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Jouannin A, Robin E, Bouvet S, Chevance A, Le Douaron P, Esvan M, Danic B, Mamzer MF, Thibert JB. Validating a blood donation awareness tool created using general practitioner and patient acceptability and preferences. Transfus Clin Biol 2023; 30:103-110. [PMID: 36202316 DOI: 10.1016/j.tracli.2022.09.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/20/2022] [Accepted: 09/21/2022] [Indexed: 02/04/2023]
Abstract
BACKGROUND There is a need to develop an awareness raising tool for GPs to reach out their patients in order to increase blood donation. The main objective was to create and validate a tool to raise awareness about blood donation that meets acceptability and preference criteria and is applicable in general practice. MATERIAL AND METHODS This cross-sectional study was conducted in three phases. 1. Tool creation: A stakeholder meeting co-developed three potential tools to raise awareness about blood donation: a consulting room poster, a waiting room poster and a lapel badge for the doctor. Three GPs pilot-tested each tool for one day during their regular consultations. Then, once the pilot was completed each GP assessed acceptability and preference using a semi-structured interview, and patients were also interviewed. 2. Consensual tool selection: An appropriate tool was selected based on pilot data using nominal group technique and expert review. 3. The tool was validated for its acceptability in practice via a quantitative questionnaire distributed electronically to GPs. RESULTS The consensual tool selected by the nominal group was a combination of elements from all three tools trialled in the pilot, reported to be non-intrusive and convenient for both GPs and patients. Patient responses indicated a high level of acceptability and indicated a strong preference for self-generated discussion of the topic with their GP. In the validation step, 217 responses to the quantitative questionnaire were received: 74.5% of responses fulfilled the acceptability criteria for using this combined tool in general practice. Furthermore, 93.1% of GPs indicated they would use the tool in the proposed format for the purpose of raising awareness. DISCUSSION The validation of our blood donation awareness tool for use in general practice justifies its evaluation on a larger scale as part of a wider blood donation awareness campaign.
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Affiliation(s)
- A Jouannin
- Centre de recherche des Cordeliers (UMRS1138), INSERM, Sorbonne Université, USPC, Université de Paris, équipe ETREs, F-75006 Paris, France.
| | - E Robin
- Département de médecine générale, Université de Rennes, F-35000 Rennes, France
| | - S Bouvet
- Département de médecine générale, Université de Rennes, F-35000 Rennes, France
| | - A Chevance
- Université Paris Cité, CRESS, INSERM, INRA, F-75004 Paris, France
| | - P Le Douaron
- Département de médecine générale, Université de Rennes, F-35000 Rennes, France; Centre d'investigation clinique de Rennes (CIC Inserm 1414), Université de Rennes, CHU Rennes, Inserm, F-35000 Rennes, France
| | - M Esvan
- Centre d'investigation clinique de Rennes (CIC Inserm 1414), Université de Rennes, CHU Rennes, Inserm, F-35000 Rennes, France
| | - B Danic
- Centre de recherche des Cordeliers (UMRS1138), INSERM, Sorbonne Université, USPC, Université de Paris, équipe ETREs, F-75006 Paris, France
| | - M-F Mamzer
- Centre de recherche des Cordeliers (UMRS1138), INSERM, Sorbonne Université, USPC, Université de Paris, équipe ETREs, F-75006 Paris, France
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Li Z, Lei S, Li X, Zhao Y, Dai Y, Jin S, Fu Q, Cai X, Lin Z, Tu X. Blood Donation Fear, Perceived Rewards, Self-Efficacy, and Intention to Return Among Whole Blood Donors in China: A Social Cognitive Perspective. Front Psychol 2021; 12:683709. [PMID: 34880801 PMCID: PMC8645584 DOI: 10.3389/fpsyg.2021.683709] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 10/20/2021] [Indexed: 11/25/2022] Open
Abstract
With the increasing demand from aging population and seasonal blood shortage, recruiting and retaining blood donors has become an urgent issue for the blood collection centers in China. This study aims to understand intention to donate again from a social cognitive perspective among whole blood donors in China through investigating the association between the blood donation fear, perceived rewards, self-efficacy, and intention to return. A cross-sectional survey was conducted in six cities, which are geographically and socioeconomically distinct areas in Jiangsu, China. Respondents completed a self-administrated questionnaire interviewed by two well-trained medical students. A total of 191 blood donors were included in the current study. Descriptive analysis, correlation analysis, and a generalized linear regression model were used to explore the association between demographic characteristics, psychological factors, and intention to donate again. After controlling other covariates, donors with higher fear scores reported lower intention to return (p = 0.008). Association between self-efficacy and intention to return was statistically significant (p < 0.001), whereas the association between intrinsic rewards (p = 0.387), extrinsic rewards (p = 0.939), and intention to return were statistically insignificant. This study found that either intrinsic rewards or extrinsic rewards are not significantly associated with intention to donate again among whole blood donors in China, and fear is negatively associated with intention to donate again. Therefore, purposive strategies could be enacted beyond appeals to rewards and focus on the management of donors’ fear.
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Affiliation(s)
- Zhong Li
- School of Health Policy and Management, Nanjing Medical University, Nanjing, China.,Institute of Healthy Jiangsu Development, Nanjing Medical University, Nanjing, China
| | - Shuge Lei
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Xiaoming Li
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Yilun Zhao
- Nanjing Red Cross Blood Center, Nanjing, China
| | - Yudong Dai
- Nanjing Red Cross Blood Center, Nanjing, China
| | - Shengxuan Jin
- School of Health Policy and Management, Nanjing Medical University, Nanjing, China
| | - Qiang Fu
- Nanjing Red Cross Blood Center, Nanjing, China
| | - Xubing Cai
- Nanjing Red Cross Blood Center, Nanjing, China
| | - Zhenping Lin
- School of Health Policy and Management, Nanjing Medical University, Nanjing, China
| | - Xiaoming Tu
- School of Biomedical Engineering and Informatics, Nanjing Medical University, Nanjing, China
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France CR, France JL, Himawan LK, Fox KR, Livitz IE, Ankawi B, Slepian PM, Kowalsky JM, Duffy L, Kessler DA, Rebosa M, Rehmani S, Frye V, Shaz BH. Results from the blood donor competence, autonomy, and relatedness enhancement (blood donor CARE) randomized trial. Transfusion 2021; 61:2637-2649. [PMID: 34224590 DOI: 10.1111/trf.16577] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 06/17/2021] [Accepted: 06/17/2021] [Indexed: 12/22/2022]
Abstract
BACKGROUND This study aimed to promote competence, autonomy, and relatedness among first-time whole blood donors to enhance intrinsic motivation and increase retention. STUDY DESIGN AND METHODS Using a full factorial design, first-time donors (N = 2002) were randomly assigned to a no-treatment control condition or to one of seven intervention conditions designed to promote donation competence, autonomy, relatedness, a combination of two (e.g., competence and autonomy), or all three constructs. Participants completed donor motivation measures before the intervention and 6 weeks later, and subsequent donation attempts were assessed for 1 year. RESULTS There was no significant group difference in the frequency of donation attempts or in the number of days to return. Significant effects of group were observed for 10 of the 12 motivation measures, although follow-up analyses revealed significant differences from the control group were restricted to interventions that included an autonomy component. Path analyses confirmed direct associations between interventions involving autonomy and donor motivation, and indirect mediation of donation attempts via stronger donation intentions and lower donation anxiety. CONCLUSION Among young, first-time, whole blood donors, brief interventions that include support for donor autonomy were associated with direct effects on donor motivation and indirect, but small, effects on subsequent donation behavior.
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Affiliation(s)
| | - Janis L France
- Department of Psychology, Ohio University, Athens, Ohio, USA
| | - Lina K Himawan
- Department of Psychology, Ohio University, Athens, Ohio, USA
| | - Kristen R Fox
- Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA
| | - Irina E Livitz
- Department of Psychiatry, Cambridge Health Alliance, Cambridge, Massachusetts, USA
| | | | - P Maxwell Slepian
- Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada
| | | | | | | | - Mark Rebosa
- New York Blood Center, New York, New York, USA
| | | | - Victoria Frye
- City University of New York School of Medicine, Community Health and Social Medicine, New York, New York, USA
| | - Beth H Shaz
- Department of Pathology, Duke University School of Medicine, Durham, North Carolina, USA
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France CR, France JL, Himawan LK, Jeitani A, Williams LA. Emotional mechanisms and format effects of motivational questions for blood donation. Transfusion 2020; 60:1998-2009. [DOI: 10.1111/trf.15942] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/26/2020] [Accepted: 05/26/2020] [Indexed: 11/30/2022]
Affiliation(s)
| | | | | | - Anthony Jeitani
- School of PsychologyUniversity of New South Wales Sydney Australia
| | - Lisa A. Williams
- School of PsychologyUniversity of New South Wales Sydney Australia
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Suen LKP, Siu JYM, Lee YM, Chan EA. Knowledge level and motivation of Hong Kong young adults towards blood donation: a cross-sectional survey. BMJ Open 2020; 10:e031865. [PMID: 31959604 PMCID: PMC7045270 DOI: 10.1136/bmjopen-2019-031865] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES This study aimed to (1) determine the knowledge level of young adults towards blood donation, and (2) to understand their donor identity and the meanings of blood donation to them. DESIGN A questionnaire-based cross-sectional survey. SETTING AND PARTICIPANTS Undergraduate students of a university in Hong Kong recruited by convenience sampling, at public facilities in campus such as student canteens and the Campus Blood Donor Centre of the university. OUTCOME MEASURES The questionnaire which consisted of three parts was used for data collection. Part 1 collected sociodemographic information and items associated with blood donation; part 2 related to knowledge on blood donation and part 3 focused on blood donor identity. Univariate and multivariate logistic regression analyses were conducted to determine the OR and identify the predictors for blood donation. RESULTS Among the 542 respondents, 274 were non-blood donors and 268 were blood donors. Blood donors generally have a better knowledge towards blood donation than non-blood donors. The results of univariate analyses indicated that being a female (OR=1.99, p<0.001), aged 22 years or above (OR=234, p<0.001), studying at year 4 or 5 (OR=2.12, p=0.003), studying health-related programmes (OR=1.96, p<0.001), being registered as an organ donor (OR=6.59, p<0.001), had prior experience of receiving blood (OR=7.60, p<0.001) or prior experience of being refused for blood donation (OR=5.14, p<0.001) were significantly associated with being a blood donor. Having prior experience of receiving blood was the strongest predictor for being a blood donor, followed by being registered as an organ donor, after controlling for all other factors in the logistic regression model. CONCLUSIONS The findings are consistent with self-determination theory, which hypothesises that people are more likely to abide with blood donation behaviours that are internally rather than externally motivated.
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Affiliation(s)
- Lorna Kwai Ping Suen
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Judy Yuen-Man Siu
- Department of Applied Social Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Yik Mun Lee
- Hong Kong Red Cross Blood Transfusion Service, Hospital Authority, King's Park, Hong Kong
| | - Engle Angela Chan
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
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Ferguson E, Murray C, O’Carroll RE. Blood and organ donation: health impact, prevalence, correlates, and interventions. Psychol Health 2019; 34:1073-1104. [DOI: 10.1080/08870446.2019.1603385] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Eamonn Ferguson
- School of Psychology, University of Nottingham, Nottingham, United Kingdom of Great Britain and Northern Ireland
| | - Catherine Murray
- Division of Psychology, University of Stirling, Stirling, Scotland
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Livitz IE, France CR, France JL, Fox KR, Ankawi B, Slepian PM, Kessler DA, Rebosa M, Shaz BH. An automated motivational interview promotes donation intention and self‐efficacy among experienced whole blood donors. Transfusion 2019; 59:2876-2884. [DOI: 10.1111/trf.15402] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 05/17/2019] [Accepted: 05/17/2019] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | | | - Brett Ankawi
- Department of PsychologyOhio University Athens Ohio
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Williams LA, Sun J, Masser B. Integrating self-determination theory and the theory of planned behaviour to predict intention to donate blood. Transfus Med 2018; 29 Suppl 1:59-64. [PMID: 30417447 DOI: 10.1111/tme.12566] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Revised: 08/27/2018] [Accepted: 10/04/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The aim of this research was to test a model integrating self-determination theory (SDT) and the theory of planned behaviour (TPB) to predict intention to donate blood. BACKGROUND Social science research suggests that motivational orientations outlined by SDT can be usefully integrated with constructs from the TPB to collectively predict intention and behaviour. Such analysis has not yet been undertaken in the context of blood donation. METHODS A total of 458 currently eligible donors completed measures of blood donor motivations, attitudes, subjective norms, perceived behavioural control (PBC) and intention. Path analyses modelled the direct and indirect effects (via TPB constructs) of motivational orientations on intention. RESULTS SDT motivational orientations explained an additional 14% of the variance in blood donation intention, compared to a TPB-only model. Amotivation had a negative direct effect on intention; external regulation had no overall effect on intention; introjected regulation had positive direct and indirect effects on intention; and autonomous motivation predicted intention both directly as well as via attitudes, subjective norms and PBC. CONCLUSION This research provides the first evidence that integrating SDT and the TPB is a useful approach in donor research, particularly for specifying plausible pathways through which motivational orientations impact intention to donate blood.
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Affiliation(s)
- L A Williams
- School of Psychology, University of New South Wales, Sydney, NSW, Australia
| | - J Sun
- School of Psychology, University of New South Wales, Sydney, NSW, Australia
| | - B Masser
- School of Psychology, University of Queensland, St. Lucia, QLD, Australia
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France CR, France JL. Online responses to motivational interview questions enhance blood donation intention. Transfusion 2018; 58:2874-2879. [DOI: 10.1111/trf.14874] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2018] [Revised: 06/26/2018] [Accepted: 06/26/2018] [Indexed: 11/28/2022]
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