Predictors of willingness to register as an organ donor among dutch adolescents

Abstract

In order to identify relevant determinants of organ donor registration among Dutch adolescents, a school-based cross-sectional survey was conducted among 145 high school students. Fifty-one percent of respondents indicated they were willing to register as organ donors and 80% reported a positive general attitude towards registration. Various misconceptions about the registration and donation procedure were identified. On average only moderate knowledge levels related to organ donation were found. In order of strongest association, negative outcome expectancies, past behaviour and experience, positive outcome expectancies, and social outcome expectancies proved to be significant predictors of willingness to register as organ donors. Self-efficacy was indirectly associated with willingness via outcome expectancies. Knowledge about organ donation was not significantly associated with willingness. The results suggest that in order to persuade adolescents to register as organ donors, refutational messages will have to be developed to counterargue the prevailing negative outcome expectancies related to organ donation and registration as an organ donor.     

Death Can Be Good for Your Health: Fitness Intentions as a Proximal and Distal Defense Against Mortality Salience1

Although terror management theory has stimulated a wide body of research, no research to date has demonstrated empirically that intentions to engage in health‐oriented behavior can function as a terror management defense. Toward this end, the present studies examined whether increased fitness intentions could be used as both a direct defense against conscious concerns with death, but also as an indirect defense against unconscious death concerns among individuals for whom fitness is important to their self‐esteem. In Study 1, both high and low fitness esteem participants responded to reminders of mortality with immediate exaggerated fitness intentions, relative to controls. Study 2 replicated this effect, but also found that a similar increase in fitness intentions only emerged following a delay when fitness was important to the individuals’ self‐esteem. Discussion focuses on the implications for different types of psychological defense on heath‐related behavior.     

A time to tan: proximal and distal effects of mortality salience on sun exposure intentions

According to the dual defense model of terror management, proximal defenses are engaged to reduce the conscious impact of mortality salience, whereas thoughts of death outside of conscious awareness motivate distal defenses aimed at maintaining self-esteem. Two experiments examined these ideas by assessing women's intentions to engage in tanning-related behavior. In Study 1, when concerns about death (relative to dental pain) were in focal attention, participants increased intentions to protect themselves from dangerous sun exposure. In contrast, when thoughts about death were outside of focal attention, participants decreased interest in sun protection. In Study 2, participants primed to associate tanned skin with an attractive appearance responded to mortality concerns outside of focal attention with increased interest in tanning products and services. These findings are discussed in relation to the dual-defense model of terror management, societal determinants of self-esteem, and implications for health risk and promotion.     

Real Donors, Real Consent: Testing the Theory of Reasoned Action on Organ Donor Consent

In an attempt to apply the theory of reasoned action (TRA) to the process underlying organ donor consent, participants completed questionnaires concerning their affective responses to organ donation, as well as their intentions to donate. Participants were given the opportunity to sign an organ donor card. Those who chose to sign the card had more positive attitudes about donation, perceived donation as something that their reference group would encourage, and had stronger intentions to consent to signing a card. The current investigation extends the organ donor literature by using a true behavioral outcome measure indicating consent. Moreover, the pattern of results between attitudes, norms, intention, and behavior illustrates the usefulness of applying the TRA to yet another health-related behavior.     

Knowledge and attitudes of Polish university students toward organ donation and transplantation

Although the number of patients needing organ transplantation systematically increases, recent years have seen a considerable shortage of donors. The level of knowledge and attitudes toward donation are critical factors in achieving the required balance between supply and demand. This pilot study assessed the knowledge, opinions, and behaviors related to organ donation and transplantation among 625 students representing eight different fields of study from the University of Rzeszow in south-eastern Poland. Although the participants provided evidence of knowledge about human organ donation and transplantation, they were aware of the main organs of the human body for potential transplants, and generally showed positive attitudes; only 24% of the subjects indicated their willingness to register as a donor; only 3% stated that they had already registered and had a donor card. The findings suggest that good intentions do not translate into action and that Poland needs to develop a nation-wide, up-to-date, and youth-oriented health education program that builds on favorable attitudes toward organ donation and transplantation.     

Cultural influences on terror management: Independent and interdependent self-esteem as anxiety buffers

Terror management theory (TMT) proposes that self-esteem serves as a defense against the fear of death. Previous research has suggested that independent self-esteem is more salient in individualist cultures, whereas interdependent self-esteem is more salient in collectivist cultures. Thus, we hypothesized that in collectivist cultures, independent self-esteem would play a lesser role and interdependent self-esteem a greater role in terror management, compared to individualist cultures. The results support this prediction. In Study 1, personal self-esteem was negatively associated with death anxiety in samples from a Western (Austria) and Eastern (China) culture. However, both self-liking and self-competence were negatively associated with death anxiety among Austrian participants, but only self-liking (and not self-competence) was so among Chinese participants. Surprisingly, collective self-esteem was not significantly correlated with death anxiety. Yet, Study 2 showed that among Chinese participants, relational self-esteem was negatively associated with death anxiety. Study 3 examined the roles of relational versus personal self-esteem in moderating the effects of mortality salience on worldview defense. Among Chinese participants, relational rather than personal self-esteem increased the defense of worldviews centered on collectivist-Chinese values following mortality salience (Study 3a). In contrast, among Austrian participants, personal rather than relational self-esteem attenuated the effect of mortality salience on the defense of individualist-Austrian worldviews (Study 3b). Self-esteem serves a terror management function in both collectivist and individualist cultures; however, the differences between cultural worldviews determine the type of self-esteem that is more relevant to terror management processes.     

The Power of an Immediate Donor Registration Opportunity: Translating Organ Donation Attitudes Into Registration Behavior

In Australia, despite numerous campaigns encouraging the registration of organ donation intentions on a National Organ Donor Register, registration remains low. This disparity was investigated by examining the relationship between positive and negative donation attitudes, an immediate versus a delayed registration opportunity, and registration. In a community setting, 200 participants completed a short version of the Organ Donation Attitude Scale and were given either an immediate or delayed opportunity to register. In the immediate condition, 60% registered against 11.6% in the delayed condition despite participants in both conditions having similar attitude profiles, suggesting that attitudes were facilitated or obstructed by the registration opportunity.     

In the Face of Terrorism: Evidence that Belief in Literal Immortality Reduces Prejudice Under Terrorism Threat

Based on terror management theory, previous research has shown that terrorism threat increases prejudice against Muslims and is mediated by death‐related thoughts. Because this effect was found on a correlational level, it remains unclear whether terrorism threat increases prejudice against Muslims because of enhanced death‐related thoughts or the opposite: terrorism threat increases death‐related thoughts because of stronger prejudice against Muslims. To disentangle this shortcoming, we varied death‐related thoughts by systematically manipulating the belief in literal immortality. Using two studies, we found that participants exposed to terrorism pictures (vs. controls) had increased prejudice against both Muslims (Study 1) and immigrants (Study 2) when they were led to believe that literal immortality does not exist but not when they were led to believe that it does exist. Mediation analysis indicated that this effect was mediated by death‐related thoughts. This provides further evidence that terrorism threat increases prejudice because of death‐related thoughts.     

Cognitive obstacles against organ donation: The influence of negative attitudes,norms, and traditional beliefs on Chinese people's intention to donate organs after death

In China, the organ supply is severely insufficient to cover all people on the waiting list for donated organs, and numerous patients die awaiting transplant. To achieve a better understanding of cadaveric organ donation in Chinese culture, this study examined 300 Chinese adults, in both Fujian Province and Macao, regarding attitudes towards organ donation, subjective norms about organ donation and traditional beliefs about the body and death, examining the influences of these factors on respondents' donation intentions. Multiple hierarchical regression results suggest that more negative attitudes, unfavourable norms and traditional beliefs lead to lower donation intentions. Copyright © 2010 John Wiley & Sons, Ltd.     

Improving the efficacy of appearance-based sun exposure interventions with the terror management health model

The terror management health model (TMHM) suggests that when thoughts of death are accessible people become increasingly motivated to bolster their self-esteem relative to their health, because doing so offers psychological protection against mortality concerns. Two studies examined sun protection intentions as a function of mortality reminders and an appearance-based intervention. In Study 1, participants given a sun protection message that primed mortality and shown a UV-filtered photo of their face reported greater intentions to use sun protection on their face, and took more sunscreen samples than participants shown a regular photo of their face. In Study 2, reminders of mortality increased participants’ intentions to use facial sun protection when the UV photo was specifically framed as revealing appearance consequences of tanning, compared to when the photo was framed as revealing health consequences or when no photo was shown. These findings extend the TMHM, and provide preliminary evidence that appearance-based tanning interventions have a greater influence on sun protection intentions under conditions that prime thoughts of death. We discuss implications of the findings, and highlight the need for additional research examining the applicability to long-term tanning behaviour.     

Framing Posthumous Organ Donation in Terms of Reciprocity: What Are the Emotional Consequences?

Posthumous organ donation was framed in terms of reciprocity by asking young participants to respond to another person who was or was not registered as an organ donor, while simultaneously manipulating participants' own registration status. Participants were additionally required to adopt the perspective of a potential donor or recipient of organs. The influence of these variables on self-reported anger, fear, pity, guilt, gratitude, and positive self-feelings is systematically described. The results illustrate the relative independence of self-preservational and altruistic motives in organ donation. Practical implications are discussed.     

Increasing organ donor registration rates by providing an immediate and complete registration opportunity: an experimental assessment of the IIFF model

The IIFF model of organ donation holds that the simultaneous presence of four factors directly influence donor registration: (1) immediate and complete registration opportunity (ICRO), (2) information, (3) focused engagement, and (4) favorable activation. Two field experiments examined the impact of an ICRO on organ donation registration. In Study 1, participants were at town halls where they knew organ donation was to be discussed. Registration cards were distributed and then collected at the end of the session in half of the town halls. For the other half, participants were asked to mail in completed cards. In three US cities, participants given an ICRO registered at a significantly greater rate (z?=?4.865, p?相似文献   

Don't derogate this message! Self-affirmation promotes online type 2 diabetes risk test taking

The aim of the present study was to examine whether self-affirmation promotes acceptance of threatening type 2 diabetes information and risk-testing behaviour. In an experimental study (N = 84), we manipulated self-affirmation by allowing participants to affirm a value that was either personally important or unimportant to them, and measured participants' risk level prior to reading threatening type 2 diabetes information. As dependent variables, we measured message derogation, intentions to do an online type 2 diabetes risk test and online risk-testing behaviour. Findings showed that self-affirmation decreased message derogation, increased intentions to do an online risk test and promoted online risk test taking among at-risk participants. Among participants not at-risk, self-affirmation decreased intentions and online risk test taking. Therefore, it is concluded, that for an at-risk population self-affirmation can decrease defensive responses to threatening health information and promote (online) risk test taking for diseases.     

Existential function of babies: Babies as a buffer of death-related anxiety

The present study examined babies as death anxiety buffers with Chinese participants in three experiments. In Experiment 1, death-related thoughts increased college-aged participants' interest in human babies. In Experiment 2, images of newborn animals reduced the number of death-related thoughts recorded by college-aged participants. In Experiment 3, female factory workers who read news articles describing deaths of babies had pessimistic estimations of their own life expectancies. An explanation of these results is provided within a terror management theory framework, with a primary focus on how babies reinforce cultural worldviews and enhance self-esteem via the notion of symbolic immortality. Thus, the anxiety-buffering function of baby is subsumed under cultural worldviews validation and self-esteem enhancement.     

Intrinsic religiosity protects believers from the existential fear of a human Jesus

ABSTRACT

The present study examined the role of internalised religious beliefs in defending against existential concerns aroused from a creaturely Jesus. Prior work has found that biologically human traits (e.g., vomiting, sweating, etc.) can increase death concerns when applied to both humans and a god. Intrinsic beliefs, however, have been shown to reduce mortality awareness. In the current study, religious participants were primed with thoughts of either a human or neutral Jesus followed by a single item measure about fear of death. A moderated regression analysis found that whereas high intrinsic individuals were buffered from existential concerns, low intrinsic individuals experienced a greater fear of death when primed with a human Jesus. These results replicate prior work within terror management theory and the psychology of religion suggesting that internalised beliefs serve a protective function against existential anxieties.     

The self-protective altruist: terror management and the ambivalent nature of prosocial behavior

Three studies examined the hypothesis that mortality salience (MS) will increase prosocial behaviors when the prosocial cause promotes terror management processes. However, when the prosocial cause interferes with these processes, MS will reduce prosocial behavior. In Study 1, following a MS procedure, participants indicated their willingness to donate money to charity or to donate to an organ donation organization. In Study 2, a research assistant randomly distributed fliers with reminders of death or back pain, and another research assistant solicited participants' assistance from either a charitable fund booth or an organ donation booth. Study 3 examined the impact of MS on helping a wheelchair-bound confederate or a walking confederate. The results indicated that MS increased charitable donations and increased help to a walking confederate. However, MS significantly decreased organ donation card signings and decreased help to a wheelchair-bound confederate. The discussion examines the tension between personal fear and worldview validation.     

To Be a Donor or Not to Be? Applying an Extended Theory of Planned Behavior to Predict Posthumous Organ Donation Intentions

Using a theory of planned behavior (TPB) perspective, individual intentions to register and discuss the decision of organ donation with significant others were examined. In addition to standard TPB variables (attitude, subjective norm, and perceived behavioral control [PBC]), self-identity and moral norm were incorporated into the TPB as predictors. Australian university students ( N  = 303) completed a survey comprising standard and additional TPB constructs. Separate analyses were conducted for both registered and nonregistered participants. In general, results provide support for the extended TPB model in predicting intentions to register and discuss the donation decision, with the exceptions that self-identity did not predict discussion intentions for either registered or nonregistered participants, and PBC did not predict discussion intentions for nonregistered participants.     

Intention to consent to living organ donation: an exploratory study

Living organ donation, that is the removal and transplantation of whole organs or segments of organs that a volunteering donor can live without, has been proposed as an effective and sustainable source of transplantable organs to mitigate the deficit in supply from the traditional cadaveric donor pool. In 2006, the Irish government deemed the development of a national Living Transplant Programme a service priority. The current study aimed to investigate the efficacy of the theory of planned behaviour (TPB) in the context of living organ donation intentions in an Irish sample. One hundred and thirty five undergraduate students (75 females, 60 males; mean age 20.6 years, SD 3.76) completed a self-report questionnaire assessing TPB variables while imagining themselves in a potential living liver donation scenario. In general, attitudes towards living donation were favourable. TPB components explained 44.8% of the variance in intentions. Attitude towards living donation emerged as the strongest predictor of intention. Self-reported levels of knowledge regarding living donation were generally poor. In light of recent EU Communications proposing the expansion of the use of living donors greater understanding of the determinants, psychological implications and ethical considerations in living donation decisions is necessary.     

Controlling your mind without ironic consequences: Self-affirmation eliminates rebound effects after thought suppression

Thought suppression can ironically lead to a rebound of unwanted thoughts [Wegner, D. M. (1994). Ironic processes of mental control. Psychological Review, 101, 34-52.]. The present research explored whether self-affirmation may eliminate rebound effects after thought suppression. Participants either suppressed or used stereotypes in an impression formation task. Subsequently, self-affirmation was manipulated by providing participants with positive or neutral personality feedback, and stereotype accessibility was assessed. The results showed that suppression led to a rebound of stereotypic associations among neutral-feedback participants, but not among positive-feedback participants. The authors conclude that self-affirmation enhances the efficiency of mental control.