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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: 'What if I'm not dead?' - Myth-busting and organ donation
Author(s): Miller, Jordan
Currie, Sinéad
O'Carroll, Ronan E
Keywords: emotions
opt‐out consent
organ donation
Issue Date: 1-Feb-2019
Date Deposited: 27-Sep-2018
Citation: Miller J, Currie S & O'Carroll RE (2019) 'What if I'm not dead?' - Myth-busting and organ donation. British Journal of Health Psychology, 24 (1), pp. 141-158.
Abstract: Objectives. In the UK, three people die every day awaiting an organ transplant. To address this, Scotland and England plan to follow Wales and introduce opt-out donor consent. However, emotional barriers, myths and misconceptions may deter potential registrants. Our objectives were to estimate the number of people who plan to opt-out of the donor register and to test if emotional barriers (e.g., medical mistrust) differentiated participants within this group. Finally, in an experimental manipulation, we tested whether intention to donate decreased by making emotional barriers more salient and increased following a widely used myth-busting intervention. Design. Mixed between-within design. Methods. UK residents (n = 1202) were asked whether they would choose; opt-in, deemed consent, or opt-out/not sure if legislation changes to opt-out. Participants also completed measures of donor intentions at baseline, following a 12-item emotional barriers questionnaire and again, following a 9-item myth-busting intervention. Results. Findings indicate that 66.1% of participants selected to opt-in to the donor register, 24.3% selected deemed consent and 9.4% selected opt-out/not sure. Emotional barriers, notably, fears surrounding bodily integrity were significantly elevated in participants who selected opt-out/not sure. Increasing the salience of emotional barriers reduced donor intentions in the opt-out/not sure group. However, dispelling organ donation myths did not increase intention within this group. Conclusions. If opt-out legislation is introduced in Scotland and England, approximately 10% of participants plan to opt-out or are not sure. Dispelling organ donation myths with facts may not be the best method of overcoming emotional barriers and increasing donor intentions for those planning to opt-out.
DOI Link: 10.1111/bjhp.12344
Rights: © 2018 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License (, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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