Health Psychology Research / HPR / Volume 9 / Issue 1 / DOI: 10.52965/​001c.24533
GENERAL

Incentives and limitations of Greek blood donors: Application of  the Health Belief Model in the design of recruiting strategies. 

Christina Sereti1* Ioanna Apostolidou1 Maria Baka1 Nikolaos Koutsoubos2 Aristeidis Seretis3 Maria Theodoratou4
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1 Blood Service, Thriasio General Hospital of Elefsis, Attica, Greece
2 Department of Pathology, Thriasio General Hospital of Elefsis, Attica, Greece
3 Department of Hygiene and Epidemiology, University of Ioannina, Greece
4 Hellenic Open University, Neapolis University of Pafos, Cyprus
Submitted: 2 June 2021 | Accepted: 3 June 2021 | Published: 11 June 2021
© 2021 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Background

Studies of the behavior of blood donors suggest that the examination of their incentives and reported barriers could be utilized in designing targeted recruiting strategies and awareness-raising campaigns.

Methodology

Data was collected via a questionnaire based on the Health Belief Model (HBM), aimed to examine reported incentives, limitations, benefits, and self-efficacy of 261 blood donors at Thriasio General Hospital from January 1 to March 1, 2020, after required permission provided. The analysis was performed by the use of the SPSS statistical software. In addition, a Greek translation of the K6+ distress scale was provided.

Results

Our sample consisted of 261 blood donors, the majority of which were men (88.5%), 40-50 years old (36.4%), high school graduates (49.4%), and married (53.3%). Heightened awareness of increased blood needs and blood shortages was mentioned. 92.8% of respondents believe that blood donation is an act of contribution to society or beneficial for their health (86.6%). The limited working hours of blood donation services are the main obstacle mentioned by the participants (32.8%), while 80.7% emphasized the need for public information campaigns. Based on the K6 scale answers score, most participants are classified in the intermediate-risk category for Serious Mental Illness (SMI).

Conclusion

The study of beliefs and incentives of blood donors is a critical factor in developing an effective recruiting strategy in a volunteering frame. Public information campaigns regarding the blood donation process and reminders aiming at the return of blood donors after the necessary time interval could facilitate this effort.

Keywords
k6 scale
motives
recruiting strategies
blood donation
health belief model
References

1. Patel EU, Bloch EM, Grabowski MK, et al. Sociodemographic and behavioral characteristics associated with blood donation in the United States: a population‐based study. Transfusion. 2019;59(9). doi:10.1111/trf.15415 
2. Greinacher A, Fendrich K, Alpen U, Hoffmann W. Impact of demographic changes on the blood supply: Mecklenburg-West Pomerania as a model region for Europe. Transfusion. 2007;47(3):395-401. doi:10.1111/j.1537-2995.2007.01129.x 
3. Lee CK, Hong J, Hung ATF. An update of blood donor recruitment and retention in Hong Kong. Asian J Transfus Sci. 2008;2(2):47-50. doi:10.4103/0973-6247.42691 
4. Misje AH, Bosnes V, Heier HE. Recruiting and retaining young people as voluntary blood donors. Vox Sang. 2008;94(2):119-124. doi:10.1111/j.1423-0410.2007.01004.x 
5. Ferguson E, France CR, Abraham C, Ditto B, Sheeran P. Improving blood donor recruitment and retention: Integrating theoretical advances from social and behavioral science research agendas. Transfusion. 2007;47:1999-2010. doi:10.1111/j.1537-2995.2007.01423.x 
6. Shaz BH, James AB, Hillyer KL, Schreiber GB, Hillyer CD. Demographic Patterns of Blood Donors and Donations in a Large Metropolitan Area. Journal of the National Medical Association. 2011;103(4):351-357. doi:10.1016/s0027-9684(15)30316-3 
7. Mohammed S, Essel HB. Motivational factors for blood donation, potential barriers, and knowledge about blood donation in first-time and repeat blood donors. BMC Hematol. 2018;18(1):36. doi:10.1186/s12878-018-0130-3 
8. Glynn SA, Williams AE, Nass CC, et al. Attitudes toward blood donation incentives in the United States: Implications for donor recruitment. Transfusion. 2003;43(1):7-16. doi:10.1046/j.1537-2995.2003.00252.x 
9. Kalargirou AA, Beloukas AI. Attitudes and behaviours of Greeks concerning blood donation: Recruitment and retention campaigns should be focused on need rather than altruism. Blood Transfus. 2014;12:1-10. doi:10.2450/2014.0203-13 
10. Ferguson E. Predictors of future behaviour: A review of the psychological literature on blood donation. Br J Health Psychol. 1996;1(4):287-308. doi:10.1111/j.2044-8287.1996.tb00510.x 
11. Lu JE. Predicting Blood Donations Among College Students as a Strategy to Design Voluntary Blood Donation Campaigns in China. Florida State University; 2010. http://purl.flvc.org/fsu/fd/FSU_migr_etd-1018 
12. Masser BM, White KM, Hamilton K, McKimmie BM. An examination of the predictors of blood donors’ intentions to donate during two phases of an avian influenza outbreak. Transfusion. 2010;51:548-557. doi:10.1111/j.1537-2995.2010.02887.x 
13. Abraham C, Sheeran P. The Health Belief Model. In: Cambridge Handbook of Psychology, Health and Medicine. 2nd ed. Cambridge University Press; 2005:97-102. https://doi.org/10.1017/cbo9780511543579.022 
14. Carter S, Garfild S, Newbould J, et al. A Review of the Use of the Health Belief Model (HBM), the Theory of Reasoned Action (TRA), the Theory of Planned Behaviour (TPB) and the Trans-Theoretical Model (TTM) to Study and Predict Health-Related Behaviour Change.; 2006. 
15. Champion VL, Skinner CS. The Health Belief Model Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. Jossey-Bass; 2008:45-65. 
16. Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Commun. 2015;30(6):566-576. doi:10.1080/10410236.2013.873363 
17. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215. doi:10.1037/0033-295x.84.2.191 
18. Janz NK, Becker MH. The Health Belief Model: A decade later. Health Educ Q. 1984;11(1):1-47. doi:10.1177/109019818401100101 
19. Likert R. A technique for the measurement of attitudes. Archives of Psychology. 1932;22 140:55-55. 
20. Kessler RC, Barker PR, Colpe LJ, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60(2):184-189. doi:10.1001/archpsyc.60.2.184 
21. Muhuri PK. Serious Psychological Distress and Mortality among Adults in the U.S. Household Population: Highlights. The CBHSQ Report. Substance Abuse and Mental Health Services Administration (U.S.); 2013:1-6. 
22. Ioannidou M. Investigation of blood donors attitudes, behaviour and level of knowledge towards blood donation. Published online 2009. http://hdl.handle.net/10442/hedi/26857 
23. Pal R, Shenga N, Thankappan K, Kartha C. Analyzing sociodemographic factors amongst blood donors. J Emerg Trauma Shock. 2010;3(1):21-25. doi:10.4103/0974-2700.58667 
24. Zucoloto ML, Gonçalez T, Custer B, McFarland W, Martinez EZ. Comparison of the demographic and social profile of blood donors and nondonors in Brazil. Health Soc Care Community. 2019;27(2):330-336. doi:10.1111/hsc.12650 
25. Sojka BN, Sojka P. The Blood Donation Experience: Self-Reported Motives and Obstacles for Donating Blood. Vox Sang. 2008;94:56-63. doi:10.1111/j.1423-0410.2007.00990.x 
26. Steele WR, Schreiber GB, Guiltinan A, et al. The role of altruistic behavior, empathetic concern, and social responsibility motivation in blood donation behavior. Transfusion. 2007;48(1):43-54. doi:10.1111/j.1537-2995.2007.01481.x 
27. Chell K, Mortimer G. Investigating online recognition for blood donor retention: An experiential donor value approach. Int J Nonprofit Volunt Sect Mark. 2014;19(2):143-163. doi:10.1002/nvsm.1489 
28. Theodoratou-Bekou M. Psychological maturing and coping strategies: study based on group process. Groupwork. 2008;18(1):76-98. doi:10.1921/19657 
29. Finck R, Ziman A, Hoffman M, Phan-Tang M, Yuan S. Motivating Factors and Potential Deterrents to Blood Donation in High School Aged Blood Donors. J Blood Transfus. Published online 2016. doi:10.1155/2016/8624230 
30. Yuan S, Hoffman M, Lu Q, Goldfinger D, Ziman A. Motivating factors and deterrents for blood donation among donors at a university campus-based collection center. Transfusion. 2011;51:2438-2444. doi:10.1111/j.1537-2995.2011.03174.x 
31. Mellström C, Johannesson M. Crowding out in blood donation: Was Titmuss right? Journal of the European Economic Association. 2008;6(4):845-863. doi:10.1162/jeea.2008.6.4.845 
32. Sadler A, Shi L, Bethge S, Mühlbacher A. Incentives for Blood Donation: A Discrete Choice Experiment to Analyze Extrinsic Motivation. Transfus Med Hemother. 2018;45. doi:10.1159/000481142 
33. Schreiber GB, Schlumpf KS, Glynn SA, et al. Convenience, the Bane of our Existence, and Other Barriers to Donating. Transfusion. 2006;46(4):545-553. doi:10.1111/j.1537-2995.2006.00757.x 
34. Hupfer ME, Taylor DW, Letwin JA. Understanding Canadian student motivations and beliefs about giving blood. Transfusion. 2005;45:149-161. doi:10.1111/j.1537-2995.2004.03374.x 
35. Armitage CJ, Conner M. Social Cognitive Determinants of Blood Donation. J Appl Social Pyschol. 2006;31:1431-1457. doi:10.1111/j.1559-1816.2001.tb02681.x 
36. Giles M. An application of the Theory of Planned Behaviour to blood donation: the importance of self-efficacy. Health Education Research. 2004;19(4):380-391. doi:10.1093/her/cyg063 
37. Hoogerwerf MD, Veldhuizen IJT, Kort W, Frings-Dresen M, Sluiter JK. Factors associated with psychological and physiological stress reactions to blood donation: A systematic review of the literature. Blood Transfus. 2015;13:1-9. doi:10.2450/2015.0139-14 
38. Boulware LE, Ratner LE, Ness PM, et al. The Contribution of Sociodemographic, Medical, and Attitudinal Factors to Blood Donation among the General Public. Transfusion. 2002;42:669-678. doi:10.1046/j.1537-2995.2002.00120.x

Conflict of interest
Authors have no conflicts of interest to declare.
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Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research