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Understanding the pros and cons of organ donation decision-making: Decisional balance and expressing donation intentions among African Americans.

Authors
  • Flemming, Shauna St Clair1
  • Redmond, Nakeva1
  • Williamson, Dana Hz1
  • Thompson, Nancy J1
  • Perryman, Jennie P2
  • Patzer, Rachel E1, 3
  • Arriola, Kimberly Jacob1
  • 1 Emory University, USA.
  • 2 Emory Transplant Center, USA.
  • 3 Emory University School of Medicine, USA.
Type
Published Article
Journal
Journal of health psychology
Publication Date
Sep 01, 2020
Volume
25
Issue
10-11
Pages
1612–1623
Identifiers
DOI: 10.1177/1359105318766212
PMID: 29616593
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Increasing public commitment to organ donation is critical to improving donor kidney availability for end-stage renal disease patients desiring transplant. This study surveyed (N = 1339) African Americans, measuring perceived pros relative to cons of organ donation, to evaluate an existing Transtheoretical Model decisional balance scale and associations between decisional balance and expressing donation intentions. Findings supported the existing scale structure. More positive decisional balance ratios were associated with 1.76 times the odds of expressing intentions (95% confidence interval = 1.52-2.04). Pros were more strongly linked to donation intentions than cons. Greater understanding of organ donation decision-making is valuable for informing interventions that encourage donation.

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