What question did this study set out to answer?

This research aims to investigate the relationship between family discussions and attitudes towards organ donation, particularly focusing on the mediating effect of spiritual well-being.

July 8, 2026Open Access

An investigation of theoretical model of the relationship between discussion with families and the attitude toward organ donation in Iran: the mediating role of Spiritual Well-Being

HNHamid Sharif NiaMazandaran University of Medical Sciences NMNoushin MousazadehUniversity of Mazandaran MRMahnaz RakhshanShiraz University of Medical Sciences

Key Points

This research aims to investigate the relationship between family discussions and attitudes towards organ donation, particularly focusing on the mediating effect of spiritual well-being.
Cross-sectional study conducted in Iran in 2022 with 316 participants aged 18 and older.
Data collection included demographic profiles, the Spiritual Well-Being Scale, and questionnaires on attitudes towards organ donation.
Path analysis was carried out using SPSS_AMOS 27 software to evaluate the mediation model.
Positive correlation found between attitudes towards organ donation and family discussions (r = 0.522, p < 0.001).
Significant association between attitudes towards organ donation and spiritual well-being (r = 0.247, p < 0.001).
Spiritual well-being partially mediates the influence of family discussions on attitudes toward organ donation (B = 0.227, p < 0.009), contributing to 30% of the explained variance.

Abstract

Background There is still a serious imbalance between the number of organ donors and the number of patients on the transplant list. It is therefore of great importance to assess and strengthen resources to improve people’s attitudes towards organ donation. This study examines the possible mediating role of Spiritual Well-Being (SWB) in relation to attitudes towards organ donation and family discussions in Iranian society. Methods This is a cross-sectional study conducted in Iran in 2022. Participants included 316 members of the Iranian general population aged 18 years and older who participated in the study using convenience sampling methods. Data were collected using a demographic profile form, and the standardized Spiritual Well-Being Scale (SWBS) by Paloutzian and Ellisons, and two researcher-made questionnaire including Attitudes towards organ donation and discuss with family. The researchers used path analysis to analyze the mediation model. All the statistical analyses were done using the SPSSAMOS 27 software. Results The majority of participants were single professional women with a bachelor’s degree. Pearson correlation test results showed a positive correlation between attitudes towards organ donation and family discussions (r = 0. 522, p < 0. 001). There was also a positive association between attitudes towards organ donation and SWB (r = 0. 247, p < 0. 001). Similarly, results indicate a partial association between family discussion and attitudes toward organ donation, which is influenced by the mediating variable SWB and family affected in a manner similar to that seen for the variable ‘discussing with’. And ‘attitudes toward organ donation’ are mediated by varying SWB (B = 0. 227, p < 0. 009). SWB and discuss with family explain 30% of the variance. Conclusion Attitudes toward organ donation were directly influenced by discuss with family members and improved by SWB accordingly. This study suggests that SWB is integral to attitudes towards organ donation in Iranian society. Clinical trial number Not applicable.

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