There are currently more than 100,000 individuals waiting for an organ transplant. Organ donor registries represent the easiest and most concrete way for people to declare their intent to donate, but organ donor registries are vastly underutilized. This study reports a campaign intervention designed to increase the rate of joining the Michigan Organ Donor Registry. Grounding intervention development in the theoretical principles of media priming and communication design, the intervention took place in two waves in three counties in Michigan. Each intervention consisted of a media component, point-of-decision materials, and an interpersonal component. Increases in registration rates of 200 to 300% in each intervention county, compared to stable statewide trends in registry rates, provide evidence of highly successful intervention efforts. The rate of registry increase in intervention counties was approximately 1,900% higher than statewide on a per capita basis.

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In this study, 580 participants viewed one of the 30 full-length entertainment television episodes. Fifteen of these episodes centered on an organ donation storyline (ODS) where facts about the process were portrayed inaccurately; the remaining 15 were matched by program, but did not feature organ donation, and served as controls. Results indicated nondonors were significantly impacted by negative organ-donation-related content. ODSs produced more negative attitudes, less accurate knowledge, and perceptions of social and descriptive norms less supportive of organ donation among nondonors. However, participants who had already declared a willingness to donate organs after death were not significantly impacted by entertainment television's depiction of myths about donation.

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