An adapted postdonation motivational interview enhances blood donor retention

An adapted postdonation motivational interview enhances blood donor retention
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DOI:
10.1111/j.1537-2995.2010.02618.x
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发表时间:
2010-08-01
期刊:
影响因子:
2.9
通讯作者:
France, Christopher R.
France, Christopher R.
中科院分区:
医学3区
文献类型:
--
作者:
Sinclair, Kadian S.;Campbell, Tavis S.;France, Christopher R.

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背景:献血者可能对未来的献血持有矛盾的想法。虽然他们可能会看到对自己和他人的直接好处,但他们经常报告有令人信服的理由不再给予。因此,标准的回返承诺可能不足以激励一些捐助者。本研究探讨了献血后适应动机访谈(AMI)献血者的态度和重复donation behavior.Study设计和方法的影响:捐助者(n = 215)被随机分配到AMI或无访谈对照组。在他们的指数献血后约1个月,AMI组的献血者完成了简短的电话采访,以澄清个人特定的动机和价值观有关献血和解决潜在的障碍。然后,他们被要求完成关于捐赠态度,焦虑,自我效能和捐赠意愿的问卷。对照组的献血者在献血后1个月也被联系,并被要求完成相同系列的问卷。AMI组中的捐赠者报告了更大的未来捐赠意愿(F = 8.13,p < 0.05),更积极的捐赠态度(F = 4.59,p < 0.05),并且对避免不良反应的能力更有信心(F = 10.26,p < 0.01)。此外,AMI与12个月时较高的尝试献血率相关(比值比,2.48; 95%置信区间,1.27-4.87)。结论:AMI的应用可能是一种有效的策略,通过提高现有供体的保留率来增加供体库。
BACKGROUND: Blood donors may hold conflicting thoughts about future donation. While they may perceive the direct benefit to themselves and others, they often report compelling reasons not to give again. As a result the standard encouragements to return may not be sufficient to motivate some donors. This study examined the effects of a postdonation adapted motivational interview (AMI) on blood donor attitudes and repeat donation behavior.STUDY DESIGN AND METHODS: Donors (n = 215) were randomly assigned to either an AMI or a no-interview control group. Approximately 1 month after their index donation, donors in the AMI group completed a brief telephone interview to clarify individual-specific motivations and values concerning blood donation and address potential barriers. They were then asked to complete questionnaires regarding donation attitudes, anxiety, self-efficacy, and intention to donate. Donors in the control group were also contacted 1 month after donation and asked to complete the same series of questionnaires.RESULTS: Donors in the AMI group reported greater intention to provide a future donation (F = 8.13, p < 0.05), more positive donation attitudes (F = 4.59, p < 0.05), and greater confidence in their ability to avoid adverse reactions (F = 10.26, p < 0.01). Further, AMI was associated with higher rates of attempted donation at 12 months (odds ratio, 2.48; 95% confidence interval, 1.27-4.87).CONCLUSION: Application of an AMI may be an effective strategy to increase the donor pool by enhancing retention of existing donors.