Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ Donor

Objectives: Including or excluding certain questions about organ donation may influence peoples’ intention to donate. We investigated the effect of omitting certain affective attitudinal items on potential donors’ intention and behavior for donation.Design: A cross-sectional survey with a subgroup n...

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Main Authors: Sally Doherty, Elizabeth Dolan, Jennifer Flynn, Ronan E. O’Carroll, Frank Doyle
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-08-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01443/full
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author Sally Doherty
Sally Doherty
Elizabeth Dolan
Jennifer Flynn
Ronan E. O’Carroll
Frank Doyle
author_facet Sally Doherty
Sally Doherty
Elizabeth Dolan
Jennifer Flynn
Ronan E. O’Carroll
Frank Doyle
author_sort Sally Doherty
collection DOAJ
description Objectives: Including or excluding certain questions about organ donation may influence peoples’ intention to donate. We investigated the effect of omitting certain affective attitudinal items on potential donors’ intention and behavior for donation.Design: A cross-sectional survey with a subgroup nested randomized trial.Methods: A total of 578 members of the public in four shopping centers were surveyed on their attitudes to organ donation. Non-donors (n = 349) were randomly assigned to one of three groups: Group 1 completed items on affective and cognitive attitudes, anticipated regret, intention, subjective norm and perceived behavioral control. Group 2 completed all items above but excluded affective attitudes. Group 3 completed all items but omitted negatively worded affective attitudes. The primary outcome was intention to donate, taking a donor card after the interview was a secondary behavioral outcome, and both were predicted using linear and logistic regression with group 1 as the reference.Results: Mean (SD) 1–7 intention scores for groups 1, 2 and 3 were, respectively: 4.43 (SD 1.89), 4.95 (SD 1.64) and 4.88 (SD 1.81), with group 2 significantly higher than group 1 (β = 0.518, 95% confidence interval [CI] 0.18 to 0.86).At the end of the interview, people in group 2 (66.7%; OR = 1.40, 95% CI 0.94 to 2.07, p = 0.096) but not those in group 3 (61.7%; OR = 1.10, 95% CI 0.69 to 1.75, p = 0.685), were marginally more likely to accept a donor card from the interviewer than people in group 1 (59.7%).Conclusion: Omitting affective attitudinal items results in higher intention to donate organs and marginally higher rates of acceptance of donor cards, which has important implications for future organ donation public health campaigns.
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spelling doaj.art-78a3050902b8439ea1de816bcb5786d62022-12-22T01:22:50ZengFrontiers Media S.A.Frontiers in Psychology1664-10782017-08-01810.3389/fpsyg.2017.01443215588Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ DonorSally Doherty0Sally Doherty1Elizabeth Dolan2Jennifer Flynn3Ronan E. O’Carroll4Frank Doyle5Department of Psychology, Division of Population Health Sciences, Royal College of Surgeons in IrelandDublin, IrelandDepartment of Psychology, Royal College of Surgeons in Ireland – Medical University of BahrainBusaiteen, BahrainDepartment of Psychology, Division of Population Health Sciences, Royal College of Surgeons in IrelandDublin, IrelandDepartment of Psychology, Division of Population Health Sciences, Royal College of Surgeons in IrelandDublin, IrelandDivision of Psychology, University of StirlingStirling, ScotlandDepartment of Psychology, Division of Population Health Sciences, Royal College of Surgeons in IrelandDublin, IrelandObjectives: Including or excluding certain questions about organ donation may influence peoples’ intention to donate. We investigated the effect of omitting certain affective attitudinal items on potential donors’ intention and behavior for donation.Design: A cross-sectional survey with a subgroup nested randomized trial.Methods: A total of 578 members of the public in four shopping centers were surveyed on their attitudes to organ donation. Non-donors (n = 349) were randomly assigned to one of three groups: Group 1 completed items on affective and cognitive attitudes, anticipated regret, intention, subjective norm and perceived behavioral control. Group 2 completed all items above but excluded affective attitudes. Group 3 completed all items but omitted negatively worded affective attitudes. The primary outcome was intention to donate, taking a donor card after the interview was a secondary behavioral outcome, and both were predicted using linear and logistic regression with group 1 as the reference.Results: Mean (SD) 1–7 intention scores for groups 1, 2 and 3 were, respectively: 4.43 (SD 1.89), 4.95 (SD 1.64) and 4.88 (SD 1.81), with group 2 significantly higher than group 1 (β = 0.518, 95% confidence interval [CI] 0.18 to 0.86).At the end of the interview, people in group 2 (66.7%; OR = 1.40, 95% CI 0.94 to 2.07, p = 0.096) but not those in group 3 (61.7%; OR = 1.10, 95% CI 0.69 to 1.75, p = 0.685), were marginally more likely to accept a donor card from the interviewer than people in group 1 (59.7%).Conclusion: Omitting affective attitudinal items results in higher intention to donate organs and marginally higher rates of acceptance of donor cards, which has important implications for future organ donation public health campaigns.http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01443/fullorgan donationaffective attitudesquestion behavior effectRCT
spellingShingle Sally Doherty
Sally Doherty
Elizabeth Dolan
Jennifer Flynn
Ronan E. O’Carroll
Frank Doyle
Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ Donor
Frontiers in Psychology
organ donation
affective attitudes
question behavior effect
RCT
title Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ Donor
title_full Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ Donor
title_fullStr Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ Donor
title_full_unstemmed Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ Donor
title_short Circumventing the “Ick” Factor: A Randomized Trial of the Effects of Omitting Affective Attitudes Questions to Increase Intention to Become an Organ Donor
title_sort circumventing the ick factor a randomized trial of the effects of omitting affective attitudes questions to increase intention to become an organ donor
topic organ donation
affective attitudes
question behavior effect
RCT
url http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01443/full
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