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Berger M, Easterbrook A, Holloway K, Devine D, Bansback N. What influences decisions to donate plasma? A rapid review of the literature. Vox Sang 2023; 118:817-824. [PMID: 37470275 DOI: 10.1111/vox.13496] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 04/06/2023] [Accepted: 05/08/2023] [Indexed: 07/21/2023]
Abstract
BACKGROUND AND OBJECTIVES Plasma has become an essential ingredient for various medical treatments. Many blood collection agencies rely on voluntary non-remunerated donation when collecting plasma, but at present many do not collect sufficient plasma to meet domestic demands. This rapid review sought to explore the factors that have been found to influence people's decisions to donate plasma to inform future research. METHODS Searches were conducted in PubMed, PsycINFO, Social Sciences Citation Index and CINAHL for peer-reviewed journal articles that discussed plasma donation and the factors associated with donor behaviour. Pertinent information from included articles was extracted and arranged in themes. RESULTS In total, 33 articles were included in this review. Three main themes were identified by the authors. The first focused on site-level factors related to blood collection agencies' engagement with plasma donors and their influence on plasma donation experiences. The second theme considered how individual characteristics and experiences influence willingness to donate plasma. The third theme examined social and cultural-level factors, such as how social networks and community shape perceptions and experiences with donation. CONCLUSION Our findings suggest that the current understanding of plasma donation is focused mainly on converting whole blood donors and also centres on individual-level factors to donation. Further research must examine what factors attract non-whole blood donors to become plasma donors, focusing on broader social-level influences. This review will inform policies and interventions for blood collection agencies to increase plasma donors.
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Affiliation(s)
- Mary Berger
- Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada
| | - Adam Easterbrook
- Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Kelly Holloway
- Donation Policy & Studies, Canadian Blood Services, Toronto, Ontario, Canada
- Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Dana Devine
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
- Donation Policy & Studies, Canadian Blood Services, Toronto, Ontario, Canada
| | - Nick Bansback
- Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
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Saltzmann C. How to convert whole‐blood donors to plasma donors: An investigation of the mechanisms of awareness of need for plasma and donors' perception of response efficacy. Transfusion 2023; 63:1023-1043. [PMID: 37002707 DOI: 10.1111/trf.17316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 02/22/2023] [Accepted: 02/22/2023] [Indexed: 04/04/2023]
Abstract
BACKGROUND Blood donation services need to increase plasma donations to match the rising demand. However, evidence on how to best recruit donors among whole-blood donors is limited. Therefore, this study evaluated the effectiveness of a conversion strategy based on two different mechanisms that drive donor behavior: (a) awareness of the need for plasma donation and (b) perception of response efficacy regarding plasma donation. STUDY DESIGN AND METHODS An online experiment with 246 German Red Cross whole-blood donors (possibility of plasma donation, blood group AB) was conducted using a 2 × 2 factorial, between-subject setup, and a pre-post treatment measurement. The mechanisms varied and were addressed with experimental treatments and measured. Analyses of variance and hierarchical regression models were used to analyze the effects on intention and behavior. RESULTS The intention to donate plasma was low, but increased with treatment (mean valueoverall of intentionbeforeTreatment = 2.63, SD = 1.73 vs. intentionafterTreatment = 3.28, SD = 1.92). Furthermore, 31% of participants expressed willingness to be forwarded to the appointment-scheduling system of the blood donation service for further information. Only the mechanism of response efficacy was significantly associated with the intention to donate plasma (βEfficacy = .254, p = .001; βAwareness of Need = .126, p = .070). DISCUSSION A conversion strategy based on making donors aware of their response efficacy is a promising way to optimize donor panels by shifting them to where they have the greatest impact. However, this study also substantiates the difficulty of such an effort. Blood donation services should invest in persuasion efforts and build personalized integrated marketing communications.
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Affiliation(s)
- Carolin Saltzmann
- Faculty of Business, Economics and Social Sciences, Research Group on Health Marketing Universität Hamburg Von‐Melle‐Park 9 D‐20146 Hamburg Germany
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Tarlabelen Karaytuğ E, Boyraz S. Knowledge and attitudes of apheresis donors regarding apheresis blood donation. Transfus Med 2023; 33:39-48. [PMID: 35633143 DOI: 10.1111/tme.12885] [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: 02/25/2021] [Revised: 04/01/2022] [Accepted: 05/13/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND Demand for apheresis blood donation has increased with the widening of the use of blood transfusion and the decrease in the donor pool. The knowledge level of apheresis donors, their attitudes such as donating again and recommending others to donate via apheresis are important in meeting this demand. OBJECTIVE This analytical cross-sectional study was conducted with 182 plateletpheresis donors to determine their knowledge and attitudes regarding apheresis blood donation. MATERIAL AND METHODS Participants were asked 34 questions (which were prepared based on the literature and perfected by expert opinion and pre-administration) to determine their level of knowledge regarding apheresis. A value of 1 point was assigned for each 'correct' answer and 0 points for 'wrong' and 'do not know' answers. Participants' total level of knowledge scores was formulated to have a value between 0 and 100 (i.e., the score of each group was divided into the number of question and multiplied by 100). Participant attitudes were evaluated based on responses to 14 questions using a 5-point Likert questionnaire. RESULTS Total knowledge scores regarding apheresis were moderate (55 ± 15.2). Those who were educated above the university level (compared to primary school and less, middle and high-school education levels) had higher level of knowledge scores regarding apheresis. In general, participants had a positive attitude regarding the importance and effects of apheresis blood donation. Those with the following characteristics had a positive attitude (p < 0.05) regarding the importance of apheresis blood donation: female (compared to men), single (compared to married), 18-33 years of age (compared to 34-49 and 50-65 years of age groups, with an above-university level of education (compared to primary school and less, middle and high-school education levels), informed regarding apheresis blood donation, first-time donors and donors to unknown recipients. CONCLUSION Study participants demonstrated a moderate level of knowledge and positive attitude regarding the importance of apheresis blood donation. Thus, to enhance attitudes on the procedure and reduce the risk of recipient infections, blood donors should be better informed regarding apheresis blood donation.
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Affiliation(s)
- Emine Tarlabelen Karaytuğ
- Internal Medicine Nursing Department, Nursing Faculty, Aydın Adnan Menderes University, Aydın, Turkey
| | - Sakine Boyraz
- Internal Medicine Nursing Department, Nursing Faculty, Aydın Adnan Menderes University, Aydın, Turkey
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Sahu A, Prakash S, Singh AK, Mukherjee S. Analysis of responses of the health care workers recovered from COVID-19 on convalescent plasma donation by apheresis: A single-center survey study. J Clin Apher 2022; 37:273-280. [PMID: 35119768 PMCID: PMC9015390 DOI: 10.1002/jca.21970] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 01/20/2022] [Accepted: 01/20/2022] [Indexed: 01/12/2023]
Abstract
Background The COVID‐19 convalescent plasma (CCP) has been tried as a therapy in moderate COVID‐19 pneumonia. Donation of CCP requires motivation from recovered patients. This study evaluated the response of such recovered health care workers (HCWs) when they were motivated for CCP donation. Methods An interview‐based survey was carried out with recovered HCWs as study participants between August 2020 and November 2020. A qualified social worker explained the details of CCP donation over a mobile call; he clarified all their doubts and motivated them for the plasma donation. Their responses were recorded as “interested” or “not interested” followed by analysis. Results We tried to call 624 recovered HCWs, but could not reach 213, and the final group available for the study was 411 participants. Of these 411, 186 were deferred. Finally, we analyzed a total of 225 responses. Eventually, 105 out of 225 HCWs (47%) were interested; there were no significant differences in responses among males and females and between different age groups (<.001) and the “doctors” designation category (P = .01) had a maximum number of “interested” responses. In multivariate logistic regression, only the “interested” responses of the doctors were significantly higher after adjusting the confounding effect of the “graduate and above” educational qualification category. Conclusion This study found that nearly half of the eligible HCWs were interested in CCP donation. The educational qualification and designation among the recovered HCWs had an impact on CCP donation interest. The doctors were more interested in CCP donation compared to others.
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Affiliation(s)
- Ansuman Sahu
- Department of Transfusion Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Satya Prakash
- Department of Transfusion Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Arvind Kumar Singh
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, Odisha, India
| | - Somnath Mukherjee
- Department of Transfusion Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
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Hyde MK, Masser BM, Coundouris SP. A review of whole-blood donors' willingness, motives, barriers and interventions related to donating another substance of human origin. Transfus Med 2022; 32:95-114. [PMID: 35068004 DOI: 10.1111/tme.12849] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 12/10/2021] [Accepted: 12/30/2021] [Indexed: 11/29/2022]
Abstract
Diversification of blood collection agencies' (BCAs) core business requires donors to donate substances of human origin (SoHO) beyond whole-blood. Whole-blood donors are assumed to be willing to convert to donate other SoHO as well as whole-blood. However, no reviews consider the evidence on conversion (i.e., willingness/intention, behaviour, retention, attrition). This rapid review provides a narrative synthesis of whole-blood donors' conversion to another SoHO, characteristics contributing to conversion, motives and deterrents, and interventions encouraging conversion. Sixty-five studies were reviewed. Most were cross-sectional and examined whole-blood donor conversion to organ (willingness/pledge for deceased donation), plasma or stem cell donation. Most examined conversion rather than characteristics contributing to conversion, motives, deterrents or interventions. Whole-blood donors appear willing to donate another SoHO, yet conversion rates are unclear. Besides self-efficacy, there is little consistency in reported characteristics of donors converting, and few theories applied to understand characteristics encouraging conversion. Intrinsic (altruism, self-esteem, curiosity) and extrinsic (perceived need, service experience, direct requests) motives and barriers (lifestyle, fearing reduced health) appear important and require further research. Interventions encouraging conversion need replication and may include in-person, in-centre approaches, raising awareness of the functional benefits of other SoHO (high need, usefulness), and developing promotional materials that pique donors' curiosity, invite questions, and encourage donor-initiated conversations about conversion. Centralising BCAs as a single business or partnering with other organisations appears mutually beneficial to encourage conversion and sustainable panels/resources. Research is needed to understand the impact of encouraging conversion on donors and organisations, and identify optimal management strategies for multi-SoHO donors.
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Affiliation(s)
- Melissa K Hyde
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Barbara M Masser
- School of Psychology, The University of Queensland, Brisbane, Australia.,Clinical Services and Research, Australian Red Cross Lifeblood, Sydney, Australia
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Vesnaver E, Goldman M, O'Brien S, MacPherson P, Butler-Foster T, Lapierre D, Otis J, Devine DV, Germain M, Rosser A, MacDonagh R, Randall T, Osbourne-Sorrell W, Clement-Thorne B, Al-Bakri TB, Rubini KA, Hill NE, Presseau J. Barriers and enablers to source plasma donation by gay, bisexual and other men who have sex with men under revised eligibility criteria: protocol for a multiple stakeholder feasibility study. Health Res Policy Syst 2020; 18:131. [PMID: 33138828 PMCID: PMC7605323 DOI: 10.1186/s12961-020-00643-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 10/06/2020] [Indexed: 01/19/2023] Open
Abstract
Background Blood donation policy in Canada for gay, bisexual and other men who have had sex with men (gbMSM) has changed progressively in the last decade from indefinite deferral to 3-month deferral from last male-to-male sex. Driven by safety data and overseen by the national regulator, more inclusive policies continue to redress the disparity in donation for gbMSM. At the same time, the need for source plasma to prepare fractionated blood products is growing worldwide. The collection and processing of source plasma ensures greater safety compared to whole blood donation with respect to transfusion-transmitted infection. This greater safety offers an opportunity to evolve policies for gbMSM from time-based to behaviour-based deferral using revised eligibility criteria. However, changing policies does not in itself necessarily guarantee that gbMSM will donate or that staff in donor clinics are ready to support them to do so. In anticipation of a move to behaviour-based donation screening for gbMSM in Canada, we aim to assess the acceptability of and perceived barriers and enablers to source plasma donation using revised screening criteria for gbMSM among key stakeholders to inform policy implementation strategies. Methods This mixed-methods feasibility study will involve gbMSM and donor centre staff to understand modifiable barriers to implementing more inclusive eligibility criteria. Key informant interviews and surveys will be rooted in the Theoretical Domains Framework to identify modifiable factors associated with source plasma donation motives in gbMSM and training needs in donation centre staff. We will use an integrated knowledge translation approach involving a partnership between researchers, the national blood operator and gbMSM, situating knowledge users as key research team members to ensure their perspectives inform all aspects of the research. Discussion Our integrated knowledge translation approach will provide a more comprehensive and collaborative understanding of blood operator and gbMSM needs while accelerating the implementation of study findings. Given the historical backdrop of the decades of exclusion of sexually active gbMSM from blood donation, this study has the potential not only to inform a process and policy for gbMSM to donate source plasma, a blood product, but also offers opportunities for new relationships between these knowledge users.
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Affiliation(s)
- Elisabeth Vesnaver
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada. .,Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
| | - Mindy Goldman
- Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada
| | - Sheila O'Brien
- Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada
| | - Paul MacPherson
- Medicine, The Ottawa Hospital, Ottawa, Canada.,Department of Biochemistry, Microbiology and Immunology, University of Ottawa, Ottawa, Canada
| | | | - Don Lapierre
- Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada
| | - Joanne Otis
- Department of Sexology, Université du Québec À Montréal, Montreal, Canada
| | - Dana V Devine
- Canadian Blood Services, Vancouver, Canada.,Centre for Blood Research, University of British Columbia, Vancouver, Canada
| | - Marc Germain
- Héma-Québec, Medical Affairs, Quebec City, Canada
| | | | | | | | | | | | | | | | | | - Justin Presseau
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.,Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
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Thorpe R, Masser BM, Nguyen L, Gemelli CN, Davison TE. Bringing new plasma donors back: testing the efficacy of telephone and e‐mail communications with first‐time donors. Transfusion 2020; 60:1463-1469. [DOI: 10.1111/trf.15787] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Revised: 03/09/2020] [Accepted: 03/10/2020] [Indexed: 02/06/2023]
Affiliation(s)
- Rachel Thorpe
- Australian Red Cross Blood Service Donor Research Team Melbourne Victoria Australia
| | - Barbara M. Masser
- School of PsychologyUniversity of Queensland Brisbane Queensland Australia
| | - Lilly Nguyen
- Australian Red Cross Blood Service Donor Research Team Melbourne Victoria Australia
| | - Carley N. Gemelli
- Australian Red Cross Blood Service Donor Research Team Melbourne Victoria Australia
| | - Tanya E. Davison
- Australian Red Cross Blood Service Donor Research Team Melbourne Victoria Australia
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Charbonneau J, Cloutier M, Fainstein B. How do people become plasma and platelet donors in a VNR context? J Clin Apher 2017; 33:236-248. [PMID: 28841764 PMCID: PMC6099355 DOI: 10.1002/jca.21577] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 07/10/2017] [Accepted: 08/03/2017] [Indexed: 11/07/2022]
Abstract
Background The demand for therapeutic plasma‐derived products poses a challenge to blood collection agencies (BCAs). In 2014–2015, the volume of plasma sent for fractionation met 17.7% of Quebec's needs for immunoglobulins. This article aims to offer an exploration of the paths blood donors follow in order to become plasma and platelet donors (PPDs). Study Design and Method This analysis is based on semi‐structured interviews with 50 PPDs in Quebec, Canada. Our analysis focused on the occurrence of events and the presence of contextual elements identified through: (1) factual data on PPDs; and (2) what PPDs identified as being an influence on their donation experience. This information was synthesized using a typology of trajectories. Results Six typical trajectories have been distinguished, first by the presence (19/50 respondents) or absence (31/50) of blood donation as a family tradition. Of the latter 31 donors, some pointed instead to inherited family values as having a significant influence on their commitment (11/31). Donors' careers were then distinguished as having started early (34) or late (16). Sub‐types then appeared with the addition of other contextual elements, motivation profiles, and circumstances under which the conversion to apheresis donation occurred. Conclusion Our findings suggest the existence of diversified donor trajectories, and confirm the importance of conducting more in‐depth analyses of the sequence of events occurring along PPDs career. BCAs should develop strategies carefully tailored to different potential clienteles if they wish to convert whole blood donors to apheresis donation, and also focus on recruiting and retaining young PPDs.
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Affiliation(s)
- Johanne Charbonneau
- INRS, Centre Urbanisation Culture Société385 Sherbrooke Street East, MontrealQCCanada H2X 1E3
| | - Marie‐Soleil Cloutier
- INRS, Centre Urbanisation Culture Société385 Sherbrooke Street East, MontrealQCCanada H2X 1E3
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