Computerized assessment of competence-related abilities in living liver donors: the Adult-to-Adult Living Donor Liver Transplantation Cohort Study.

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 follow

SUBMITTER: Freeman J 

PROVIDER: S-EPMC4096778 | biostudies-literature | 2013 Jul-Aug

REPOSITORIES: biostudies-literature