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Ting CY, Lee YF, Lim CJ, Ting RSK, Md Zahrin MM, Ahmad AS, Wong JSY, Arip M, Zakaria Z, Ahmad Zaidi Adruce S, Tnay JKS, Wong YS. Factors Associated with Intention to Donate Hematopoietic Stem Cells among Blood Donors. Transfus Med Hemother 2020; 48:188-195. [PMID: 34177425 DOI: 10.1159/000512197] [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: 05/05/2020] [Accepted: 09/02/2020] [Indexed: 11/19/2022] Open
Abstract
Introduction Past studies pay little attention to the intention to donate hematopoietic stem cells (HSC) among blood donors. This study investigated the level of and the influence of socio-demographic characteristics, knowledge, attitude, subjective norm and self-efficacy on the intention to donate HSC among blood donors. Methods This cross-sectional study recruited blood donors at selected public hospitals in the Malaysian State of Sarawak in 2019. A structured questionnaire was developed based on the review of relevant literature. It gathered information on socio-demographic characteristics, knowledge, attitude, subjective norm and self-efficacy on the intention to donate HSC. Variables with a p value <0.200 in bivariate analysis were included in the variable selection for regression modeling to examine their associations with the intention to donate HSC. Results A total of 569 blood donors participated (94.5% response rate). Overall, 87.1% reported a positive intention to donate HSC. In the regression model, the factor with the greatest association with intention to donate HSC was subjective norms about HSC donation (β = 0.35, 95% CI 0.27-0.42), followed by attitude about regulations of HSC donation (β= 0.21, 95% CI 0.13-0.35), self-efficacy on HSC donation (β = 0.15, 95% CI 0.09-0.32), attitude about the potential side effects of HSC donation (β = 0.14, 95% CI 0.02-0.10) and highest education level (β = 0.10, 95% CI 0.03-0.44). Conclusions The findings can be used to formulate a better strategy in promoting HSC donation among blood donors in the region.
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Affiliation(s)
- Chuo Yew Ting
- Pharmacy Practice and Development Division, Sarawak State Health Department, Ministry of Health, Kuching, Malaysia.,Institute of Borneo Studies, Universiti Malalysia Sarawak, Kota Samarahan, Malaysia
| | - Yew Fong Lee
- Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.,Ministry of Health, Putrajaya, Malaysia
| | - Chien Joo Lim
- Clinical Research and Innovation Office, Tan Tock Seng Hospital, Singapore, Singapore
| | - Rachel Sing Kiat Ting
- Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Selangor, Malaysia
| | - Mohammad Masrin Md Zahrin
- Blood Transfusion Services and Blood Bank Department, Sarawak General Hospital, Ministry of Health, Kuching, Malaysia
| | - Abu Sufian Ahmad
- Blood Transfusion Services and Blood Bank Unit, Sibu Hospital, Ministry of Health, Sibu, Malaysia
| | | | - Masita Arip
- Institute for Medical Research, Ministry of Health, Kuala Lumpur, Malaysia
| | - Zubaidah Zakaria
- Institute for Medical Research, Ministry of Health, Kuala Lumpur, Malaysia
| | - Shahren Ahmad Zaidi Adruce
- Faculty of Cognitive Sciences and Human Development, Universiti Malalysia Sarawak, Kota Samarahan, Malaysia
| | - Jessie Koh Sing Tnay
- Institute of Borneo Studies, Universiti Malalysia Sarawak, Kota Samarahan, Malaysia
| | - Yi Shen Wong
- Blood Transfusion Services and Blood Bank Department, Sarawak General Hospital, Ministry of Health, Kuching, Malaysia
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Suen LKP, Siu JYM, Lee YM, Chan EA. Knowledge level and motivation of Hong Kong young adults towards blood donation: a cross-sectional survey. BMJ Open 2020; 10:e031865. [PMID: 31959604 PMCID: PMC7045270 DOI: 10.1136/bmjopen-2019-031865] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES This study aimed to (1) determine the knowledge level of young adults towards blood donation, and (2) to understand their donor identity and the meanings of blood donation to them. DESIGN A questionnaire-based cross-sectional survey. SETTING AND PARTICIPANTS Undergraduate students of a university in Hong Kong recruited by convenience sampling, at public facilities in campus such as student canteens and the Campus Blood Donor Centre of the university. OUTCOME MEASURES The questionnaire which consisted of three parts was used for data collection. Part 1 collected sociodemographic information and items associated with blood donation; part 2 related to knowledge on blood donation and part 3 focused on blood donor identity. Univariate and multivariate logistic regression analyses were conducted to determine the OR and identify the predictors for blood donation. RESULTS Among the 542 respondents, 274 were non-blood donors and 268 were blood donors. Blood donors generally have a better knowledge towards blood donation than non-blood donors. The results of univariate analyses indicated that being a female (OR=1.99, p<0.001), aged 22 years or above (OR=234, p<0.001), studying at year 4 or 5 (OR=2.12, p=0.003), studying health-related programmes (OR=1.96, p<0.001), being registered as an organ donor (OR=6.59, p<0.001), had prior experience of receiving blood (OR=7.60, p<0.001) or prior experience of being refused for blood donation (OR=5.14, p<0.001) were significantly associated with being a blood donor. Having prior experience of receiving blood was the strongest predictor for being a blood donor, followed by being registered as an organ donor, after controlling for all other factors in the logistic regression model. CONCLUSIONS The findings are consistent with self-determination theory, which hypothesises that people are more likely to abide with blood donation behaviours that are internally rather than externally motivated.
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Affiliation(s)
- Lorna Kwai Ping Suen
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Judy Yuen-Man Siu
- Department of Applied Social Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Yik Mun Lee
- Hong Kong Red Cross Blood Transfusion Service, Hospital Authority, King's Park, Hong Kong
| | - Engle Angela Chan
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
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Wilson-Genderson M, Barker KL, Gardiner HM, Mosavel M, Thomas J, Siminoff LA. Authorization of tissues from deceased patients for genetic research. Hum Genet 2018; 137:63-71. [PMID: 29204889 PMCID: PMC7521139 DOI: 10.1007/s00439-017-1855-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 11/14/2017] [Indexed: 02/07/2023]
Abstract
Tissues from deceased donors provide important data for genomic research and Organ Procurement Organizations (OPOs) play a significant role. To understand the decisions of families who donated for transplantation and made decisions about donation to the Genotype-Tissue Expression Project (GTEx), we examined donation decisions of family decision makers (FDMs). 413 families were interviewed by telephone. The OPO staff who made the transplant and research requests completed self-administered surveys; a total of 309 matching surveys from 99 OPO staff were obtained. 76.8% of families donated to the GTEx project. Logistic regression analysis found that FDM consent to GTEx donation was associated with endorsement of policies to promote biobanking (OR = 1.35), positive attitudes about medical research (OR = 1.1), lack of concern regarding a breach of confidentiality (OR = 1.54), comfort with tissue donation (OR = 1.24), and prior authorization to solid organ donation (OR = 3.17). OPO staff characteristics associated with GTEx donation included being female (OR = 3.57), White (OR = 4.97), comfort with hospital staff role in donation (OR = 1.61), and number of topics discussed with families (OR = 57.9). Donor type, FDM attitudes, OPO staff sociodemographics, OPO comfort with the GTEx authorization process, and intensity of discussing research-specific issues were significantly associated with GTEx donation decisions.
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Affiliation(s)
- Maureen Wilson-Genderson
- Siminoff Research Group, College of Public Health, Temple University, 1700 N. Broad Street, Suite 417, Philadelphia, PA, 19121, USA
| | - K Laura Barker
- College of Public Health, Temple University, 1700 N. Broad Street, Suite 417, Philadelphia, PA, 19121, USA
| | - Heather M Gardiner
- Health Disparities Laboratory, Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 9th Floor, Philadelphia, PA, 19122, USA
| | - Maghboeba Mosavel
- Department of Health Behavior and Policy, Virginia Commonwealth University, P.O. Box 980430, Richmond, VA, 23298-0430, USA
| | - Jeffrey Thomas
- Life Sciences Program, LifeNet Health, 1864 Concert Drive, Virginia Beach, VA, 23453, USA
| | - Laura A Siminoff
- College of Public Health, Temple University, 1101 W. Montgomery Ave., Philadelphia, PA, 19122, USA.
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Wells KJ, Arevalo M, Meade CD, Gwede CK, Quinn GP, Luque JS, San Miguel G, Watson D, Phillips R, Reyes C, Romo M, West J, Jacobsen PB. Development and validation of the biobanking attitudes and knowledge survey (BANKS). Cancer Epidemiol Biomarkers Prev 2015; 23:374-82. [PMID: 24609846 DOI: 10.1158/1055-9965.epi-13-0746] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND No validated multiscale instruments exist that measure community members' views on biobanking and biospecimen donation. This study describes the development and psychometric properties of the English-language BANKS (Biobanking Attitudes and Knowledge Survey). METHODS The BANKS was created by item generation through review of scientific literature, focus groups with community members, and input from a community advisory board. Items were refined through cognitive interviews. Content validity was assessed through an expert panel review. Psychometric properties of the BANKS were assessed in a sample of 85 community members. RESULTS The final BANKS includes three scales: attitudes, knowledge, and self-efficacy; as well as three single items, which evaluated receptivity and intention to donate a biospecimen for research. Cronbach α coefficients for two scales that use Likert response format indicated high internal consistency (attitudes: α, 0.88; self-efficacy: α, 0.95). Content validity indices were moderate, ranging from 0.69 to 0.89. Intention to donate blood and intention to donate urine were positively correlated with attitudes, knowledge, self-efficacy, and receptivity to learning more about biobanking (P values range from 0.029 to <0.001). CONCLUSIONS The final BANKS shows evidence of satisfactory reliability and validity, is easy to administer, and is a promising tool to inform biospecimen research. Additional studies should be conducted with larger samples considering biospecimen donation to further assess the reliability and validity of the instrument. IMPACT A valid and reliable instrument measuring community members' views about biobanking may help researchers evaluate relevant communication interventions to enhance understanding, intention, and actual biospecimen donation. A Spanish-language BANKS is under development.
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Affiliation(s)
- Kristen J Wells
- Authors' Affiliations: San Diego State University; Moore's Cancer Center, San Diego, California; University of Texas Health Sciences Center, Houston, Texas; Moffitt Cancer Center; University of South Florida, Tampa; Morton Plant Mease Healthcare, Clearwater; Florida Department of Health, St. Petersburg; Farmworkers Self-Help, Dade City; JWest Prostate Cancer Foundation, St. Petersburg, Florida; Georgia Southern University, Statesboro, Georgia; and Multicultural Resource Center, Inc., Seffner, Florida
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Hyde MK, Knowles SR, White KM. Donating blood and organs: using an extended theory of planned behavior perspective to identify similarities and differences in individual motivations to donate. HEALTH EDUCATION RESEARCH 2013; 28:1092-1104. [PMID: 23943782 DOI: 10.1093/her/cyt078] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Due to the critical shortage and continued need of blood and organ donations (ODs), research exploring similarities and differences in the motivational determinants of these behaviors is needed. In a sample of 258 university students, we used a cross-sectional design to test the utility of an extended theory of planned behavior (TPB) including moral norm, self-identity and in-group altruism (family/close friends and ethnic group), to predict people's blood and OD intentions. Overall, the extended TPB explained 77.0% and 74.6% of variance in blood and OD intentions, respectively. In regression analyses, common contributors to intentions across donation contexts were attitude, self-efficacy and self-identity. Normative influences varied with subjective norm as a significant predictor related to OD intentions but not blood donation intentions at the final step of regression analyses. Moral norm did not contribute significantly to blood or OD intentions. In-group altruism (family/close friends) was significantly related to OD intentions only in regressions. Future donation strategies should increase confidence to donate, foster a perception of self as the type of person who donates blood and/or organs, and address preferences to donate organs to in-group members only.
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Affiliation(s)
- Melissa K Hyde
- Griffith Health Institute, Griffith University, Mt Gravatt, Queensland 4122, Australia, Faculty of Life and Social Sciences, Swinburne University of Technology, Hawthorn, Victoria 3122, Australia and School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland 4059, Australia
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