1
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Chen L, Zhou Y, Zhang S, Xiao M. How anxiety relates to blood donation intention of non-donors: the roles of moral disengagement and mindfulness. THE JOURNAL OF SOCIAL PSYCHOLOGY 2024; 164:43-58. [PMID: 35152848 DOI: 10.1080/00224545.2021.2024121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 12/20/2021] [Indexed: 10/19/2022]
Abstract
Blood donation anxiety is a major psychological obstacle for blood donation. However, it remains unclear what the mechanism underlying the relationship between anxiety and blood donation intention is and what factor(s) will buffer the negative effects of anxiety. Based on social cognitive theory, we theorized a model delineating the mechanism with which blood donation anxiety was related to blood donation intention. Data were collected in a three-wave online survey including 425 individuals and was analyzed using hierarchical multiple regression with SPSS 24.0 software. The results indicated that the negative relationship between blood donation anxiety and blood donation intention was mediated by moral disengagement. Meanwhile, mindfulness was found to play a buffering role in the relationship between blood donation anxiety and moral disengagement as well as the indirect relationship between blood donation anxiety and blood donation intention via moral disengagement. Our findings advanced the understanding of the detrimental consequences of blood donation anxiety and demonstrated that while blood donation anxiety came at a high cost, it can be managed.
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Affiliation(s)
| | - Yufeng Zhou
- Chongqing Technology and Business University
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2
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Hughes SD, France CL, West-Mitchell KA, Pina T, McElfresh D, Sayers M, Bryant BJ. Advancing Understandings of Blood Donation Motivation and Behavior. Transfus Med Rev 2023; 37:150780. [PMID: 37996288 DOI: 10.1016/j.tmrv.2023.150780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 10/23/2023] [Accepted: 10/23/2023] [Indexed: 11/25/2023]
Abstract
In this review, we provide critical analysis of social science research into blood donation motivation and behavior. We first share an understanding of the existing literature and recommendations for future research collectively developed by members of the Working Group on Blood Donors and the Supply: Diversifying while Maintaining the Donor Pool, Donor Selection, and Optimizing Blood Availability and Safety, as part of the National Heart, Lung, and Blood Institute's 2022 State of the Science in Transfusion Medicine symposium. Then, rather than aim for a comprehensive treatment, we review 4 newer manuscripts that exemplify aspects of the group's recommendations and report results from countries where the blood supply is based on voluntary, nonremunerated donations. From the substantial existing literature, we selected: (1) a study that employed motivational interviewing techniques, thematic analysis, and surveys to link donation motivations and barriers reported by diverse young donors in the United States to actual donation behavior over a year of subsequent eligibility; (2) a survey regarding donation motivations and barriers and monetary amounts associated with willingness to participate in whole blood, plasma, or platelet collection; (3) a survey-based assessment of various emotional states reported by donors at 2 time points during donation and the relationship between emotional experience and subsequent vasovagal reactions; and (4) an interpretive discourse analysis of blood collection agency messaging to donors and the public in the beginning of the COVID-19 pandemic. We close by noting several challenges posed by the structure of the United States blood system and the current funding environment to conducting rigorous research and translating findings into practice.
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Affiliation(s)
- Shana D Hughes
- Vitalant Research Institute, University of California San Francisco, San Francisco, CA, USA; Department of Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA.
| | | | - Kamille A West-Mitchell
- Department of Transfusion Medicine, NIH Clinical Center, National Institutes of Health, Bethesda, MD, USA
| | - Theresa Pina
- Gulf Coast Regional Blood Center, Houston, TX, USA
| | - Duncan McElfresh
- Department of Medicine, Stanford University, Stanford, CA, USA; US Department of Veterans Affairs, Program Evaluation Resource Center, Office of Mental Health and Suicide Prevention, Menlo Park, CA, USA
| | - Merlyn Sayers
- University of Texas Southwestern Medical Center, Dallas, TX, USA; Carter BloodCare, Bedford, TX, USA
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3
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Balderas J, Bistricky SL, Gimenez-Zapiola M, Pascuzzi B, Millmann M, Short MB. Brief Online Intervention Model Promotes Sustained Helping Behavior Across 6 Months Following a Population-Wide Traumatic Event. Psychol Rep 2023:332941231164071. [PMID: 37079929 DOI: 10.1177/00332941231164071] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/22/2023]
Abstract
BACKGROUND Following natural disasters, early helping behavior often dissipates despite remaining disaster-related suffering and affective vulnerability in the community. Interventions that have successfully increased helping behaviors have included components of motivational interviewing (MI) and mindful compassion; however, this research is limited by laboratory-based settings and lengthy training sessions. Brief, portable, and efficient intervention is needed to increase accessibility to large groups simultaneously. METHOD The current study piloted a brief, online, self-administered MI and mindful compassion intervention administered 4-10 weeks post-Hurricane Harvey examining if it would sustain helping behaviors over the ensuing year. The study also examined potential moderators of the relationship between compassion for others and internalizing symptoms, and whether helping behaviors predicted post-traumatic stress symptoms. RESULTS The intervention group sustained the use of helping behaviors more than an active control group after 9-12 months. Also, compassion satisfaction and burnout moderated the relationship between compassion for others and post-traumatic stress and depressive symptoms at follow-up. CONCLUSIONS Results suggest a potentially useful model of how an efficiently distributed intervention might sustain helping behaviors after a natural disaster and provide insight into possible longitudinal risk and protective factors for post-traumatic stress and depressive symptoms among helping volunteers.
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Affiliation(s)
- Jessica Balderas
- Department of Psychology, University of Kansas, Lawrence, KS, USA
| | - Steven L Bistricky
- Department of Psychology, University of Houston-Clear Lake, Houston, TX, USA
| | | | - Bailey Pascuzzi
- Department of Psychology, University of Houston-Clear Lake, Houston, TX, USA
| | - Megan Millmann
- Department of Psychology, University of Houston-Clear Lake, Houston, TX, USA
| | - Mary B Short
- Department of Psychology, University of Houston-Clear Lake, Houston, TX, USA
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4
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France CR, France JL, Ysidron DW, Martin CD, Duffy L, Kessler DA, Rebosa M, Rehmani S, Frye V, Shaz BH. Blood donation motivators and barriers reported by young, first-time whole blood donors: Examining the association of reported motivators and barriers with subsequent donation behavior and potential sex, race, and ethnic group differences. Transfusion 2022; 62:2539-2554. [PMID: 36281204 PMCID: PMC9742189 DOI: 10.1111/trf.17162] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/11/2022] [Accepted: 10/11/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND A greater understanding of young, first-time donor motivators and barriers is needed to address the ongoing challenge of retaining these essential donors. STUDY DESIGN AND METHODS Structured interviews conducted with 508 young, first-time whole blood donors [66.1% female; Mean Age = 19.4 (SD = 2.5) years] were coded to identify reported motivators and barriers. Reported motivators and barriers were then examined for their association with attempted donation behavior over a 14-month follow-up, and for potential sex, race, and ethnic group differences in the frequency of endorsement. RESULTS Prosocial motivation (e.g., altruism) was the most commonly reported motivator and fear (e.g., fainting, needles) was the most commonly reported barrier. Donation behavior was unrelated to reported motivators, but was significantly related to four reported barriers including fear of fainting/dizziness, fear of needles/pain, having personal commitments that conflict with donating, and perceiving oneself as unsuited to donate for health reasons. Sex, racial, and ethnic differences were noted with respect to the percentages of donors reporting several donation-related motivators and barriers. CONCLUSION The present findings identify donation-related barriers that could be important targets to address in the effort to encourage new young donors and to retain these new donors for the long term. Importantly, these data also highlight the importance of considering individual differences in donor motivation as a function of sex, race, and ethnicity.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Victoria Frye
- City University of New York School of Medicine, Community Health and Social Medicine, New York, NY, USA
| | - Beth H. Shaz
- Department of Pathology, Duke University School of Medicine, Durham, NC, USA
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5
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France CR, France JL, Himawan LK. What would it take to convince you to donate? A survey study of the relationship between motivators, barriers, and payment for whole blood, plasma, and platelet donation. Transfusion 2022; 62:1251-1260. [PMID: 35467768 PMCID: PMC9322277 DOI: 10.1111/trf.16886] [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: 02/21/2022] [Revised: 03/30/2022] [Accepted: 03/30/2022] [Indexed: 01/05/2023]
Abstract
Background With growing discussion about blood donor remuneration, the present study examined the level of payment that may be required to convince individuals to engage in whole blood, plasma, and platelet donations. Study Design and Methods Anonymous online surveys were completed by a college sample [n = 490; 76.9% female; Mean Age = 20.3 (SD = 4.9) years; 32.9% whole blood donors] and a ResearchMatch sample [n = 323; 70.6% female; Mean Age = 50.7 (SD = 16.6) years; 82.7% whole blood donors]. Level of payment needed to motivate whole blood, plasma, and platelet donation was examined as a function of donation history, sample, and gender. In addition, path analyses examined associations between donation motivators, barriers, and payment level. Results Across all types of donation, history of whole blood donation was related to a greater willingness to donate without payment. At the same time, however, sizeable portions of prior donors indicated that monetary payment would convince them to donate whole blood (24%), plasma (51%), or platelets (57%). Across all types of donation, donation‐related barriers (i.e., anxiety, fear) were indirectly related to higher payment levels via lower self‐efficacy and more negative donation attitudes. Donation‐related motivators (i.e., warm glow, regret, and altruism) were indirectly related to lower payment levels via higher self‐efficacy and more positive donation attitudes. Conclusion Despite reporting a strong commitment to nonremunerated blood donation, many respondents with and without a history of blood donation indicated that money would convince them to engage in whole blood, plasma, and platelet donation.
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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
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6
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France CR, France JL, Himawan LK, Duffy L, Kessler DA, Rebosa M, Rehmani S, Frye V, Shaz BH. Fear is associated with attrition of first-time whole blood donors: A longitudinal examination of donor confidence and attitude as potential mediators. Transfusion 2021; 61:3372-3380. [PMID: 34535897 DOI: 10.1111/trf.16671] [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: 08/04/2021] [Revised: 09/10/2021] [Accepted: 09/10/2021] [Indexed: 01/02/2023]
Abstract
BACKGROUND Elevated fear and anxiety regarding donation-related stimuli (e.g., needles, pain, blood, fainting) has been associated with reduced blood donor recruitment and retention. The present longitudinal study tests the notion that this inverse relationship may be accounted for by lower donation confidence and more negative donation attitudes among fearful first-time donors. STUDY DESIGN AND METHODS In a sample of 1479 first-time whole blood donors [67.9% female; mean age = 19.3 (standard deviation (SD) = 2.5) years], path analyses were conducted to examine relationships among donor ratings of fear of blood draw and donation anxiety obtained approximately 1 week after donation, donation confidence and attitudes assessed approximately 6 weeks later, and donation attempts over the 14 months following the original donation. RESULTS Path analyses indicated that both fear of blood draws and donation anxiety were associated with fewer attempted donations, and that these effects were indirectly mediated by a combination of lower donor confidence and more negative donation attitudes. CONCLUSION Because retention of new blood donors is essential to maintain a healthy blood supply, the results of the present study suggest that first-time donors should be assessed for fear and anxiety so that appropriate strategies can be provided to address their concerns, bolster their confidence and attitudes, and ultimately promote their long-term retention.
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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
| | | | | | - Mark Rebosa
- New York Blood Center, New York, New York, USA
| | | | - Victoria Frye
- Department of Community Health and Social Medicine, City University of New York School of 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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7
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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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8
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Rael CT, Pierre D, Frye V, Kessler D, Duffy L, Malos N, Van Tieu H. Evaluating blood donor experiences and barriers/facilitators to blood donation in the United States using YouTube video content. Transfusion 2021; 61:2650-2657. [PMID: 34196004 DOI: 10.1111/trf.16568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 06/14/2021] [Accepted: 06/14/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Understanding donor perception of the blood donation experience is central to maintaining an adequate blood supply. Studies that use questionnaires to assess barriers/facilitators to donation may be influenced by response bias. To address this, we conducted an innovative study integrating quantitative informatic techniques with qualitative data analysis of YouTube video content to explore donor experiences and barriers and facilitators to whole blood donation. METHODS Sampling of YouTube videos was conducted using search parameters for identifying relevant videos, based on donors' language used to describe their whole blood donation experiences (e.g., blood donation, blood donor, donated blood, gave/give blood). We eliminated duplicate videos; filtered out non-English videos, those made outside the United States, and those with no transcripts; and restricted the time period during which videos were posted from 2015 to 2019. Search parameters were fed into a Python script, which downloaded video transcripts for all search results. The final sample was 102 noncommercial and 34 commercial transcripts. The subsequent transcriptions were uploaded into qualitative analysis software and coded two coders. A third coder randomly selected transcripts to review to ensure consistency. RESULTS Barriers to whole blood donation include having prior negative experiences with donation and donation-related fear. Facilitators included altruism, having a personal connection to donation, donation center incentives, and positive experiences with blood center staff. CONCLUSION Themes identified in this study were similar to those in the existing literature. This suggests that current questionnaires to address barriers/facilitators to donation are unlikely to be meaningfully impacted by response bias.
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Affiliation(s)
| | - Dominique Pierre
- National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA), New Haven, Connecticut, USA
| | - Victoria Frye
- Department of Community Health and Social Medicine, CUNY School of Medicine, New York, New York, USA.,Laboratory of Infectious Disease Prevention, New York Blood Center, New York, New York, USA
| | - Debra Kessler
- Laboratory of Infectious Disease Prevention, New York Blood Center, New York, New York, USA
| | - Louisa Duffy
- Laboratory of Infectious Disease Prevention, New York Blood Center, New York, New York, USA
| | - Nick Malos
- Laboratory of Infectious Disease Prevention, New York Blood Center, New York, New York, USA
| | - Hong Van Tieu
- Laboratory of Infectious Disease Prevention, New York Blood Center, New York, New York, USA
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9
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Guglielmetti Mugion R, Pasca MG, Di Di Pietro L, Renzi MF. Promoting the propensity for blood donation through the understanding of its determinants. BMC Health Serv Res 2021; 21:127. [PMID: 33550982 PMCID: PMC7868170 DOI: 10.1186/s12913-021-06134-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 01/28/2021] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND The paper aims to understand the main antecedents related to the blood donation propensity related to both donors and non-donors. With our research, we will analyse the two perspectives to identify similarities and differences concentrating on the Italian context. Blood is a vital resource that strongly affects every national healthcare system's efficacy and sustainability and the system's ability to achieve the goal of universal coverage. METHODS The purpose of this paper is to understand the main antecedents of citizens' blood donation intention and the propensity to encourage communication about blood donation among both donors and non-donors. The Theory of Planned Behaviour is adopted as a theoretical lens. An empirical investigation was performed in Italy, adopting a mixed methods research design. First, a qualitative analysis was carried out through 30 in-depth interviews. Then, a survey was used to quantitatively investigate the intention to donate among both donors (N = 173) and non-donors (N = 87). A conceptual model was developed and tested through Structural Equation Modelling, developing a multi-group approach. RESULTS The present study confirms the relations proposed by the Theory of Planned Behaviour, even though some differences between the two groups are shown. The construct Information and Communication is crucial for donors, non-donors, whereas for non-donor inhibitors is vital. Service quality has an impact on the propensity to recommend and communicate the value of blood donation. CONCLUSION This paper reveals the main differences between donor and non-donor perspectives. Fruitful insights for enhancing blood donation awareness are provided.
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10
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Jensen KS, Masser BM, Davison TE, Van Dyke N, France JL, France CR. Assessing the impact of an automated Web-based motivational interview on the intention and return behavior of Australian O-negative donors. Transfusion 2020; 61:1122-1133. [PMID: 33368393 DOI: 10.1111/trf.16234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 11/22/2020] [Accepted: 11/22/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND O-negative donors are a critical resource for blood collection agencies, and their recruitment and retention provides an ongoing challenge. Motivational interviewing shows promise as a tool to promote donor retention, although concerns about scalability remain. The current study examined the effect of an automated Web-based interview drawing on motivational interviewing and self-determination theory on O-negative donors' motivation, intention, and behavior. STUDY DESIGN AND METHODS Within 13 days of donating, 2820 O-negative donors completed baseline measures of motivation and intention before being randomly assigned to complete either a motivational interview (MI) or active control interview (ACI). Motivation and intention were assessed at 2 days and at 7 weeks after participation in the MI or ACI, with return behavior tracked for 6 months following trial completion. RESULTS Changes in donor motivation and intention, rate, and time to return did not vary by participation in the MI or ACI. When compared with O-negative donors who experienced business-as-usual practices, donors completing the MI or ACI returned to donate more, and they returned more quickly. However, subsequent exploratory analyses considering the behavior of those who did not accept the invitation to participate and those who completed only baseline measures showed that the improved return behavior of donors in the MI or ACI conditions was likely not due to any specific properties of the MI or ACI activities. CONCLUSIONS Australian O-negative donors were highly internally motivated and committed to donating. An automated Web-based motivational interview appears to be of limited effectiveness in promoting the return of such donors.
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Affiliation(s)
- Kyle S Jensen
- Research and Development, Australian Red Cross Lifeblood, Kelvin Grove, Queensland, Australia
| | - Barbara M Masser
- Research and Development, Australian Red Cross Lifeblood, Kelvin Grove, Queensland, Australia.,School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
| | - Tanya E Davison
- Research and Development, Australian Red Cross Lifeblood, St Kilda, Victoria, Australia
| | - Nina Van Dyke
- Research and Development, Australian Red Cross Lifeblood, St Kilda, Victoria, Australia
| | - Janis L France
- Department of Psychology, Ohio University, Athens, Ohio, USA
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11
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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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12
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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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13
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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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14
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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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15
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France CR, France JL. Fear of donation-related stimuli is reported across different levels of donation experience. Transfusion 2017; 58:113-120. [DOI: 10.1111/trf.14382] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 09/14/2017] [Accepted: 09/14/2017] [Indexed: 11/26/2022]
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16
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Klinkenberg EF, Romeijn B, de Kort WL, Merz EM. Reasons to end the donor career: a quantitative study among stopped blood donors in the Netherlands. Transfus Med 2017; 28:200-207. [DOI: 10.1111/tme.12442] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Revised: 06/07/2017] [Accepted: 06/07/2017] [Indexed: 11/26/2022]
Affiliation(s)
- E. F. Klinkenberg
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Public Health, Academic Medical Center; University of Amsterdam; Amsterdam the Netherlands
| | - B. Romeijn
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
| | - W. L. de Kort
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Public Health, Academic Medical Center; University of Amsterdam; Amsterdam the Netherlands
| | - E.-M. Merz
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Sociology; VU University Amsterdam; Amsterdam the Netherlands
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17
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France CR, France JL, Carlson BW, Himawan LK, Kessler DA, Rebosa M, Shaz BH, Madden K, Carey PM, Slepian PM, Ankawi B, Livitz IE, Fox KR. A motivational interview promotes retention of blood donors with high internal motivation. Transfusion 2017; 57:2433-2439. [PMID: 28671277 DOI: 10.1111/trf.14203] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 05/12/2017] [Accepted: 05/12/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Based on the hypothesis that self-determined motivation is associated with an increased likelihood of future behavior, the present study examined the ability of a motivational interview to promote internal motivation for giving blood and future donation attempts. STUDY DESIGN AND METHODS A sample of 484 recent whole-blood and double red blood cell donors (62.4% female; age = 30.2 ± 11.8 years) were randomly assigned to either a telephone-delivered motivational interview or a control call approximately 6 weeks after donating. Several weeks before the call and again 1 week after the call, participants completed the Blood Donor Identity Survey, a multidimensional measure of donor motivation, to derive indices of amotivation, external motivation, and internal motivation to give blood. Repeat donation attempts were tracked using blood center records. RESULTS Relative to controls, participants in the motivational interview group showed a shift toward more self-determined motivation, as indicated by significant decreases in amotivation (p = 0.01) and significant increases in external (p = 0.009) and internal (p = 0.002) motivation. Furthermore, those with initially high levels of autonomous motivation were more likely to make a donation attempt in the subsequent year if they completed the motivational interview (71.1%) versus the control call (55.1%). CONCLUSION Motivational interviewing is a potentially useful strategy to enhance retention of existing blood donors, particularly among those who express a greater sense of internal motivation for giving.
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Affiliation(s)
| | | | | | | | | | | | | | - Katrala Madden
- Hoxworth Blood Center, University of Cincinnati, Cincinnati, Ohio
| | - Patricia M Carey
- Hoxworth Blood Center, University of Cincinnati, Cincinnati, Ohio
| | | | - Brett Ankawi
- Department of Psychology, Ohio University, Athens, Ohio
| | | | - Kristen R Fox
- Department of Psychology, Ohio University, Athens, Ohio
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Fox KR, Himawan LK, France CR. The Blood Donation Ambivalence Survey: measuring conflicting attitudes about giving blood. Transfus Med 2017; 28:193-199. [DOI: 10.1111/tme.12426] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 04/03/2017] [Accepted: 04/28/2017] [Indexed: 11/30/2022]
Affiliation(s)
- K. R. Fox
- Department of Psychology; Ohio University; Athens Ohio USA
| | - L. K. Himawan
- Department of Psychology; Ohio University; Athens Ohio USA
| | - C. R. France
- Department of Psychology; Ohio University; Athens Ohio USA
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Livitz IE, Fox KR, Himawan LK, France CR. A brief motivational interview promotes internal motivation to donate blood among young adults with and without a prior donation history. Transfusion 2017; 57:1527-1535. [DOI: 10.1111/trf.14073] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2016] [Revised: 01/20/2017] [Accepted: 01/21/2017] [Indexed: 11/30/2022]
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20
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France CR, France JL, Carlson BW, Frye V, Duffy L, Kessler DA, Rebosa M, Shaz BH. Applying self-determination theory to the blood donation context: The blood donor competence, autonomy, and relatedness enhancement (Blood Donor CARE) trial. Contemp Clin Trials 2016; 53:44-51. [PMID: 27979752 DOI: 10.1016/j.cct.2016.12.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Revised: 11/29/2016] [Accepted: 12/03/2016] [Indexed: 12/18/2022]
Abstract
The Blood Donor Competency, Autonomy, and Relatedness Enhancement (Blood Donor CARE) project was designed as a practical application of self-determination theory to encourage retention of first-time donors. Self-determination theory proposes that people are more likely to persist with behaviors that are internally-motivated, and that externally-motivated behavior can evolve and become internalized given the appropriate socio-environmental conditions. According to self-determination theory, motivation to engage in blood donation may become increasingly self-determined if the behavior satisfies fundamental human needs for competence (a sense of self-efficacy to achieve specific goals), autonomy (a sense of volitional control over one's behavior), and relatedness (a sense of connection to a larger group). The primary aim of this randomized controlled trial is to examine the effect of competence, autonomy, and/or relatedness interventions on donor retention. Using a full factorial design, first-time donors will be assigned to a control condition or one of seven intervention conditions. Donation competence, autonomy, and relatedness, along with additional constructs associated with return donation, will be assessed before and after the intervention using online surveys, and donation attempts will be tracked for one-year using blood center donor databases. We hypothesize that, compared to the control condition, the interventions will increase the likelihood of a subsequent donation attempt. We will also examine intervention-specific increases in competence, autonomy, and relatedness as potential mediators of enhanced donor retention. By promoting first-time donor competence, autonomy, and relatedness our goal is to enhance internal motivation for giving and in so doing increase the likelihood of future donation.
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Affiliation(s)
| | - Janis L France
- Department of Psychology, Ohio University, Athens, OH, USA
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21
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Masser BM, Davison TE, Chapman CM. How can we encourage our voluntary non-remunerated donors to donate more frequently? ACTA ACUST UNITED AC 2016. [DOI: 10.1111/voxs.12312] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- B. M. Masser
- School of Psychology; The University of Queensland; St Lucia Brisbane QLD Australia
- Clinical Services and Research; The Australian Red Cross Blood Service; Melbourne VIC. Australia
| | - T. E. Davison
- Clinical Services and Research; The Australian Red Cross Blood Service; Melbourne VIC. Australia
| | - C. M. Chapman
- School of Psychology; The University of Queensland; St Lucia Brisbane QLD Australia
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Masser BM, France CR, Himawan LK, Hyde MK, Smith G. The impact of the context and recruitment materials on nondonors' willingness to donate blood. Transfusion 2016; 56:2995-3003. [DOI: 10.1111/trf.13805] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Revised: 06/20/2016] [Accepted: 07/25/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Barbara M. Masser
- School of Psychology; The University of Queensland, St Lucia, Queensland, Australia
- Clinical Services and Research, The Australian Red Cross Service, Australia
| | | | | | - Melissa K. Hyde
- Menzies Health Institute Queensland, Griffith University; Gold Coast Campus Southport Queensland Australia
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23
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Eder AF. Knowns, unknowns, and perceptions in between. Transfusion 2016; 56:1491-5. [PMID: 27295023 DOI: 10.1111/trf.13668] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Accepted: 04/20/2016] [Indexed: 12/14/2022]
Affiliation(s)
- Anne F Eder
- Blood Services Section, Department of Transfusion Medicine, Georgetown University School of Medicine, Washington, DC
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