Case Study

Uncovering Hidden Drivers of Organ Donation Behavior

A case study outlining Barrier Analysis as a successful tool to uncover hidden drivers in organ donation behavior.

October 2, 2025

One of Market Street’s clients is an Eastern U.S. organ procurement organization facing a concerning decline in organ donation registration. To reverse this trend, they needed to go beyond surface-level attitudes to truly understand what prevents people from registering as organ donors.​

Our Approach

Market Street Research integrated Barrier Analysis into our brand tracking research to identify the deeper, often hidden, drivers of behavior. By comparing the beliefs and experiences of registered donors (“doers”) with those who had not registered (“non-doers”), we were able to isolate the barriers most strongly correlated with action or inaction.​

Key Findings

  • Knowledge was not the barrier. While non-registrants pointed to a lack of information as the issue, the findings showed that both registrants and non-registrants said they did not fully understand the organ donation process. This meant that a lack of knowledge alone did not explain the gap in behavior.
  • Social norms mattered most. Non-registrants were significantly more likely to report social pressures discouraging donation—such as believing family or close friends would disapprove if they registered. For registrants, this was not a concern.

Impact

By separating perceived barriers from real ones, Market Street guided our client to direct resources toward the highest-potential areas: nurturing supportive social norms and connecting with peer and family networks, rather than over-investing in education campaigns unlikely to drive real behavior change.

This case highlights the power of Barrier Analysis to reveal hidden influences on behavior that traditional survey measures often miss. For our client, it provided a sharper strategy to grow registrations by reframing organ donation as a socially supported, community-valued decision.


Barrier Analysis systematically explores the behavioral determinants that drive or block change. It gives organizations a clear roadmap for designing interventions that actually shift behavior—taking the guesswork out of behavior change. 

To learn more about Barrier Analysis and how it can benefit your work, contact us for a consultation today.

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