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Chell K, Polonsky M, Masser B, Hyde MK. Word-of-mouth among blood service employees who also donate blood: a qualitative investigation of advantages and challenges for dual-role donors. BMC Health Serv Res 2024; 24:736. [PMID: 38877507 PMCID: PMC11179336 DOI: 10.1186/s12913-024-11181-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 06/06/2024] [Indexed: 06/16/2024] Open
Abstract
BACKGROUND Despite word-of-mouth (WOM) and electronic WOM (eWOM) influencing people's willingness to donate blood, no research has explored this behavior among blood service employees who are also donors. This underexplored segment is highly important, as they are generally committed to both the organization and the cause and are likely more informed on the topic of blood donation than the average donor. METHODS This study comprised six online focus groups with 26 Australian Red Cross Lifeblood employees who are also donors. Questions covered a range of blood donation and WOM topics, including when they became blood donors, if they had engaged in WOM about blood donation, what they had talked about and with whom, and what were audience reactions. Thematic analysis was then used to explore how responses related to the employees' motivations, opportunities, and abilities to engage in WOM and eWOM about blood donation. RESULTS While most employee-donors saw alignment in their employee and donor roles, advocating for blood donation was not considered a necessary part of either role. Educating others about blood donation was a common goal of employee-donor WOM and eWOM, and almost all employees engaged in reactive WOM, triggered by events (e.g., recent donations) or questions about their work. Employee-donors in donor-facing roles (e.g., communications and collections staff) felt more aware of the importance of encouraging others to donate blood and were also more likely to be proactive in their WOM activity. Along with these perceived advantages of having a dual role, employee-donors also identified some disadvantages, such as unrealistic expertise expectations and negative audience responses that can be difficult to navigate. CONCLUSIONS Being an employee-donor is a double-edged sword. For example, increased opportunities to talk about blood donation and access to more information can be offset by having to respond to more challenging questions/comments and expectations, while appropriately representing their employer. More research is needed among those in employee-donor roles within the healthcare and/or non-profit sectors, to determine whether these are issues faced more broadly, and how those in dual roles can be most effectively supported to engage in positive WOM and eWOM.
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Affiliation(s)
- Kathleen Chell
- Australian Red Cross Lifeblood, Queensland, Australia
- The University of Queensland, Queensland, Australia
| | | | - Barbara Masser
- Australian Red Cross Lifeblood, Queensland, Australia
- The University of Queensland, Queensland, Australia
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2
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Bryant J, Woolley T, Sen Gupta T, Chell K. Using competition for plasma donor recruitment and retention: An Australian university case study. Vox Sang 2024; 119:155-165. [PMID: 38157223 DOI: 10.1111/vox.13582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 12/07/2023] [Accepted: 12/08/2023] [Indexed: 01/03/2024]
Abstract
BACKGROUND AND OBJECTIVES Using evidence from one Australian university's participation in the Vampire Cup (an 8-week national inter-university blood donation competition), this study aimed to (1) understand important motivators and successful promotional strategies driving engagement in the competition, and (2) determine the impact of competition on the recruitment and retention of young adult plasma donors. MATERIALS AND METHODS We used a sequential explanatory mixed-methods design involving a self-administered survey (Study 1, n = 64) and four focus groups (Study 2, n = 20) with plasma donors aged 18-29 years who participated in the 2021 Vampire Cup. Also, we used a 12-month prospective comparative cohort analysis (Study 3) of those who did (n = 224 'competition donors') and did not (n = 448 control group) present to donate for the Vampire Cup. RESULTS Competition was a strong motivator, with 76% of survey participants donating to help their university win the Vampire Cup. The survey and focus groups suggested that successful engagement in the competition was due to peer-led recruitment, leveraging existing rivalries at both the inter- and intra-university level, and using prize draws to create an active online social community promoting blood donation. Competition donors donated plasma significantly more often during the competition but donated at similar rates after the competition, compared to the control group. CONCLUSION Rivalry-based competition strategies, combined with enthusiastic team leaders and an active social media community, can help to recruit, and retain, young adult plasma donors, and motivate an intermittent boost to donation frequency over a short period each year.
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Affiliation(s)
- Jack Bryant
- College of Medicine & Dentistry, James Cook University, Townsville, Queensland, Australia
| | - Torres Woolley
- College of Medicine & Dentistry, James Cook University, Townsville, Queensland, Australia
| | - Tarun Sen Gupta
- College of Medicine & Dentistry, James Cook University, Townsville, Queensland, Australia
| | - Kathleen Chell
- Research & Development, Australian Red Cross Lifeblood, Kelvin Grove, Queensland, Australia
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Klinkenberg EF, Fransen MP, de Kort WLAM, Huis In 't Veld EMJ, van Weert JCM. Unknown, so also unvalued? Blood donation awareness and attitudes of potential donors of Dutch and African descent. Vox Sang 2020; 116:513-523. [PMID: 33161573 PMCID: PMC8247345 DOI: 10.1111/vox.13029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 10/14/2020] [Accepted: 10/21/2020] [Indexed: 01/04/2023]
Abstract
BACKGROUND AND OBJECTIVES Many Western countries face a shortage of African blood donors, while their specific blood groups are needed to transfuse chronic transfusion patients of similar ethnic background. Blood donation awareness and attitudes greatly impact the decision to become a blood donor, but how they are related and differ across ethnic groups is understudied. This study investigated blood donation awareness and attitudes of individuals of Dutch and African descent in the Netherlands. MATERIALS AND METHODS Survey data of 257 African and 152 Dutch non-donors measuring donation awareness (i.e. being familiar with the Dutch blood bank organization and knowing others who donated blood), cognitive (evaluative judgements) and affective (emotional reactions) attitudes were included. t-Tests, chi-square tests, linear and logistic regressions were conducted to study differences and associations between donation awareness and attitudes. RESULTS African individuals were less often aware of the Dutch blood bank organization (43%; p < 0·05) or others who donated blood (51%; p < 0·05) than Dutch individuals (55% and 68%, respectively). African individuals had lower cognitive donation attitudes compared with Dutch individuals (p < 0·001), but no differences were found for affective attitudes (p = 0·55). High donation awareness was associated with higher cognitive (p < 0·001) and affective (p < 0·05) donation attitudes among African minorities, but not among Dutch individuals. CONCLUSION The lower donation awareness and cognitive attitudes of African minorities should be taken into consideration in donor recruitment. Raising awareness through effective communication strategies might be essential in the donor decision making process of this target group.
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Affiliation(s)
- Elisabeth F Klinkenberg
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, The Netherlands.,Department of Public Health, Amsterdam UMC, Amsterdam Public Health research institute, University of Amsterdam, Amsterdam, The Netherlands
| | - Mirjam P Fransen
- Department of Public Health, Amsterdam UMC, Amsterdam Public Health research institute, University of Amsterdam, Amsterdam, The Netherlands
| | - Wim L A M de Kort
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, The Netherlands.,Department of Public Health, Amsterdam UMC, Amsterdam Public Health research institute, University of Amsterdam, Amsterdam, The Netherlands
| | - Elisabeth M J Huis In 't Veld
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, The Netherlands.,Department of Cognitive Science & Artificial Intelligence, Tilburg University, Tilburg, The Netherlands
| | - Julia C M van Weert
- Amsterdam School of Communication Research / ASCoR, Department of Communication Science, University of Amsterdam, Amsterdam, The Netherlands
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4
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Piersma TW, Klinkenberg EF. The relation between blood donor recruitment and donor diversity and loyalty in the Netherlands. ACTA ACUST UNITED AC 2018. [DOI: 10.1111/voxs.12460] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- Tjeerd W. Piersma
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Center for Philanthropic Studies; VU University; Amsterdam the Netherlands
- Department of Sociology; VU University; Amsterdam the Netherlands
| | - Elisabeth F. Klinkenberg
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Public Health; Amsterdam UMC; University of Amsterdam; Amsterdam Public Health Research Institute; Amsterdam the Netherlands
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Carver A, Chell K, Davison TE, Masser BM. What motivates men to donate blood? A systematic review of the evidence. Vox Sang 2017; 113:205-219. [DOI: 10.1111/vox.12625] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Revised: 11/16/2017] [Accepted: 11/16/2017] [Indexed: 11/29/2022]
Affiliation(s)
- A. Carver
- Mary MacKillop Institute for Health Research; Australian Catholic University; Melbourne Vic. Australia
- Australian Red Cross Blood Service; Melbourne Vic. Australia
| | - K. Chell
- Australian Red Cross Blood Service; Melbourne Vic. Australia
- Queensland University of Technology; Brisbane Qld Australia
| | - T. E. Davison
- Australian Red Cross Blood Service; Melbourne Vic. Australia
| | - B. M. Masser
- Australian Red Cross Blood Service; Melbourne Vic. Australia
- The University of Queensland; St Lucia Qld Australia
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Gebresilase HW, Fite RO, Abeya SG. Knowledge, attitude and practice of students towards blood donation in Arsi university and Adama science and technology university: a comparative cross sectional study. BMC HEMATOLOGY 2017; 17:20. [PMID: 29201379 PMCID: PMC5697394 DOI: 10.1186/s12878-017-0092-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Accepted: 11/03/2017] [Indexed: 11/10/2022]
Abstract
Background Blood can save millions of lives. Even though people do not donate blood regularly, there is a constant effort to balance the supply and demand of blood. The aim of this study was, therefore, to determine the knowledge, attitude and practice of blood donation between university students. Methods The comparative cross sectional study design was used in Adama Science and Technology University and Arsi University from April 11-May 2, 2016.360 students were selected using stratified sampling. Frequencies and proportions were computed. Chi-Square and logistic regressions were carried out and associations were considered significant at p<0.05. Result The study revealed that there was a significant knowledge difference (χ2 = 152.779, p<0.001) and Attitude difference (χ2 = 4.142, p = 0.042) between Health Science students of Arsi University and Non-Health Science students of Adama Science and Technology University. The gender of the students (AOR = 3.150, 95% CI: 1.313, 7.554) was a significant predictor of the level of knowledge of Health Science students. The ethnicity of students (AOR = 2.085, 95% CI: 1.025, 4.243) was a significant predictor of the level of an attitude of Health Science students and gender of students (AOR = 0.343, 95% CI: 0.151, 0.779) was a significant predictor of the level of an attitude of Health Science students. Concerning Non-Health Science students, religion (AOR = 10.173, 95% CI: 1.191, 86.905) and original residence (AOR = 0.289, 95% CI: 0.094, 0.891) were a significant predictor of the level of knowledge of Non-Health Science students. Gender (AOR = 0.389, 95% CI: 0.152, 0.992) and Year of study (AOR = 0.389(0.164, 0.922) were significant predictor of level of attitude of Non-Health Science students. Year of study (AOR = 5.159, 95% CI: 1.611, 16.525) was a significant predictor of level of practice of Health Science students. Conclusion Significant knowledge difference and attitude difference were observed between students from Arsi University and Adama Science and Technology University.
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Affiliation(s)
- Habtom Woldeab Gebresilase
- Department of public Health, College of Health Sciences, Adama General Hospital and Medical College, Adama, Ethiopia
| | - Robera Olana Fite
- Department of Nursing, College of Health Sciences and Medicine, Woliata Sodo University, PO-Box: 138, Woliata sodo, Ethiopia
| | - Sileshi Garoma Abeya
- Department of Social and Population Health, Adama General Hospital and Medical College, Adama, Ethiopia
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Suemnig A, Konerding U, Hron G, Lubenow N, Alpen U, Hoffmann W, Kohlmann T, Greinacher A. Motivational factors for blood donation in first-time donors and repeat donors: a cross-sectional study in West Pomerania. Transfus Med 2017; 27:413-420. [PMID: 28786224 DOI: 10.1111/tme.12450] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2015] [Revised: 06/29/2017] [Accepted: 07/07/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVES This study aimed to analyse motivational factors for blood donation in different donor groups. BACKGROUND As the demographic change will result in a decrease of the population in age groups of blood donors, the risk of blood product shortage increases. METHODS During a 12-month period, every sixth blood donor presenting at the blood donation centre of the University Hospital was asked to complete a self-administered questionnaire assessing motivational factors for blood donation. Despite the formalised enrolment protocol, frequent donors were over-represented in the study cohort, which was adjusted by weighting donors with different numbers of donations per year in such a way that the distribution of numbers of donations per year was the same in the sample as in the donor population. RESULTS Of 2443 participants, 14·3% were first-time and 85·3% repeat donors. To "help other people" (>90%) and receiving "medical assessment of my blood values" (63-69%) were the strongest motivational factors in all donor groups. Receiving remuneration (49·2% vs 38·1%) was more important for repeat donors than for first-time donors, whereas it was the opposite for "being taken by a friend to the donor clinic" (47·0% vs 15·5%). A potentially important observation is that 33·9% of frequent donors reported feeling physically better after blood donation compared to infrequent donors (29·5%). CONCLUSION Identification of motivational factors can lead to the design of targeted motivation campaigns for blood donation. The underlying cause of the perceived well-being after blood donation requires further studies.
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Affiliation(s)
- A Suemnig
- Institut für Immunologie und Transfusionsmedizin, Ernst-Moritz-Arndt-Universität, Greifswald, Germany
| | - U Konerding
- Trimberg Research Academy, Otto-Friedrich-Universität Bamberg, Bamberg, Germany
| | - G Hron
- Institut für Immunologie und Transfusionsmedizin, Ernst-Moritz-Arndt-Universität, Greifswald, Germany
| | - N Lubenow
- Clinical Immunology and Transfusion Medicine, University Hospital, Uppsala, Sweden
| | - U Alpen
- Institut für Immunologie und Transfusionsmedizin, Ernst-Moritz-Arndt-Universität, Greifswald, Germany
| | - W Hoffmann
- Institut für Community Medicine, Ernst-Moritz-Arndt-Universität Greifswald, Greifswald, Germany
| | - T Kohlmann
- Institut für Community Medicine, Ernst-Moritz-Arndt-Universität Greifswald, Greifswald, Germany
| | - A Greinacher
- Institut für Immunologie und Transfusionsmedizin, Ernst-Moritz-Arndt-Universität, Greifswald, Germany
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Bart T, Volken T, Fischer Y, Taleghani BM. Giving blood and enrolling on the stem cell donor registry: ranking of obstacles and motives in Switzerland. Transfus Med Hemother 2014; 41:264-72. [PMID: 25254022 PMCID: PMC4164091 DOI: 10.1159/000365457] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2014] [Accepted: 05/08/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND To obtain a better understanding of factors affecting blood and blood stem cell donation behavior in Switzerland, a series of studies has been performed. In the recent study of this series, which is described here, motivators and barriers in the field of blood and blood stem cell donation were identified. METHODS Web-based survey data from a non-random sample of the Swiss population 2012/2013 (n = 3,153) were used to describe and compare the ranking of motives and obstacles to donate blood and to enroll on the Swiss blood stem cell registry. Wilcoxon rank-sum test and Spearman's rank correlations were used to assess differences and associations between ranks and groups. RESULTS The prospect of saving lives and solidarity were the top two motives to donate blood or to enroll on the blood stem cell registry. The top two obstacles to enroll on the blood stem cell registry were lack of general information on blood stem cell donation and on its risks, whereas the top two obstacles to donate blood were the lack of information where and when to donate and deferral of or exclusion from blood donation. CONCLUSION Classical altruistic motives are top drivers for giving blood as well as registering for blood stem cell donation. Recruitment campaigns should focus on these motivators. Similarities in motivational factors as well as in obstacles regarding blood and blood stem cell donation can be found.
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Affiliation(s)
| | - Thomas Volken
- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
| | | | - Behrouz Mansouri Taleghani
- Transfusionsmedizin, Department of Haematology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
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Newton JD, Newton FJ, Ewing MT, Burney S, Hay M. Conceptual overlap between moral norms and anticipated regret in the prediction of intention: Implications for theory of planned behaviour research. Psychol Health 2013; 28:495-513. [DOI: 10.1080/08870446.2012.745936] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Veldhuizen I, van Dongen A. Motivational differences between whole blood and plasma donors already exist before their first donation experience. Transfusion 2012; 53:1678-86. [DOI: 10.1111/trf.12056] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2012] [Revised: 10/01/2012] [Accepted: 10/01/2012] [Indexed: 12/28/2022]
Affiliation(s)
| | - Anne van Dongen
- Unit Donor Studies; Sanquin Research; Nijmegen; the Netherlands
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Polonsky MJ, Renzaho AM, Ferdous AS, McQuilten Z. African culturally and linguistically diverse communities’ blood donation intentions in Australia: integrating knowledge into the theory of planned behavior. Transfusion 2012; 53:1475-86. [DOI: 10.1111/j.1537-2995.2012.03915.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2012] [Revised: 08/19/2012] [Accepted: 08/19/2012] [Indexed: 11/27/2022]
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Veldhuizen I, Atsma F, van Dongen A, de Kort W. Adverse reactions, psychological factors, and their effect on donor retention in men and women. Transfusion 2012; 52:1871-9. [PMID: 22321030 DOI: 10.1111/j.1537-2995.2011.03551.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Ingrid Veldhuizen
- Department of Donor Studies, Sanquin Research, Nijmegen, the Netherlands.
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Clowes R, Masser BM. Right here, right now: the impact of the blood donation context on anxiety, attitudes, subjective norms, self-efficacy, and intention to donate blood. Transfusion 2011; 52:1560-5. [PMID: 22188546 DOI: 10.1111/j.1537-2995.2011.03486.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND While research has established the role of anticipated emotions in augmented Theory of Planned Behavior (TPB) models of donor behavior, research has yet to consider the impact of immediate emotions that may be triggered by the blood donor context on respondents' intentions to donate blood. This study explored the impact of blood donor paraphernalia on respondents' positivity toward blood donation and on the interrelationships typically observed in TPB blood donation studies. STUDY DESIGN AND METHODS Seventy-six participants were randomly allocated to complete TPB questionnaires assessing attitudes, subjective norm, and self-efficacy along with intention to donate blood in either an affectively "hot" (blood donation paraphernalia) or a cold (control) condition. Anxiety about donating blood was also assessed. RESULTS Respondents in the affectively hot condition reported significantly greater anxiety about donating blood along with less positive attitudes, weaker subjective norms, lower self-efficacy, and lower intention to donate than respondents in the cold control condition. In support of extant TPB research, correlational analyses indicated that the relationships between attitudes, self-efficacy, and intention were not impacted upon by condition. CONCLUSION Blood donation paraphernalia induces anxiety in donors and results in diminished positivity toward donating. An awareness of what donors experience as a function of the context of blood donation may allow blood services to effectively intervene to bolster donors' positivity toward blood donation at the point where donation can take place.
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Affiliation(s)
- Rebekah Clowes
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
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Newton JD, Ewing MT, Burney S, Hay M. Resolving the theory of planned behaviour's 'expectancy-value muddle' using dimensional salience. Psychol Health 2011; 27:588-602. [PMID: 21879806 DOI: 10.1080/08870446.2011.611244] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The theory of planned behaviour is one of the most widely used models of decision-making in the health literature. Unfortunately, the primary method for assessing the theory's belief-based expectancy-value models results in statistically uninterpretable findings, giving rise to what has become known as the 'expectancy-value muddle'. Moreover, existing methods for resolving this muddle are associated with various conceptual or practical limitations. This study addresses these issues by identifying and evaluating a parsimonious method for resolving the expectancy-value muddle. Three hundred and nine Australian residents aged 18-24 years rated the expectancy and value of 18 beliefs about posthumous organ donation. Participants also nominated their five most salient beliefs using a dimensional salience approach. Salient beliefs were perceived as being more likely to eventuate than non-salient beliefs, indicating that salient beliefs could be used to signify the expectancy component. The expectancy-value term was therefore represented by summing the value ratings of salient beliefs, an approach that predicted attitude (adjusted R2 = 0.21) and intention (adjusted R2 = 0.21). These findings suggest that the dimensional salience approach is a useful method for overcoming the expectancy-value muddle in applied research settings.
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Affiliation(s)
- Joshua D Newton
- School of Psychology and Psychiatry, Caulfield Campus, Monash University, P.O. Box 197, Caulfield East, Victoria 3145, Australia
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Veldhuizen I, Ferguson E, de Kort W, Donders R, Atsma F. Exploring the dynamics of the theory of planned behavior in the context of blood donation: does donation experience make a difference? Transfusion 2011; 51:2425-37. [DOI: 10.1111/j.1537-2995.2011.03165.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Affiliation(s)
- Juergen Ringwald
- Department of Transfusion Medicine and Haemostaseology, University Hospital of Erlangen, Erlangen, Germany.
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