College Students' Knowledge, Attitudes, and Behaviors Regarding Organ Donation: An Integrated Review of the Literature†

The current paper provides an integrated review of research literature on college students' knowledge, attitudes, and intentions regarding organ and tissue donation (OTD). Findings across 27 studies indicate that (a) students reported a lack of information and knowledge on OTD; (b) 23% reported signing an organ card or state organ donation registry; (c) positive attitudes were reported toward donation; (d) surveyed students indicated a willingness to become organ donors; and (e) 36% reported having conversations with family about OTD. Self-efficacy and normative influence theory are recommended as promising theoretical approaches to studying OTD in college student samples.

[1]  T. Burroughs,et al.  The Stability of Family Decisions to Consent or Refuse Organ Donation: Would You Do It Again , 1998, Psychosomatic medicine.

[2]  R. Robbins Signing an organ donor card: psychological factors. , 1990, Death studies.

[3]  R. Arnold,et al.  Comparison of black and white families’ experiences and perceptions regarding organ donation requests , 2003, Critical care medicine.

[4]  Sandi W. Smith,et al.  Understanding the audiences of a health communication campaign: A discriminant analysis of potential organ donors based on intent to donate , 1996 .

[5]  R. Light,et al.  Accumulating Evidence: Procedures for Resolving Contradictions among Different Research Studies. , 1971 .

[6]  Lily A. Arasaratnam,et al.  Signing cards, saving lives: an evaluation of the worksite organ donation promotion project , 2002 .

[7]  S. Morgan,et al.  African Americans' knowledge about organ donation: closing the gap with more effective persuasive message strategies. , 2003, Journal of the National Medical Association.

[8]  L. Hedges Distribution Theory for Glass's Estimator of Effect size and Related Estimators , 1981 .

[9]  Thomas Hugh Feeley,et al.  Comment on Halo Effects in Rating and Evaluation Research , 2002 .

[10]  S. A. Skumanich,et al.  Promoting the organ donor card: a causal model of persuasion effects. , 1996, Social science & medicine.

[11]  L. Hedges,et al.  Vote-counting methods in research synthesis. , 1980 .

[12]  R M Arnold,et al.  Factors influencing families' consent for donation of solid organs for transplantation. , 2001, JAMA.

[13]  D. Hunter,et al.  Do medical students have the knowledge needed to maximize organ donation rates? , 2003, Canadian journal of surgery. Journal canadien de chirurgie.

[14]  Rajiv N. Rimal,et al.  Understanding the Influence of Perceived Norms on Behaviors , 2003 .

[15]  Anita P. Barbee,et al.  Effects of Refutational Messages, Thought Provocation, and Decision Deadlines on Signing to Donate Organs1 , 1994 .

[16]  Jane Ogden,et al.  Some problems with social cognition models: a pragmatic and conceptual analysis. , 2003, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  T. J. Cossé,et al.  Words versus Actions about Organ Donation , 2000 .

[18]  J. Jaccard,et al.  Psychological aspects of organ donation: a critical review and synthesis of individual and next-of-kin donation decisions. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[19]  Timothy J. Servoss,et al.  Examining College Students' Intentions to Become Organ Donors , 2005, Journal of health communication.

[20]  F. Girandola Sequential Requests and Organ Donation , 2002, The Journal of social psychology.

[21]  R. L. Horton,et al.  A model of willingness to become a potential organ donor. , 1991, Social science & medicine.

[22]  F. Boster,et al.  Adolescents' Decisions About Verbal and Physical Aggression , 2003 .

[23]  A. Bandura The Explanatory and Predictive Scope of Self-Efficacy Theory , 1986 .

[24]  T. Feeley Evidence of Halo Effects in Student Evaluations of Communication Instruction , 2002 .

[25]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[26]  Sandi W. Smith,et al.  Affective and cognitive reactions to narrative versus statistical evidence organ donation messages. , 1998 .

[27]  J. Yang,et al.  Differences in attitudes toward organ donation among African Americans and whites in the United States. , 2001, Journal of the National Medical Association.

[28]  C. Clifford,et al.  English nursing and medical students' attitudes towards organ donation. , 2000, Journal of advanced nursing.

[29]  Carl A. Kallgren,et al.  A focus theory of normative conduct: Recycling the concept of norms to reduce littering in public places. , 1990 .

[30]  C. V. D. van der Vleuten,et al.  Requesting Organ Donation: The Case of Self-Efficacy – Effects of the European Donor Hospital Education Programme (EDHEP) , 2004 .

[31]  John F. Dillon,et al.  Knowledge about Others' Reaction to a Public Service Announcement: The Impact on Self Persuasion and Third-Person Perception , 2000 .

[32]  N. Dickert,et al.  The consent process for cadaveric organ procurement: how does it work? How can it be improved? , 2001, JAMA.

[33]  Jina H. Yoo,et al.  Encouraging Family Discussion on the Decision to Donate Organs: The Role of the Willingness to Communicate Scale , 2004, Health communication.

[34]  B. E. Nolan,et al.  Psychosocial variables associated with willingness to donate organs. , 1989, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[35]  M. Fishbein,et al.  The Effectiveness of Gateway Communications in Anti-Marijuana Campaigns , 2003, Journal of health communication.

[36]  John C. Norcross,et al.  In search of how people change: Applications to addictive behaviors. , 1992 .

[37]  James D. Robinson,et al.  Gender Differences in Family Communication About Organ Donation , 2003 .

[38]  B. Thornton,et al.  Intrinsic‐Extrinsic Religiosity and University Students' Willingness to Donate Organs Posthumously , 2004 .

[39]  Robert J. Smith,et al.  Disgust Sensitivity and Attitudes toward Organ Donation among African-American College Students , 2001, Psychological reports.

[40]  R. L. Horton,et al.  Knowledge regarding organ donation: identifying and overcoming barriers to organ donation. , 1990, Social science & medicine.

[41]  James D. Robinson,et al.  Family conversations about organ donation. , 2004, Progress in transplantation.

[42]  J. Pestana,et al.  Organ donation and transplantation in Brazil: university students' awareness and opinions. , 2004, Transplantation proceedings.

[43]  J. Jaccard,et al.  Signing an organ donation letter: The prediction of behavior from behavioral intentions , 1999 .

[44]  A. Rubens Racial and ethnic differences in students' attitudes and behavior toward organ donation. , 1996, Journal of the National Medical Association.

[45]  K. Morrison,et al.  Influence of race on cognitive and affective reactions to organ donation messages. , 2002, Transplantation proceedings.

[46]  M. Fishbein The role of theory in HIV prevention , 2000, AIDS care.

[47]  R. Erdal,et al.  Attitudes and behavior related to organ donation and transplantation: a survey of university students. , 2002, Transplantation proceedings.