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Hyde MK, Kumarasinghe M, Masser BM. A rapid review of motives and barriers for living substance of human origin donation and an extended typology. Transfus Med 2024. [PMID: 39045780 DOI: 10.1111/tme.13067] [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: 12/19/2023] [Revised: 05/03/2024] [Accepted: 07/05/2024] [Indexed: 07/25/2024]
Abstract
Our objective is to review motives and barriers for non-reproductive, living substance of human origin (SoHO) donation, and to extend existing typologies beyond blood. The expansion of SoHO collection is currently unmatched by increased living donors. Thus, there is a critical need to understand how to effectively recruit and retain donors to ensure a sustainable supply of SoHO. We undertook a rapid review and narrative synthesis of published, peer-reviewed literature reporting on motives and/or barriers for living SoHO donation (whole-blood, blood products [2009-2023], bone marrow/stem cells, cord blood, organ, human breast milk, intestinal microbiota [2000-2023]). Results were interpreted through directed qualitative content analysis using an extended typology of motives/barriers largely drawn from blood donation research, and subsequently refined based on results to be inclusive of other SoHO. 234 articles with 237 studies met review criteria. Most were quantitative (74.3%), conducted in Western countries (63.8%), focused on blood donation (64.2%), reported motives and barriers (51.9%) and did not examine differences by donor characteristics or history (74%). We present a revised typology inclusive of motives/barriers for donation of substances beyond blood. This shows while broader motives and barriers are shared across substances donated, there are critical differences at the subcategory level that may account for heterogeneity in results of prior interventions. The nuances in how broad categories of motives and barriers manifest across different SoHO are critical for blood collection agencies to consider as they attempt to expand collection of products beyond whole-blood, plasma, and platelets. WHAT IS KNOWN ABOUT THE TOPIC?: Blood collection agencies (BCAs) continue to expand SoHO product collection beyond whole-blood, plasma, and platelets. The demand for SoHO is currently unmatched by increased living donors. The need to understand how to recruit new and retain existing living donors to ensure a sustainable supply of SoHO remains critical. However, there is no available synthesis of the factors, such as motives/facilitators and barriers/deterrents, to inform our understanding. WHAT IS NEW?: Comprehensively reviewed evidence for motives and barriers of willing/actual donors and nondonors across all types of non-reproductive living SoHO donation. Explored variations in motives and barriers based on substance, donor history and demographic differences (gender, age, ethnicity or culture). Extended typology of motives and barriers inclusive of all non-reproductive living SoHO, beyond solely whole-blood and blood products. Identified that while there are commonalities in the overarching motive and barrier categories across substances (e.g., prosocial motivation, low self-efficacy), within these broader constructs there are differences at the subcategory level (e.g., low-self efficacy was about eligibility, lifestyle barriers, or lack/loss of financial or material resources depending on the substance donated) that are crucial for development of future interventions and for BCAs to consider as they expand SoHO product collection. Highlighted the continued focus on motives and barriers for whole-blood and blood product donation to the exclusion of other, particularly newer, SoHO; lack of qualitative work for newer SoHO; and lack of consideration of differences based on donor characteristics (especially ethnicity/culture) and donor history, which limits our understanding. WHAT ARE THE KEY QUESTIONS FOR FUTURE WORK ON THE TOPIC?: What are the motives and barriers (in both qualitative and quantitative studies) for donation of newer SoHO such as stem cells, cord blood, human milk, and intestinal microbiota? Are there differences in motives and barriers within and across SoHO that are informed by individual and contextual-level factors? How can we develop interventions that respond to the nuances of motives and barriers present across different forms of SoHO that are effective in encouraging new and maintaining continuing donors?
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Affiliation(s)
- Melissa K Hyde
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
| | - Meenu Kumarasinghe
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
| | - Barbara M Masser
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
- Research and Development, Australian Red Cross Lifeblood, Melbourne, Victoria, Australia
- National Institute for Health and Care Research Blood and Transplant Research Unit in Donor Health and Behaviour, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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Samreen S, Sales I, Bawazeer G, Wajid S, Mahmoud MA, Aljohani MA. Assessment of Beliefs, Behaviors, and Opinions About Blood Donation in Telangana, India-A Cross Sectional Community-Based Study. Front Public Health 2021; 9:785568. [PMID: 34957036 PMCID: PMC8695873 DOI: 10.3389/fpubh.2021.785568] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 11/15/2021] [Indexed: 11/13/2022] Open
Abstract
Background and Objectives: Blood is an essential body fluid primarily required for regulating the body's systems and maintaining homeostasis. In developed and developing countries, concern about the demand and supply for blood is increasing. The current study aims to assess the beliefs, behaviors, and opinions of the public toward blood donation. Methods: This was a cross-sectional study in which a self-created questionnaire with 17-items was used for data collection. The self-administered questionnaire was disseminated between November 2019 and January 2020 through social media (WhatsApp© and Facebook©). Data was analyzed using SPSS program version 26. Results: A total of 356 questionnaires were completed with a response rate of 89%. The majority of participants were male 253 (71.1%), 336 (94.4%) considered blood donation important, 350 (98.3%) believed that blood donation saves lives, and 254 (71.3%) agreed to receive blood from voluntary donors. One-hundred sixty-seven (49.4%) were willing to donate blood voluntarily. The barriers to blood donation were fear of needles 86 (24.2%), fear of contracting a chronic disease 84 (23.6%), and lack of time 40 (11.2%). One day off (91.9%) and receiving a token 73.6% were common motivational factors for blood donation. Overall, 57% of the participants had favorable attitudes toward blood donation and 41.9% were knowledgeable. Favorable attitudes were significantly associated with being married (P = 0.018) and having university level of education (P = 0.005). Younger participants (18-29 years) had a statistically significant better knowledge than older participants (≥30 years). Conclusion: The respondents displayed positive beliefs, opinions, and motivation toward blood donation. Additionally, most of them considered blood donation an important act and a national duty of every individual and are willing to donate in the future.
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Affiliation(s)
- Sana Samreen
- Volunteering Researcher in the Clinical Pharmacy Department, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Ibrahim Sales
- Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Ghada Bawazeer
- Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Syed Wajid
- Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Mansour Adam Mahmoud
- Department of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, Al-Madinah, Saudi Arabia
| | - Majidah A Aljohani
- Pharmaceutical Care Division, King Saud Medical City, Riyadh, Saudi Arabia
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Padilla-Garrido N, Fernández-Herrera MD, Aguado-Correa F, Rabadán-Martín I. Motivators, barriers and communication channels for blood donation in relation to students at a university in Spain. Transfus Apher Sci 2021; 60:103270. [PMID: 34509384 DOI: 10.1016/j.transci.2021.103270] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 09/01/2021] [Accepted: 09/02/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND Targeting young people to donate blood is a particularly promising option. The aim of this work was to know the motivators, barriers and preferred communication channels for blood donation among university students, and to determine the factors that explain why donors give blood. MATERIALS AND METHODS A questionnaire was distributed to 420 students (response rate: 88.3 %) attending the University of Huelva (Spain). Data were gathered on sociodemographic variables, blood donation history, motivators and barriers to donation, and communication channels. Non-parametric contrasts were used to determine possible differences in the sociodemographic characteristics or donation history, and logistic regression to determine the factors associated to donation. RESULTS 67.38 % of the students surveyed were non-donors, 12.94 % were first-time donors, 11.05 % were infrequent donors and 8.63 % were frequent donors. "Solidarity" was the main motivator for donating blood (40 %). "Lack of information on where and how to give blood" was the main barrier for non-donors (26.4 %), with "medical reasons" cited by first-time donors (22.2 %). 93.8 % of donors wished to be notified about their next donation appointment. The majority of those surveyed preferred e-mail to receive alerts and information on donation campaigns. The factors that explained blood donation were over 26 years of age and place of residence. CONCLUSION The study identified differences in the motivators, barriers and choice of communication channel among the university students in terms of blood donation, and the factors that explain blood donation. This knowledge is a useful source of information when designing blood donation campaigns that target young people.
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The effect of the video and brochure via donor recruitment on fear, anxiety and intention: Randomized controlled trial. Transfus Apher Sci 2020; 59:102698. [DOI: 10.1016/j.transci.2019.102698] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Revised: 11/13/2019] [Accepted: 11/26/2019] [Indexed: 11/19/2022]
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Abstract
This work is aimed at further developing the study of blood nondonor behaviour through a joint analysis of sociodemographic characteristics, psychological and physical barriers, impure altruism and anticipated emotions, as predictors of intention to donate. To that end, a step-by-step hierarchical regression analysis was applied on a sample of 2383 Spanish nondonors. The study’s results confirm the influence of traditional variables (sociodemographic characteristics, psychological and physical barriers and impure altruism), as well as the power of anticipated emotions, both positive and negative, of donation action and inaction as variables explaining the intention to donate. Another important contribution has been to develop the moderating role of psychological and physical barriers, in addition to impure altruism, on cause–effect relationships between anticipated emotions and intention to donate. A number of practical implications can be derived from this study for transfusion centres responsible for donation promotion.
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Cicolini G, Comparcini D, Alfieri S, Zito E, Marta E, Tomietto M, Simonetti V. Nursing students' knowledge and attitudes of blood donation: A multicentre study. J Clin Nurs 2019; 28:1829-1838. [PMID: 30667106 DOI: 10.1111/jocn.14792] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Revised: 11/12/2018] [Accepted: 12/18/2018] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To investigate factors involved in the blood donation (BD) in a population of Italian nursing students (NSs). BACKGROUND Young people are still numerically limited among potential blood donors. Recent research on this topic has underlined the need to promote recruitment programmes and focused advertising campaigns to specific targeted population. DESIGN Cross-sectional study. The STROBE checklist was used to grant adequate and complete reporting of research. METHODS The study was carried out in five Italian Universities, and a structured, 22-item questionnaire was distributed to 532 NSs (mean age = 24.64, SD = 7.41, min = 19; max = 55; population, female = 80.8% of total) to explore propensity, obstacles, knowledge of BD and to assess associations between variables. Descriptive (frequency, mean and SD) and inferential (χ2 ) statistics were conducted. RESULTS The overall level of knowledge among NSs donors is high, when compared with non-donors (p < 0.05); the propensity for donation is acceptable (34.8% of the total are donors; mean = 3.17 donation). The obstacles perceived by participants are "practical" (20% and 22.8% think they do not have enough time to donate or are unsuitable because of lifestyle reasons; respectively). A relevant aspect regards the NSs' perceived role as future healthcare professionals to be responsible to educate and influence potential donors (81.5%). CONCLUSIONS Specifically tailored BD campaigning should be implemented to sensitise University students. NSs could become effective motivators among students of different Universities or faculties. Thanks to their role and capability to put themselves in the peer group. NSs could contribute to the promotion of this selfless practice and to the development of a mature, responsible civic attitude. RELEVANCE TO CLINICAL PRACTICE Nursing educators should play a pivotal role in developing teaching methods to promote BD among NSs.
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Affiliation(s)
- Giancarlo Cicolini
- Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Chieti, Italy.,ASL02Abruzzo, Chieti, Italy
| | - Dania Comparcini
- Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Chieti, Italy.,ASL02Abruzzo, Chieti, Italy.,Azienda Ospedaliero Universitaria "Ospedali Riuniti", Ancona, Italy
| | - Sara Alfieri
- Department of Psychology, "Cattolica del Sacro Cuore" University of Milano, Milan, Italy
| | - Elena Zito
- External Consultant on Blood Donation, Milan, Italy
| | - Elena Marta
- Department of Psychology, "Cattolica del Sacro Cuore" University of Milano, Milan, Italy
| | - Marco Tomietto
- Department of Health Care Management, Azienda per l'assistenza sanitaria n.5 "Friuli Occidentale", Pordenone, Italy
| | - Valentina Simonetti
- ASUR Marche, Ascoli Piceno, Italy.,Politecnica delle Marche University, Ascoli Piceno, Italy
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Zucoloto ML, Gonçalez T, Menezes NP, McFarland W, Custer B, Martinez EZ. Fear of blood, injections and fainting as barriers to blood donation in Brazil. Vox Sang 2018; 114:38-46. [DOI: 10.1111/vox.12728] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 10/15/2018] [Accepted: 10/29/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Miriane Lucindo Zucoloto
- Department of Social Medicine; Ribeirão Preto Medical School; University of São Paulo - USP; Ribeirão Preto São Paulo Brazil
| | | | - Neia Prata Menezes
- Department of Epidemiology and Biostatistics; University of California San Francisco- UCSF; San Francisco CA USA
| | - Willi McFarland
- Department of Epidemiology and Biostatistics; University of California San Francisco- UCSF; San Francisco CA USA
| | - Brian Custer
- Blood Systems Research Institute; San Francisco CA USA
- Department of Laboratory Medicine; University of California San Francisco - UCSF; San Francisco CA USA
| | - Edson Zangiacomi Martinez
- Department of Social Medicine; Ribeirão Preto Medical School; University of São Paulo - USP; Ribeirão Preto São Paulo Brazil
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Kashimura M, Goto A, Nollet KE, Ohto H, Yasumura S, Konno K. Who returns and becomes a regular blood donor? Analysis of a donor database in Fukushima, Japan. ACTA ACUST UNITED AC 2017. [DOI: 10.1111/voxs.12363] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M. Kashimura
- Fukushima Blood Center; Japanese Red Cross Society; Fukushima Japan
- Department of Blood Transfusion and Transplantation Immunology; Fukushima Medical University School of Medicine; Fukushima Japan
| | - A. Goto
- Center for Integrated Science and Humanities; Fukushima Medical University; Fukushima Japan
- Department of Public Health; Fukushima Medical University School of Medicine; Fukushima Japan
| | - K. E. Nollet
- Department of Blood Transfusion and Transplantation Immunology; Fukushima Medical University School of Medicine; Fukushima Japan
| | - H. Ohto
- Department of Blood Transfusion and Transplantation Immunology; Fukushima Medical University School of Medicine; Fukushima Japan
| | - S. Yasumura
- Department of Public Health; Fukushima Medical University School of Medicine; Fukushima Japan
| | - K. Konno
- Fukushima Blood Center; Japanese Red Cross Society; Fukushima Japan
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Sénémeaud C, Sanrey C, Callé N, Plainfossé C, Belhaire A, Georget P. The watching-eyes phenomenon and blood donation: Does exposure to pictures of eyes increase blood donation by young adults? Transfus Apher Sci 2016; 56:168-170. [PMID: 27887885 DOI: 10.1016/j.transci.2016.11.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2016] [Revised: 11/05/2016] [Accepted: 11/08/2016] [Indexed: 10/20/2022]
Abstract
This study examined the effectiveness of exposure to a "watching-eyes image" in increasing blood donation rates among young people, a segment of the population that is particularly underrepresented among blood donors. Participants were 454 first-year university students, each of who was given a blood-donation flyer at the beginning of a lecture. Participants were randomly assigned to one of two conditions depending on whether the flyer they received bore a picture of eyes (experimental condition) or a neutral picture (control condition). We recorded the numbers of participants who promised to give blood and who actually gave blood during the blood drive. Results show that the number of people who gave blood was significantly higher in the experimental condition than in the control condition. These findings provide the first evidence of the effectiveness of the watching-eyes strategy in encouraging young people to give blood. We discuss the processes underlying the "watching-eyes effect" with respect to blood donation.
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Affiliation(s)
| | - Camille Sanrey
- University of Rennes 2, CRPCC-LAUREPS, EA 1285 Rennes, France
| | - Nathalie Callé
- Établissement Français du Sang Normandie, Normandy, France
| | | | - Alexandra Belhaire
- University of Caen Normandy, IAE of Caen - NIMEC, EA 969 Normandy, France
| | - Patrice Georget
- University of Caen Normandy, IAE of Caen - NIMEC, EA 969 Normandy, France
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Ngoma AM, Goto A, Nollet KE, Sawamura Y, Ohto H, Yasumura S. Blood Donor Deferral among Students in Northern Japan: Challenges Ahead. Transfus Med Hemother 2014; 41:251-6. [PMID: 25254020 PMCID: PMC4164101 DOI: 10.1159/000365406] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Accepted: 04/29/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND As Japan's aging society needs more blood, young students comprise a progressively smaller portion of the donor pool. To ensure a safe and sustainable blood supply, it is crucial to select suitable donors. This study aims to evaluate donor deferral rates, causes of deferral, and characteristics of deferred Japanese students. METHODS Computerized records of blood centers in northern Japan (Miyagi and Fukushima Prefectures) from March 2010 through March 2011 were retrospectively analyzed. RESULTS Among 231,361 individuals visiting during the 12-month period, 24,778 were students. Of these, 19,193 (77%) attempted donation, and 5,585 (23%) were deferred. Low hemoglobin, questionnaire-based interview decisions, and medication were the main reasons for temporary deferral. Age, sex, and blood center location were associated with low hemoglobin; donation history and blood center location were associated with medication-based deferral. The odds ratio among female students deferred for low hemoglobin was 35.48 with a 95% CI of 27.74-45.38. CONCLUSIONS These results suggest that continued efforts are needed to motivate deferred potential donors to return, to prevent low hemoglobin especially among females, and to review medical interview decisions, while paying close attention to regional differences.
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Affiliation(s)
| | - Aya Goto
- Department of Public Health, Fukushima, Japan
| | - Kenneth E. Nollet
- Department of Blood Transfusion and Transplantation Immunology, Fukushima, Japan
- Department of International Cooperation, Radiation Medical Science Center, Fukushima Medical University School of Medicine, Fukushima, Japan
| | - Yoshihiro Sawamura
- Department of Blood Transfusion and Transplantation Immunology, Fukushima, Japan
- Japanese Red Cross, Miyagi Blood Center, Sendai, Japan
| | - Hitoshi Ohto
- Department of Blood Transfusion and Transplantation Immunology, Fukushima, Japan
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Ngoma AM, Goto A, Sawamura Y, Nollet KE, Ohto H, Yasumura S. Analysis of blood donor deferral in Japan: characteristics and reasons. Transfus Apher Sci 2013; 49:655-60. [PMID: 23891317 DOI: 10.1016/j.transci.2013.06.020] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Revised: 06/26/2013] [Accepted: 06/29/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND AND OBJECTIVES To ensure an adequate and safe blood supply, it is crucial to select suitable donors according to stringent eligibility criteria. This study aims to evaluate donor deferral rates, causes of deferral, and characteristics of deferred Japanese donors. MATERIALS AND METHODS Computerized records of blood centers in Miyagi and Fukushima Prefectures from March 2010 through March 2011 were retrospectively analyzed. RESULTS Among 231,361 individuals presenting during this period, 186,513 had complete data. Of these 160,763 (86%) attempted donation and 25,750 (14%) were deferred. The overall proportion of deferrals was higher among those less than 20 years old (24% vs 13%, P<0.0001), female (26% vs 7%, P<0.0001), and first-time donors (28% vs 12%, P<0.0001). Factors that were significantly associated with deferral status were female sex [Odds ratio (OR)=4.40], first-time donation attempt (OR=2.42), and donation at Fukushima blood centers (OR=0.57). Main reasons for temporary deferral were low hemoglobin and questionnaire-based interview decisions. CONCLUSIONS First-time and female were more frequently deferred whereas those presented at Fukushima blood centers were less frequently deferred. Low hemoglobin was the major contributor for female donors. Strategies to minimize deferral are needed to ensure an adequate and safe blood supply.
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Affiliation(s)
- Alain Mayindu Ngoma
- Department of Public Health, Fukushima Medical University School of Medicine, Fukushima, Japan.
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