Measuring the processes of change for increasing blood donation in black adults.

Measuring the processes of change for increasing blood donation in black adults.
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DOI:
10.1111/j.1537-2995.2012.03864.x
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发表时间:
2013-06
期刊:
影响因子:
2.9
通讯作者:
Shaz BH
Shaz BH
中科院分区:
医学3区
文献类型:
--
作者:
Amoyal NR;Robbins ML;Paiva AL;Burditt C;Kessler D;Shaz BH

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黑人的献血率明显低于白人。与双相障碍相关的许多观点、经历和行为都是黑人文化所独有的。有证据表明,文化上量身定制的健康促进计划有助于增加黑人BD。为了有效,量身定制的干预措施应该基于有效和可靠的措施。跨理论模型(TTM)的变化过程(POC)结构提供了参与者在BD中的隐蔽和公开活动和经验的评估。本研究描述了POC的发展和验证,以增加针对黑人的BD。对美国东北部566名黑人进行了横断面测量发展与在线调查传播。因子分析结构建模程序被用来检验POC测量的有效性。根据已建立的算法,对具有BD病史和意向的参与者(非供体、有时供体、定期供体)进行BD POC检查。验证性分析复制了POC量表的理论预期结构,这是一个十因子,完全相关的最佳拟合模型。基于理论和经验预测,验证了SOC的预期POC模式。10种POC的效应量范围为η2= 0.04 ~ 0.25;这表明TTM POC在黑人的BD决策中是强有力的策略,可以应用于增加少数民族人群BD的干预措施。POC测量在黑人样本中具有内部和外部有效性。干预措施可以利用POC措施来指导阶段匹配的干预措施,以鼓励使用相关的经验和行为策略来增加献血。
Blacks have significantly lower blood donation (BD) rates than Whites. Many views, experiences, and behaviors associated with BD are unique to Black culture. Evidence suggests that culturally tailored health promotion programs help with increasing Black BD. To be effective, tailored interventions should be based on valid and reliable measures. The Transtheoretical Model's (TTM) Processes of Change (POC) construct provides an assessment of participants’ covert and overt activities and experiences in BD. This study describes development and validation of POC for increasing BD tailored to Blacks. Cross-sectional measure development with online survey dissemination was used in 566 Blacks in Northeastern US. Factor analytic structural modeling procedures were used to examine validity of the POC measure. BD POC were examined in participants representing a range of BD history and intentions (non-donors, sometimes donors, regular donors) based on an established algorithm. Confirmatory analyses replicated the theoretically expected structure of POC scales which is a ten-factor, fully correlated best fit model. Expected POC patterns by SOC based on theoretical and empirical predictions were confirmed. The range of effect sizes for 10 POC were η2= .04-.25; indicating that TTM POC are strong strategies in BD decision making for Blacks and can be applied to interventions to increase BD for a minority population. POC measure was internally and externally valid in a sample of Blacks. Interventions can utilize the POC measure to guide stage matched interventions to encourage use of relevant experiential and behavioral strategies to increase blood donation.
DOI: 10.1111/j.1537-2995.2008.02009.x
发表时间: 2009-03-01
期刊: TRANSFUSION
影响因子: 2.9
作者:
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通讯作者: DeBaun, Michael R.
DOI: 10.1006/pmed.1994.1040
发表时间: 1994-05-01
影响因子: 5.1
作者:
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DOI: 10.15288/jsas.1994.s12.138
发表时间: 1994-12-01
期刊: JOURNAL OF STUDIES ON ALCOHOL
影响因子: --
作者:
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发表时间: 2003-01-01
影响因子: 6
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DOI: 10.1111/j.1537-2995.2009.02271.x
发表时间: 2009-10
期刊: Transfusion
影响因子: 2.9
作者:
Murphy EL;Shaz B;Hillyer CD;Carey P;Custer BS;Hirschler N;Fang J;Schreiber GB;NHLBI Retrovirus Epidemiology in Blood Donors Study-II (REDS-II)
通讯作者: NHLBI Retrovirus Epidemiology in Blood Donors Study-II (REDS-II)