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一次包含行动和应对计划要素的简短动机性访谈可增强无偿献血者的动机自主性。

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

作者信息

France Christopher R, France Janis L, Carlson Bruce W, Kessler Debra A, Rebosa Mark, Shaz Beth H, Madden Katrala, Carey Patricia M, Fox Kristen R, Livitz Irina E, Ankawi Brett, Slepian P Maxwell

机构信息

Department of Psychology, Ohio University, Athens, Ohio.

New York Blood Center, New York, New York.

出版信息

Transfusion. 2016 Jun;56(6 Pt 2):1636-44. doi: 10.1111/trf.13485. Epub 2016 Jan 29.

Abstract

BACKGROUND

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, that encourages blood donors to reflect upon their unique motivators and barriers for giving. This study examined the effect of this motivational interview, combined with action and coping plan components, on blood donor motivations.

STUDY DESIGN AND METHODS

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 6 weeks after their most recent donation. Participants completed a series of surveys related to donation motivation approximately 3 weeks before telephone contact (precall baseline) and then repeated these surveys approximately 1 week after telephone contact (postcall).

RESULTS

The sample was 63% female, included a majority (52.6%) of first-time blood donors, and had a mean age of 30.0 years (SD, 11.7 years). A series of analyses of variance 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 precall baseline to postcall assessment.

CONCLUSION

This study supports motivational interviewing with action and coping planning as a novel strategy to promote key contributors to donor motivation.

摘要

背景

与标准的献血者挽留策略(如邮寄、电话、短信)不同,我们基于动机性访谈原则开展了一次简短的电话访谈,鼓励献血者思考自身独特的献血动机和阻碍因素。本研究考察了这种结合了行动和应对计划要素的动机性访谈对献血者动机的影响。

研究设计与方法

研究设计为,在献血者最近一次献血约6周后,将其随机分为两组,一组接受包含行动和应对计划要素的电话动机性访谈,另一组接受对照电话。参与者在电话联系前约3周(电话前基线)完成一系列与献血动机相关的调查,然后在电话联系后约1周(电话后)重复这些调查。

结果

样本中63%为女性,多数(52.6%)为首次献血者,平均年龄30.0岁(标准差11.7岁)。一系列方差分析显示,与对照组(n = 244)相比,动机性访谈组(n = 254)的献血者从电话前基线到电话后评估,在动机自主性(p = 0.001)、情感态度(p = 0.004)、自我效能感(p = 0.03)、预期遗憾(p = 0.001)和意愿(p = < 0.001)方面有显著更大的提升,在献血焦虑方面(p = 0.01)有更大幅度的下降。

结论

本研究支持将结合行动和应对计划的动机性访谈作为一种促进献血者动机关键因素的新策略。

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