Accession Number:

AD1122938

Title:

Ethical Factors Impacting Patients Decisions to Pursue VCA

Descriptive Note:

[Technical Report, Annual Report]

Corporate Author:

The Henry M. Jackson Foundation

Personal Author(s):

• Tintle, Scott M.
• Gordon, Elisa
• Henderson, Macey
• Brandacher, Gerald

Report Date:

2020-10-01

Pagination or Media Count:

20

Abstract:

Hand and upper limb transplantation a form of vascularized composite allotransplantation or VCA is a new treatment option that aims to restore motor and mobility functions and sensation of the handarm. Upper extremity transplantation raises multiple ethical issues, particularly, about informed consent. The overall long-term objective of the proposed study is to optimize the informed consent process for people with upper limb amputations. The proposed study aims to 1 Qualitatively assess the decision making and informed consent processes for hand transplantation 2 Develop prototype educational materialsvideo, website, question prompt sheet that provide patient-centered information to enhance understanding and reduce undue influence to pursue hand transplantation, and that are sensitive to different levels of dysfunction, residual limbs, health literacy levels, and different racialethnic groups and 3Formatively evaluate the educational materials through usability testing on people with upper limb amputations and VCA candidates understanding,satisfaction, and usability.

Descriptors:

• health services
• military medicine
• medical personnel
• department of defense
• humanities
• amputees
• residual limbs
• surgical amputations
• upper extremity
• beta testing
• biomedical research
• data analysis
• electronic mail
• health
• upper limb amputations
• amputation
• health care
• prototypes
• therapy
• transplants

Subject Categories:

• Anatomy and Physiology

Distribution Statement:

[A, Approved For Public Release]