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Journal of Health Psychology
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Assessing Family Members’ Motivational Readiness and Decision Making for Consenting to Cadaveric Organ Donation

Mark L. Robbins

Deborah A. Levesque

Colleen A. Redding

Janet L. Johnson

James O. Prochaska

Cancer Prevention Research Center, University of Rhode Island, USA

Michael S. Rohr

Wake Forest University School of Medicine, USA

Thomas G. Peters

University of Florida at Jacksonville, USA

This study assessed the applicability of two important components of the transtheoretical model of behavior change (TTM) to family consent for cadaveric organ donation. Men and women (N = 169), who consented or refused to donate the organs of a family member, completed a telephone survey reflecting the stage of change and decisional balance constructs. Psychometric analyses resulted in a two-factor decisional balance scale: a seven-item scale representing negative perceptions of consent (cons), and a seven-item scale representing positive perceptions of consent (pros). The pros and cons were significantly associated with stage of readiness for donation consent and with the family consent decision. Research utilizing this measure has the potential to enhance intervention programs to increase donation consent rates.

Key Words: decisional balance • family consent • organ donation • stages of change • transtheoretical model

Journal of Health Psychology, Vol. 6, No. 5, 523-535 (2001)
DOI: 10.1177/135910530100600506
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