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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Frontiers Media S.A.
2017-08-01
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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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publishDate | 2017-08-01 |
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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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