A motivational interview promotes retention of blood donors with high internal motivation.

A motivational interview promotes retention of blood donors with high internal motivation.
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DOI:
10.1111/trf.14203
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发表时间:
2017-10
期刊:
影响因子:
2.9
通讯作者:
Fox KR
Fox KR
中科院分区:
医学3区
文献类型:
--
作者:
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

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基于自我决定动机与未来行为可能性增加相关的假设,本研究检验了动机访谈促进捐赠和未来捐赠尝试的内部动机的能力。 484 名近期全血和双红细胞捐献者(62.4% 为女性;平均年龄 = 30.2,SD = 11.8 岁)样本在捐献后约六周被随机分配至电话动机访谈或对照电话。在电话会议前几周和电话会议后一周,参与者完成了献血者身份调查,这是对献血者动机的多维测量,以获得献血动机、外部动机和内部动机的指数。使用血液中心记录跟踪重复捐赠尝试。相对于对照组,动机访谈组的参与者表现出转向更加自主的动机,表现为无动机显着下降(p = 0.01)以及外部动机(p = 0.009)和内部动机(p = 0.002)显着增加。此外,那些最初自主动机水平较高的人如果完成动机性访谈(71.1%),与控制电话(55.1%)相比,更有可能在接下来的一年中尝试捐赠。动机性访谈是一种潜在有用的策略,可以提高现有献血者的保留率,尤其是那些表现出更强的献血内在动机的献血者。
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 and future donation attempts. A sample of 484 recent whole blood and double red cell donors (62.4% female; mean age = 30.2, SD = 11.8 years) were randomly assigned to either a telephone-delivered motivational interview or a control call approximately six weeks after donating. Several weeks before the call and again one 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. 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 motivation (p=0.002). Further, 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%). 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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