Background: Latinx populations are severely underrepresented amongst organ donors as compared to non-Hispanic Whites. The Promotoras de Donación eLearning module was developed to train Latinx lay health educators (i.e., promotoras) to discuss deceased organ donation and promote donor designation within their communities. Here we describe two studies designed to assess the direct and indirect effects of the module on promotoras’ and mature Latinas’ organ donation knowledge, attitudes, and behaviors.

Methods: Two nonrandomized, quasi-experimental pragmatic studies were designed to evaluate the Promotoras de Donación module, with participating promotoras and mature Latinas serving as their own controls. Brief surveys were administered to all participants before and after module completion. Descriptive statistics were used as appropriate to categorize the samples. The Paired Sample t-test statistic was used to assess changes from pre- to post-test.

Results: Forty promotoras completed the module (Study 1). Statistically nonsignificant increases in organ donation knowledge were observed from pre- to post-test. A statistically significant increase in communication confidence was found (mean 692.1 (232.4) to 852.3 (139.7); p=.01). Most participants deemed the module well-organized, presenting new information, and providing realistic and helpful portrayals of donation conversations. Fifty-two group discussions with 375 attendees were led by 25 promotoras (Study 2). We found increased knoweldge and support of organ donation in promotoras and mature Latinas from pre- to post-test. Twenty-one attendees (6%) submitted completed organ donation registration forms.

Conclusions: This evaluation provides preliminary support for the module’s direct and indirect impact on organ donation knowledge, attitudes, and behaviors. The need for additional modifications to and future evaluations of the module are discussed.