From Uncertainty to Consent: Educational Intervention Effects on Knowledge and Willingness to Donate Organs After Death
Asanova A. Shaisultanova S. Anafina D. Daniyarova G. Sazonov V. Bolatov A. Abdiorazova A. Pya Y.
October 2025Multidisciplinary Digital Publishing Institute (MDPI)
Healthcare (Switzerland)
2025#13Issue 19
Background: The willingness to donate organs after death remains low in many populations, often due to informational and psychological barriers. This study assessed the impact of an educational lecture on knowledge and attitudes toward postmortem organ donation among university students in Kazakhstan. Methods: A total of 129 students completed a pre-lecture questionnaire on donation attitudes, knowledge, and barriers; 97 also completed the post-lecture assessment. Changes were analyzed using paired t-tests, repeated-measures ANOVA, and logistic regression. Participants were grouped by attitudinal changes to identify predictors of consent. Results: Knowledge about organ donation increased significantly after the lecture (p < 0.001), with larger gains among females and non-medical students. The number of participants who were willing to donate rose from 27 to 56 (p < 0.001). About 37% showed a positive shift, while 3% shifted toward refusal. In the initially ambivalent group (n = 49), female gender (AOR = 35.6), greater knowledge gain (AOR = 3.03), and lower perceived barriers (AOR = 0.05) predicted a change towards consent. Uncertainty about how to express consent was the only significantly differing barrier (p = 0.036). Conclusion: A brief educational lecture effectively increased knowledge and willingness to donate. Targeted information on procedural aspects may reduce indecision and promote informed donor registration.
attitudes , barriers , educational intervention , knowledge , organ donation , postmortem consent
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Department of Science, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
Department of Medical and Regulatory Affairs, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
Pediatric Intensive Care Unit, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
Department of Surgery, School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan
Shenzhen University Medical School, Shenzhen University, Shenzhen, 518060, China
Division of Strategic Development and Science, “Human Research & Development” LLP, Astana, 010000, Kazakhstan
Management Board, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
Department of Science
Department of Medical and Regulatory Affairs
Pediatric Intensive Care Unit
Department of Surgery
Shenzhen University Medical School
Division of Strategic Development and Science
Management Board
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