Clin Transplant Res.  2024 Jun;38(2):90-97. 10.4285/ctr.24.0022.

A theory-driven organ donation campaign: a field intervention among university students in Iran

• Latifi M
• Rakhshanderou S
• Najafizadeh K
• Rocheleau CA
• Ghaffari M

• KMID: 2557602
• DOI: http://doi.org/10.4285/ctr.24.0022

Abstract

Background
This study conducted an empirical evaluation of an intervention derived from the theory of planned behavior (TPB) aimed at implementing a health campaign among medical students at Shahid Beheshti University of Medical Sciences.
Methods
In this interventional study, a valid and reliable TPB-based questionnaire was administered before launching a health campaign titled “Organ Donation=Life Donation” among 260 medical students. The campaign was structured around nine steps: situation analysis, goal identification, target audience identification, strategy development, tactics establishment, media selection, timetable creation, budget planning, and program evaluation. Two months after the campaign, participants completed a posttest and were offered an organ donation card. Data analysis was conducted using SPSS ver. 16, employing descriptive statistics (frequency and percentage) and tests such as the Kolmogorov-Smirnov test and the paired-samples t-test.
Results
All participants adopted more prodonation stances across all constructs measured, both immediately and 2 months after exposure to the health campaign, compared to their pretest scores. These results indicate that the health campaign had a significant impact on psychological variables such as attitudes (P<0.001), subjective norms (P<0.001), and perceived behavioral control (P<0.038), as well as on the actual acceptance of an organ donor card.
Conclusions
Effective health education and promotion interventions, including health campaigns, are essential to encourage the use of organ donation cards. Additionally, current experiences indicate that the TPB serves as a suitable theoretical framework for designing organ donation interventions.

Keyword

Theory of planned behavior; Health campaign; Organ donation

Figure

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  Fig. 1 Flow diagram of the study design.

Reference

1. World Health Organization (WHO). Transplanation [Internet]. Available from: https://www.who.int/health-topics/transplantation#tab=tab_1. cited 2023 Nov 4. WHO.

2. Stevens LM, Lynm C, Glass RM. 2008; Organ Donation. JAMA. 299:244. DOI: 10.1001/jama.299.2.244. PMID: 18182607.

3. Steinbrook R. 2007; Organ donation after cardiac death. N Engl J Med. 357:209–13. DOI: 10.1056/NEJMp078066. PMID: 17634455.

4. Lemmens KP, Abraham C, Hoekstra T, Ruiter RA, De Kort WL, Brug J, et al. 2005; Why don't young people volunteer to give blood? An investigation of the correlates of donation intentions among young nondonors. Transfusion. 45:945–55. DOI: 10.1111/j.1537-2995.2005.04379.x. PMID: 15934993.

5. Morgan SE, Miller JK, Arasaratnam LA. 2003; Similarities and differences between African Americans' and European Americans' attitudes, knowledge, and willingness to communicate about organ donation. J Appl Soc Psychol. 33:693–715. DOI: 10.1111/j.1559-1816.2003.tb01920.x.

6. Sander SL, Miller BK. 2005; Public knowledge and attitudes regarding organ and tissue donation: an analysis of the northwest Ohio community. Patient Educ Couns. 58:154–63. DOI: 10.1016/j.pec.2004.08.003. PMID: 16009291.

7. Jacob Arriola KR, Perryman JP, Doldren M. 2005; Moving beyond attitudinal barriers: understanding African Americans' support for organ and tissue donation. J Natl Med Assoc. 97:339–50. PMID: 15779498. PMCID: PMC2568639.

8. Savaser S, Sahiner NC, Dogan Z, Caglar S, Mutlu B. 2015; The effect of nursing education on the opinion of students regarding organ donation. Int J Nurs Clin Pract. 2:124. DOI: 10.15344/2394-4978/2015/124.

9. Newton JD. 2011; How does the general public view posthumous organ donation? A meta-synthesis of the qualitative literature. BMC Public Health. 11:791. DOI: 10.1186/1471-2458-11-791. PMID: 21988839. PMCID: PMC3209456.

10. Shadnoush M, Latifi M, Rahban H, Pourhosein E, Shadnoush A, Jafarian A, et al. 2023; Trends in organ donation and transplantation over the past eighteen years in Iran. Clin Transplant. 37:e14889. DOI: 10.1111/ctr.14889. PMID: 36545788.

11. Ajzen I. 1991; The theory of planned behavior. Organ Behav Hum Decis Process. 50:179–211. DOI: 10.1016/0749-5978(91)90020-T. PMID: 10973782.

12. Ajzen I, Driver BL. 1991; Prediction of leisure participation from behavioral, normative, and control beliefs: an application of the theory of planned behavior. Leis Sci. 13:185–204. DOI: 10.1080/01490409109513137.

13. Crawford E, Okigbo C. Okigbo C, editor. Strategic communication campaigns. Strategic urban health communication. Springer;2014. p. 11–23.

14. Prince F. 1995; The relative effectiveness of a peer-led and adult-led smoking intervention program. Adolescence. 30:187–94. PMID: 7625255.

15. Zhang L, Li Y, Zhou J, Miao X, Wang G, Li D, et al. 2007; Knowledge and willingness toward living organ donation: a survey of three universities in Changsha, Hunan Province, China. Transplant Proc. 39:1303–9. DOI: 10.1016/j.transproceed.2007.02.096. PMID: 17580127.

16. Khalil GE, Rintamaki LS. 2014; A televised entertainment-education drama to promote positive discussion about organ donation. Health Educ Res. 29:284–96. DOI: 10.1093/her/cyt106. PMID: 24399264. PMCID: PMC4481582.

17. Panchal S, Desai T. 2011; Perceptions and practices encouraging organ donation among doctors in Surat City. Natl J Community Med. 2:269–72.

18. Saleem T, Ishaque S, Habib N, Hussain SS, Jawed A, Khan AA, et al. 2009; Knowledge, attitudes and practices survey on organ donation among a selected adult population of Pakistan. BMC Med Ethics. 10:5. DOI: 10.1186/1472-6939-10-5. PMID: 19534793. PMCID: PMC2702378.

19. Wig N, Gupta P, Kailash S. 2003; Awareness of brain death and organ transplantation among select Indian population. J Assoc Physicians India. 51:455–8. PMID: 12974425.

20. Krishnaiah S, Kovai V, Nutheti R, Shamanna BR, Thomas R, Rao GN. 2004; Awareness of eye donation in the rural population of India. Indian J Ophthalmol. 52:73–8. PMID: 15132388.

21. Guadagnoli E, Christiansen CL, DeJong W, McNamara P, Beasley C, Christiansen E, et al. 1999; The public's willingness to discuss their preference for organ donation with family members. Clin Transplant. 13:342–8. DOI: 10.1034/j.1399-0012.1999.130411.x. PMID: 10485377.

22. Gauher ST, Khehar R, Rajput G, Hayat A, Bakshi B, Chawla H, et al. 2013; The factors that influence attitudes toward organ donation for transplantation among UK university students of Indian and Pakistani descent. Clin Transplant. 27:359–67. DOI: 10.1111/ctr.12096. PMID: 23406516.

23. Steenaart E, Crutzen R, Candel MJ, de Vries NK. 2019; The effectiveness of an interactive organ donation education intervention for Dutch lower-educated students: a cluster randomized controlled trial. Trials. 20:643. DOI: 10.1186/s13063-019-3882-6. PMID: 31752975. PMCID: PMC6873467.

24. Symvoulakis EK, Stavroulaki E, Morgan M, Jones R. 2010; Kidney organ donation: developing family practice initiatives to reverse inertia. BMC Health Serv Res. 10:127. DOI: 10.1186/1472-6963-10-127. PMID: 20478042. PMCID: PMC2881059.

25. Lin LM, Lin CC, Chen CL, Lin CC. 2014; Effects of an education program on intensive care unit nurses' attitudes and behavioral intentions to advocate deceased donor organ donation. Transplant Proc. 46:1036–40. DOI: 10.1016/j.transproceed.2013.12.039. PMID: 24815121.

26. Hyde MK, White KM. 2009; To be a donor or not to be? Applying an extended theory of planned behavior to predict posthumous organ donation intentions. J Appl Soc Psychol. 39:880–900. DOI: 10.1111/j.1559-1816.2009.00464.x.

27. Park HS, Smith SW, Yun D. 2009; Ethnic differences in intention to enroll in a state organ donor registry and intention to talk with family about organ donation. Health Commun. 24:647–59. DOI: 10.1080/10410230903242259. PMID: 20183372.

28. Edwards AG, Weale AR, Morgan JD. 2004; A survey of medical students to assess their exposure to and knowledge of renal transplantation. BMC Med Educ. 4:32. DOI: 10.1186/1472-6920-4-32. PMID: 15617572. PMCID: PMC544359.

29. Morgan SE, Miller JK. 2002; Beyond the organ donor card: the effect of knowledge, attitudes, and values on willingness to communicate about organ donation to family members. Health Commun. 14:121–34. DOI: 10.1207/S15327027HC1401_6. PMID: 11853207.