In Japan, awareness-raising activities regarding organ donation and  transplantation are generally focused on promoting the declaration of intention. The emphasis is only on the need to declare one's intention, but the information necessary to declare one's intention is scarce, and the rate of declaration of intention in Japan has been stagnant.
In the public lectures, the participation rate of highly interested citizens is high, but the participation rate of uninterested citizens is low, making it extremely difficult to spread awareness to the uninterested segment of the public.
In the behavior change stage, many people are generally in the indifference stage, so the most important approach is to shift people in this indifference stage to the interest stage. However, in the indifference stage, people are not interested in transplant medicine itself to begin with, so approaches that appeal to their significance and sympathetic approaches are not effective.
Instead of the conventional approach of seeking understanding of organ  transplantation itself, a guided awareness-raising approach that leads to interest in organ transplantation itself may be effective.
For this reason, Hiroshima Prefecture is planning and implementing a variety of educational programs targeting young people, such as a book cover design contest, a speech contest for high school students in Hiroshima Prefecture, and exploratory classes, as well as widely disseminating information on transplant medicine with the cooperation of the mass media.
For the dissemination and enlightenment of the challenging theme of organ transplantation, an indirect method that allows people to touch upon the significance of transplantation medicine and organ donation through events, rather than an approach that appeals to significance and seeks understanding, is more effective.
In addition, it is important to ask for the cooperation of trusted government officials and educational institutions and to conduct awareness-raising activities with them in order to ease the psychological defenses of those who are indifferent to the topic.