An Alternative Framing of Organ Donation Registration: The Collective Donor Behavioral Model

Abstract

Notwithstanding the prevalent use of donor registration prediction models grounded by the theory of planned behavior (TPB), registration behavior continues to remain low. A collective donor behavior (CDB) model underpinned by social exchange theory is introduced and its predictive ability is tested against a baseline TPB model using an online survey of adults ( n = 1,055). Individuals who indicated they were not registered donors were contacted 3 months later to track their registration status. The CDB model was found to explain 45% of variance in registration intentions which was comparable in performance to TPB. Normative commitment was found to be strongly associated with registration int..