Psychosocial Factors Linked to Authorization for the Donation of Vascularized Composite Allografts
Abstract
The overall objective of this project is to identify, explore, and ameliorate those psychosocial factors that limit the donation of vascularized composite allografts (VCA), transplantation of a bodily structure that includes multiple tissue types (skin, muscles, nerves, bone, and blood vessels). Donation strategies for facilitating VCA transplantation will be targeted. In a first study, we will investigate factors authorized parties (APs) consider integral to the decisions they previously made about their deceased loved one’s VCA donation. The secondary objective is to develop and implement a survey of the general public based on the findings of the AP surveys, with the expectation of validation and confirmation of observed trends. Strategies to improve VCA authorization will rely on the assessment of three factors: (1) awareness, (2) perception, and (3) willingness of VCA donation. This research will impact the newly emerging field of VCA transplantation in multiple ways. First, the identification of psychosocial factors that limit donor/offers for VCA will establish a baseline for the introduction of improvement strategies in subsequent studies. Second, deliverables of this project will include educational material for professionals and the general public about VCA donation that can increase and improve awareness of, the perception of, and willingness to donate VCA. Third, knowledge gained from this project should help in identifying opportunities for improvement in the authorization request process for VCA donation, which will ultimately yield more opportunities for VCA donation. Patients ultimately helped by findings of this study include any candidates for VCA transplants. Of particular relevance is the large population of wounded military Service members and first responders. For example, during the Afghanistan and Iraq conflicts, more than 1600 wounded Service members sustained major limb amputations and nearly 4000 Service members sustained facial injuries. VCA transplantation may be the optimal solution for specific patients who seek improved reconstructive form and function and desire a normalized quality of life. Reduced long-term psychological harm and social isolation are highly prized outcomes of many VCA transplants performed to date.
Document Details
- Document Type
- DoD Grant Award
- Publication Date
- Oct 29, 2018
- Source ID
- W81XWH1710646
Entities
People
- Amy Friedman
Organizations
- United States Army