Donor motivation in Xi’an, China: comparison with Canadian donors

O’Brien, Sheila F; Shao, Zhongjun; Osmond, Lori; Yi, Qilong; Li, C.-Y.; An, Qin

doi:10.1111/j.1423-0410.2012.01656.x

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…The approach of reactivating inactive donors is nonetheless challenging. The percentage of donations from repeat donors in China was reported to be 34-40% [4][5][6], which is lower than that in the United States (68%) [7] and that in England (55%) [8]. It is essential to determine effective methods for reactivating lapsed donors (defined as those who have made at least one donation within the last 24 months, but not within the previous 12 months) and inactive donors (those who have made at least one donation but have not donated within the previous 24 months) [9] in order to maintain an adequate blood supply.…”

Section: Introductionmentioning

confidence: 99%

Effective methods for reactivating inactive blood donors: a stratified randomised controlled study

et al. 2020

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Background Recruiting of sufficient numbers of donors of blood products is vital worldwide. In this study we assessed the efficacy and cost-effectiveness of telephone calls and SMS reminders for re-recruitment of inactive blood donors. Methods This single-centre, non-blinded, parallel randomised controlled trial in Guangzhou, China included 11,880 inactive blood donors whose last donation was between January 1 and June 30, 2014. The donors were randomly assigned to one of two intervention groups (telephone call or short message service [SMS] communications) or to a control group without intervention. SMS messages with altruistic appeal were adopted in the SMS group; in addition to altruistic appeal, reasons for deferral of blood donation were also asked in the telephone group. All participants were followed up for 1 year. The primary outcome was re-donation rate, and rates in different groups were compared by intention-to-treat (ITT) analysis and estimation of the average treatment effect on the treated (ATT). Secondary outcomes were the self-reported deterrents. Other outcomes included the re-donation interval, and the incremental cost-effectiveness ratio (ICER) of telephone calls and SMS reminders on re-recruitment. Results ITT analysis revealed no significant differences in the re-donation rate among the three groups. ATT estimations indicated that among compliers, telephone calls significantly increased re-donation compared to both SMS reminders and no intervention. Donor return behaviour was positively associated with receiving reminders successfully, being male, older age, and previous donation history. The SMS reminder prompted donors to return sooner than no reminder within 6 months, and according to ICER calculations, SMS reminders were more cost-effective than telephone calls. Donors reported time constraints as the most main causes of self-deferral in the telephone group, and altruistic appeal had a positive effect on these donors. Conclusions Interventions to reactivate inactive blood donors can be effective, with telephone calls prompting more donors to return but at a greater cost than SMS messages. SMS reminder with altruistic appeal can urge donors to re-donate sooner within 6 months than no reminder. Trial registration NCT03366441 (Reactivation of Inactive Blood Donors). Retrospectively registered 4 December 2017.

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Section: Introductionmentioning

confidence: 99%

Effective methods for reactivating inactive blood donors: a stratified randomised controlled study

et al. 2020

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“…In China, by complying with government policy at all levels, local blood centres and non‐governmental organisations (NGOs) have strengthened their efforts to raise the awareness of blood donation (O'Brien et al ., ). Coupled with preferential blood use and reimbursement policy (Guangzhou Municipal Government, ), the situation of the lack of voluntary donors has rapidly been improved (Li et al ., ).…”

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confidence: 97%

Factors influencing blood donation: a cross‐sectional survey in Guangzhou, China

Ou-Yang

Bei

et al. 2017

Transfusion Medicine

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Helping patients was the main objective of blood donation in China. However, self-perception of poor health was a major barrier to donating blood. Raising the awareness of blood donation in combination with multiple aspects of campaigns that target different populations with potential blood donors is critical. Television and the internet are the most effective tools for promotion of and recruitment for blood donation.

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“…A study comparing Chinese (from Xi'an) and Canadian donors noted that Chinese considered donation a ‘social responsibility’ (81·7 vs 45·2% for Canadians) but also a ‘normal activity’ promoted by the social environment. The health benefit of blood donation was believed by 52·3%, and although 86·7% believed in ancestral Qi, they did not believe donation would affect it (O'Brien et al, ). A more recent study conducted in Guangzhou 2013 showed relatively few changes in donor motivation (altruism 68%, health benefit 65·5%, reciprocity 39% and free testing 44%) (Ou‐Yang et al, ).…”

Section: Resultsmentioning

confidence: 99%

Current approaches to increase blood donations in resource‐limited countries

2019

Transfusion Medicine

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SUMMARY Background Low‐ and middle‐income countries (LMIC) suffer from chronic or seasonal blood shortage. The first review was published in 2007. Methods The review of literature since 2005 presented here uncovered a fairly large number of articles justifying the grouping of blood donation issues into five geographical areas sharing common background. These are Sub‐Saharan Africa (SSA), Muslim countries, India, China/South East Asia and Latin America/Caribbean islands (LA&C). Results SSA countries start collecting at 16–18 years of age in schools where female donors can be reached better than in other settings. Community‐oriented culture favours family donors who need, similar to volunteer non‐remunerated donors (VNRD), to be actively induced to repeat donation. Muslim countries share the contradiction of religion encouraging blood donation but restrain women from donating. The active involvement of religious leaders and the progressive easing of female participation are the keys to increasing blood donation. In India, ‘social duty’ is a major inducement to blood donation but also benefits and rewards. Ways of involving female donors by reducing the donation age to 16 years and providing donor education in schools need to be considered. In China and East Asia, the option of small‐volume donation impairs blood collection without being justified by scientific evidence but is a concession to culture. Reducing the donation age would also help the supply. In LA&C, the concept of ‘social capital’ was developed as a complement or alternative to the theory of planned behaviour. Conclusions Strategies to improve blood donation and repeat donation should be innovative and adapted to local or regional culture and environment.

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Donor motivation in Xi’an, China: comparison with Canadian donors

Abstract: While traditional Chinese beliefs may not be seen as a barrier among people in Xi'an who donate blood, blood donation is seen differently than by Canadian donors. There is a need for more research specific to China to tailor recruitment strategies.

Cited by 6 publications

References 19 publications

Effective methods for reactivating inactive blood donors: a stratified randomised controlled study

Effective methods for reactivating inactive blood donors: a stratified randomised controlled study

Factors influencing blood donation: a cross‐sectional survey in Guangzhou, China

Current approaches to increase blood donations in resource‐limited countries

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