Janis L France

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Papers by Janis L France

Fear is associated with attrition of first‐time whole blood donors: A longitudinal examination of donor confidence and attitude as potential mediators

Transfusion, 2021

Background: Elevated fear and anxiety regarding donation-related stimuli (e.g., needles, pain, bl... more Background: Elevated fear and anxiety regarding donation-related stimuli (e.g., needles, pain, blood, fainting) has been associated with reduced blood donor recruitment and retention. The present longitudinal study tests the notion that this inverse relationship may be accounted for by lower donation confidence and more negative donation attitudes among fearful first-time donors. Study Design and Methods: In a sample of 1,479 first-time whole blood donors [67.9% female; Mean Age= 19.3 (SD = 2.5) years], path analyses were conducted to examine relationships among donor ratings of fear of blood draw and donation anxiety obtained approximately one week after donation, donation confidence and attitudes assessed approximately six weeks later, and donation attempts over the fourteen months following the original donation. Results: Path analyses indicated that both fear of blood draws and donation anxiety were associated with fewer attempted donations, and that these effects were indirectly mediated by a combination of lower donor confidence and more negative donation attitudes. Conclusion: Because retention of new blood donors is essential to maintain a healthy blood supply, the results of the present study suggest that first-time donors should be assessed for fear and anxiety so that appropriate strategies can be provided to address their concerns, bolster their confidence and attitudes, and ultimately promote their long-term retention.

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Fear of blood draw is associated with inflated expectations of faint and prefaint reactions to blood donation

Transfusion

Although the risk of fainting and prefaint reactions (e.g., dizziness, lightheadedness) is low du... more Although the risk of fainting and prefaint reactions (e.g., dizziness, lightheadedness) is low during blood donation, there is evidence that this risk remains a concern for many donors. This study sought to measure perceived risk for such reactions within the general population and to relate perceived risk to individual reports of fear of having blood drawn.

Donation related fears predict vasovagal reactions and donor attrition among high school donors

Transfusion

This longitudinal study of high school whole blood donors examined relationships among donation‐r... more

Online responses to motivational interview questions enhance blood donation intention

Transfusion

A motivational interview may promote blood donor retention, but live interviews can be costly. To... more

Problem-Focused and Emotion-Focused Pain Coping Measure

PsycTESTS Dataset, 2004

Motivating first-time, group O blood donors to return: Rationale and design of a randomized controlled trial of a post-donation telephone interview

Contemporary Clinical Trials, 2015

First-time blood donors are essential to the US donor pool, providing nearly a third of all donat... more First-time blood donors are essential to the US donor pool, providing nearly a third of all donations. Unfortunately, there are a wide variety of obstacles to repeat donation and new donors are extremely difficult to retain. Because each donor experiences a unique set of deterrents, we developed a post-donation interview based on motivational interview principles in order to flexibly address individual barriers. The primary aim of this randomized clinical trial is to examine retention of first-time, group O blood donors who are randomly assigned to receive either a telephone-delivered interview with motivational and action planning components or a standard-ofcare control call approximately six weeks after their donation. Measures of donation attitude, perceived behavioral control, intention, and motivational autonomy will be measured before and after the telephone contact using online surveys, and donation attempts will be tracked for one year using blood center donor databases. We hypothesize that, compared to controls, donors who receive the telephone interview will be more likely to make a donation attempt over the following year. In addition, we will examine possible mechanisms of action of the interview using key predictors of donation behavior as described by Self Determination Theory (i.e., motivational autonomy) and the Theory of Planned Behavior (i.e., attitude, perceived behavioral control, and intention). Results of this intervention may help to support a novel strategy to enhance retention of selected blood donors in an effort to better meet the nation's blood supply needs.

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Examination of the relationship between iron status and cognitive function among healthy young women with and without a recent history of blood donation

Transfusion

With growing awareness of the prevalence of nonanemic iron deficiency among blood donors, there i... more With growing awareness of the prevalence of nonanemic iron deficiency among blood donors, there is a need to explore the extent of potential negative consequences. This study examined the relationship between various measures of iron status, blood donation history, and neuropsychological and psychosocial functioning in healthy young women.

The Development of a Social Networking–Based Relatedness Intervention Among Young, First-Time Blood Donors: Pilot Study

JMIR Public Health and Surveillance, Apr 26, 2018

BackgroundIncreasing repeat blood donation behavior is a critical public health goal. According t... more BackgroundIncreasing repeat blood donation behavior is a critical public health goal. According to self-determination theory, the process of developing internal motivation to give blood and an associated self-identity as a blood donor may be promoted by feelings of “relatedness” or a connection to other donors, which may be enhanced through social relations and interactions.ObjectiveThe purpose of this report it to describe the development and pilot testing of a social networking-based (Facebook) intervention condition designed to increase feelings of relatedness via virtual social interaction and support.MethodsTo develop the intervention condition content, images, text, polls, and video content were assembled. Ohio University college students (N=127) rated the content (82 images/text) presented by computer in random order using a scale of one to five on various dimensions of relatedness. Mean ratings were calculated and analyses of variance were conducted to assess associations among the dimensions. Based on these results, the relatedness intervention was adapted and evaluated for feasibility, acceptability, and preliminary efficacy among 24 first-time donors, aged 18 to 24 years, in a 30-day pilot trial. Paired t-tests were conducted to examine change over time in relatedness and connectedness.ResultsThe intervention condition that was developed was acceptable and feasible. Results of the uncontrolled, preintervention, and postintervention evaluation revealed that feelings of individual-level relatedness increased significantly after the intervention.ConclusionsBy promoting first-time blood donor relatedness, our goal is to enhance internal motivation for donating and the integration of the blood donor identity, thus increasing the likelihood of future repeat donation.Trial RegistrationClinicalTrials.gov {"type":"clinical-trial","attrs":{"text":"NCT02717338","term_id":"NCT02717338"}}NCT02717338; https://clinicaltrials.gov/ct2/show/{"type":"clinical-trial","attrs":{"text":"NCT02717338","term_id":"NCT02717338"}}NCT02717338 (Archived by WebCite at http://www.webcitation.org/6ymHRBCwu)

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Predonation fears identify young donors at risk for vasovagal reactions

Transfusion

Extending existing research on the relationship between predonation fear of having blood drawn an... more

Fear of donation-related stimuli is reported across different levels of donation experience

Transfusion

BACKGROUND: This study aimed to characterize the extent of donation-related fears among donors wi... more BACKGROUND: This study aimed to characterize the extent of donation-related fears among donors with different levels of donation experience. STUDY DESIGN AND METHODS: A sample of 1054 recent donors (48.3% female; mean 6 SD age 33.1 6 9.8 years) completed an anonymous, online survey of their fear of donation-related stimuli, including blood, needles, pain, and fainting. Respondents also provided information regarding demographics, pain, and vasovagal symptoms associated with their recent donation and confidence and intention with respect to a future donation. RESULTS: The sample was divided into four donation history subgroups, including one, two or three, four or five, or six or more prior donations. A significant negative relationship was observed between donation history and each of the assessed fears, indicating less fear with more experience. However, at least one-third of even the most experienced donors reported some fear for each of the stimuli. Further, greater fear was associated with more pain (r 5 0.35-0.56, all p < 0.001) and more intense vasovagal symptom reports (r 5 0.41-0.61, all p < 0.001). Finally, greater fear was associated with less donor confidence (r 5-0.24 to-0.33, all p < 0.001) and lower intentions of donating again (r 5-0.14 to-0.20, all p < 0.001). CONCLUSION: These data provide novel evidence that fear persists for many donors, despite increasing experience, and suggest that a greater appreciation of individual differences in fear is needed to address these concerns and promote long-term donor motivation.

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Blood donor behaviour, motivations and the need for a systematic cross-cultural perspective: the example of moral outrage and health- and non-health-based philanthropy across seven countries

ISBT Science Series

Background Blood donation is a prosocial altruistic act that is motived by the mechanisms that un... more Background Blood donation is a prosocial altruistic act that is motived by the mechanisms that underlie altruism (e.g. warm-glow, reciprocity, fairness/trust). Because there is consistent evidence that altruism and its mechanisms show cross-cultural variability, in the present paper we make the case for a cross-cultural perspective in blood donor research. Methods We analyse a subset of variables from a larger study, with samples drawn from seven countries (England, Malta, the Netherlands, Australia, the USA, Hungary, Italy: average N per country = 282). This subset of variables focuses on health (organ donor registration) and non-health (volunteering, donating money) philanthropy, family traditions of helping and moral outrage as predictors of blood donor status. Results We show two cross-cultural universals: (1) organ donor registration in opt-in countries is positively associated with blood donor status and (2) nonhealth philanthropy is generally unrelated to blood donor status. We also show two country-specific effects: (1) a family tradition for helping is associated with blood donor status in Italy only and (2) moral outrage is a predictor only in the USA. Conclusions We contend that these findings provide proof of principle why a cross-cultural perspective on blood donor behaviour is needed.

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Pain resilience, pain catastrophizing, and executive functioning: performance on a short-term memory task during simultaneous ischemic pain

Journal of Behavioral Medicine

Among pain researchers there is a growing interest in the relationship between psychological resi... more Among pain researchers there is a growing interest in the relationship between psychological resilience and pain experience. Whereas much of this work has focused on individual differences in pain perception or sensitivity, an equally important dimension of resilience is the capacity to persist with goal-directed activity despite experiencing pain. Consistent with this latter focus, the current study examined how pain resilience and pain catastrophizing combine to moderate the effects of ischemic pain on short-term memory task performance. Using a within-subjects design, 121 healthy participants completed four trials of a Corsi block-tapping task with pain exposure during the second and fourth trials. Results indicated that a combination of high pain resilience and low pain catastrophizing was associated with better task performance during the second pain exposure. These findings confirm existing evidence that resilience can moderate performance during pain, and offer new evidence that resilience and catastrophizing interact to shape this effect.

Assessing the impact of an automated Web‐based motivational interview on the intention and return behavior of Australian O‐negative donors

Transfusion

Preference for whole blood versus plasma donation among university students

Vox Sanguinis

An automated motivational interview promotes donation intention and self‐efficacy among experienced whole blood donors

Transfusion

Estimating the risk of blood donation fainting for self versus others: the moderating effect of fear

Transfusion

A motivational interview promotes retention of blood donors with high internal motivation

Transfusion, Oct 3, 2017

Based on the hypothesis that self-determined motivation is associated with an increased likelihoo... more Based on the hypothesis that self-determined motivation is associated with an increased likelihood of future behavior, the present study examined the ability of a motivational interview to promote internal motivation for giving blood and future donation attempts. A sample of 484 recent whole-blood and double red blood cell donors (62.4% female; age = 30.2 ± 11.8 years) were randomly assigned to either a telephone-delivered motivational interview or a control call approximately 6 weeks after donating. Several weeks before the call and again 1 week after the call, participants completed the Blood Donor Identity Survey, a multidimensional measure of donor motivation, to derive indices of amotivation, external motivation, and internal motivation to give blood. Repeat donation attempts were tracked using blood center records. Relative to controls, participants in the motivational interview group showed a shift toward more self-determined motivation, as indicated by significant decreases ...

Applying self-determination theory to the blood donation context: The blood donor competence, autonomy, and relatedness enhancement (Blood Donor CARE) trial

Contemporary clinical trials, Feb 1, 2017

The Blood Donor Competency, Autonomy, and Relatedness Enhancement (Blood Donor CARE) project was ... more The Blood Donor Competency, Autonomy, and Relatedness Enhancement (Blood Donor CARE) project was designed as a practical application of self-determination theory to encourage retention of first-time donors. Self-determination theory proposes that people are more likely to persist with behaviors that are internally-motivated, and that externally-motivated behavior can evolve and become internalized given the appropriate socio-environmental conditions. According to self-determination theory, motivation to engage in blood donation may become increasingly self-determined if the behavior satisfies fundamental human needs for competence (a sense of self-efficacy to achieve specific goals), autonomy (a sense of volitional control over one's behavior), and relatedness (a sense of connection to a larger group). The primary aim of this randomized controlled trial is to examine the effect of competence, autonomy, and/or relatedness interventions on donor retention. Using a full factorial d...

Donating blood on a regular basis appears to reduce blood pressure, but appearances can be deceiving

Transfusion, Jan 12, 2017

Previous studies have reported a relationship between blood donation and decreased risk for cardi... more Previous studies have reported a relationship between blood donation and decreased risk for cardiovascular events, and it has been proposed that this may be due to a lowering of blood pressure among hypertensive individuals who donate on a regular basis. With the use of a retrospective longitudinal analysis, predonation blood pressure readings were examined across consecutive whole blood donations for New York Blood Center donors. With blood pressure levels recorded at the first, second, third, and fourth donations, the sample was divided into three subgroups including high (≥140 mmHg), intermediate (>100 and <40 mmHg), and low (≤100 mmHg) systolic blood pressure (SBP). In addition, a computational approach was used to estimate regression to the mean effects for donors with high SBP or high diastolic blood pressure (DBP) at their first, second, or third donation. Visual examination of SBP and DBP patterns across donations revealed that, on average, donors with extreme values a...

Empirical contributions : Risk for hypertension and pain sensitivity in women ()

International Journal of Behavioral Medicine, 1997

Janis L France

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