A brief motivational interview with action and coping planning components enhances motivational autonomy among volunteer blood donors.

A brief motivational interview with action and coping planning components enhances motivational autonomy among volunteer blood donors.
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对行动和应对计划组件的简短动机访谈增强了志愿者献血者的动机自主权。

DOI:
10.1111/trf.13485
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发表时间:
2016-06
期刊:
影响因子:
2.9
通讯作者:
Slepian PM
Slepian PM
中科院分区:
医学3区
文献类型:
--
作者:
France CR;France JL;Carlson BW;Kessler DA;Rebosa M;Shaz BH;Madden K;Carey PM;Fox KR;Livitz IE;Ankawi B;Slepian PM

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与标准的供体保留策略(例如,邮件,电话,短信),我们开发了一个简短的电话采访,基于动机访谈原则,鼓励献血者反思他们独特的动机和障碍。本研究探讨了这种动机的采访,结合行动和应对计划的组成部分,献血动机的效果。这项研究的设计是随机分配献血者,让他们在最近一次献血后大约六周接受电话激励访谈,包括行动和应对计划的组成部分,或者接受控制电话。参与者在电话联系前约3周完成了一系列与捐赠动机相关的调查(电话前基线),然后在电话联系后约1周重复这些调查(电话后)。样本中63%为女性,包括大多数(52.6%)首次献血者,平均年龄为30.0岁(SD = 11.7)。一系列方差分析显示,相对于对照组(n=244),动机访谈组(n=254)的捐赠者在动机自主性方面有显著的增加(p=0.001),情感态度(p=0.004),自我效能(p=0.03)、预期后悔(p=0.001)和意图(p=<0.001),以及捐赠焦虑(p=0.01)从呼叫前基线到呼叫后评估的较大下降。本研究支持行动和应对计划作为一种新的策略,以促进捐助者的动机的关键贡献者的动机访谈。
In contrast to standard donor retention strategies (e.g., mailings, phone calls, text messages), we developed a brief telephone interview, based on motivational interviewing principles, which encourages blood donors to reflect upon their unique motivators and barriers for giving. The present study examined the effect of this motivational interview, combined with action and coping plan components, on blood donor motivations. The design was to randomly assign blood donors to receive either a telephone-delivered motivational interview with action and coping plan components or a control call approximately six weeks after their most recent donation. Participants completed a series of surveys related to donation motivation approximately 3 weeks before telephone contact (pre-call baseline) and then repeated these surveys approximately one week after telephone contact (post-call). The sample was 63% female, included a majority (52.6%) first-time blood donors, and had a mean age of 30.0 years (SD = 11.7). A series of ANOVAs revealed that, relative to controls (n=244), donors in the motivational interview group (n=254) had significantly larger increases in motivational autonomy (p=0.001), affective attitude (p=0.004), self-efficacy (p=0.03), anticipated regret (p=0.001), and intention (p=<0.001), as well as larger decreases in donation anxiety (p=0.01), from pre-call baseline to post-call assessment. This study supports motivational interviewing with action and coping planning as a novel strategy to promote key contributors to donor motivation.