Transfusionsmedizin 2014; 4(1): 15-22
DOI: 10.1055/s-0033-1360348
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Vom Erstspender zum regelmäßigen Spender: Prädiktoren einer erfolgreichen Spenderbindung im Anschluss an die Erstspende

Retention of Whole Blood Donors: Factors Influencing Donor Return of First-Time Donors
C. Weidmann
1   Mannheimer Institut für Public Health, Medizinische Fakultät Mannheim, Universität Heidelberg
2   Institut für Transfusionsmedizin und Immunologie, DRK-Blutspendedienst Baden-Württemberg – Hessen, Medizinische Fakultät Mannheim, Universität Heidelberg
,
S. Schneider
1   Mannheimer Institut für Public Health, Medizinische Fakultät Mannheim, Universität Heidelberg
› Author Affiliations
Further Information

Publication History

Publication Date:
27 February 2014 (online)

Zusammenfassung

Regelmäßige Spender, die über Jahre hinweg spenden, sind für die Blutversorgung von zentraler Bedeutung. Allerdings entwickelt sich nicht jeder Erstspender zu einem regelmäßigen Spender und es bleibt stattdessen bei einer oder vereinzelten Spenden. In empirischen Studien zum Rückkehrverhalten von Erstspendern konnten Erfolgsfaktoren einer gelingenden Spenderbindung beschrieben werden. Der Übergang vom Erstspender zum regelmäßigen Spender erfolgte insbesondere dann, wenn Spender möglichst schnell wiederkehrten und positive Spendeerfahrungen sammelten. Temporäre Rückstellungen, spendebedingte Reaktionen oder Unzufriedenheit mit der Spendeorganisation wirkten sich dagegen ungünstig auf die Rückkehrbereitschaft aus. Besonders gute Prognosen für eine längerfristige Spenderkarriere hatten Männer, sehr junge Erstspender und Erstspender im fortgeschrittenen Alter, hochgebildete Erstspender und Erstspender, denen viele Spendetermine angeboten wurden. Diese Befunde bestätigten sich weitgehend auch unter deutschen Erstspendern. Ebenfalls positiv auf die Rückkehrbereitschaft wirkten sich eine hohe Selbstwirksamkeitserwartung der Spender sowie eine starke Identifikation mit der Spenderrolle aus. Mit jeder weiteren Spende steigt diese Identifikation und hilft den Spendern, auch negative Erfahrungen zu verarbeiten. Um die Spenderbindung zu unterstützen, sollten die Blutspendedienste möglichst negative Erfahrungen der Spender vermeiden und Strategien wählen, die eine schnelle Rückkehr begünstigen. Hierzu zählen eine optimierte Terminplanung, schriftliche und telefonische Erinnerungen und Rückfragen über die gesammelten Erfahrungen und die zukünftige Spendemotivation. Darüber hinaus sollten weibliche Spender und Spender im mittleren Lebensalter besondere Beachtung finden, um deren eher geringe Rückkehrraten zu steigern. Ziel muss es sein, möglichst viele Spender zu einer längerfristigen Spenderkarriere zu bewegen.

Abstract

Regular donors who donate every year are very important for the prevention of blood shortages. However, only few first-time donors return to donate on a routine basis. In the past decade, several studies have described factors influencing donor return of first-time donors to guide donor retention strategies. These studies have showed that frequent return in the first year after the initial donation as well as positive donation experiences helped first-time donors to become regular donors. In contrast, donors that were temporarily deferred, donors that suffered from donation reactions or made other negative experiences were less likely to return for further donations. Further differences in donor return of first-time donors appeared between sociodemographic groups: men, very young donors, donors above 40 years, high educated donors and donors living in municipalities with a high annual number of mobile donation sites were more likely to return for further donations and to become regular donors. Return patterns of first-time donors of the German Red Cross Blood Service confirm most of these associations that were described in international studies. Beside these factors, a high self-efficacy among blood donors as well as a strong identification with the blood donor role can predict donor return of first-time donors. With each additional donation self-efficacy and the identification with the donor role increase. Therefore, strategies that help first-time donors to return as soon as possible for further donations are very important. These strategies should include phone call reminders, motivation interviews and a high annual number of mobile donation sites offered by the Blood Services. Especially women and middle-aged donors should be encouraged to return for further donations and to become regular donors.

 
  • Literatur

  • 1 Offergeld R, Ritter S, Hamouda O. HIV-, HCV-, HBV- und Syphilissurveillance unter Blutspendern in Deutschland 2008–2010. Bundesgesundheitsblatt 2012; 55: 907-913
  • 2 Glynn SA, Kleinman SH, Schreiber GB et al. Trends in incidence and prevalence of major transfusion-transmissible viral infections in US blood donors, 1991 to 1996. Retrovirus Epidemiology Donor Study (REDS). JAMA 2000; 284: 229-235
  • 3 Seifried E, Klueter H, Weidmann C et al. How much blood is needed?. Vox Sang 2011; 100: 10-21
  • 4 Ferguson E, Chandler S. A stage model of blood donor behaviour: assessing volunteer behaviour. J Health Psychol 2005; 10: 359-372
  • 5 Schreiber GB, Sharma UK, Wright DJ et al. Retrovirus Epidemiology Donor Study. First year donation patterns predict long-term commitment for first-time donors. Vox Sang 2005; 88: 114-121
  • 6 Piliavin JA, Callero PL. Giving Blood: The Development of an altruistic Identity. Baltimore: John Hopkins University Press; 1991
  • 7 Bednall TC, Bove LL, Cheetham A et al. A systematic review and meta-analysis of antecedents of blood donation behavior and intentions. Soc Sci Med 2013; 96: 86-94
  • 8 Bednall TC, Bove LL. Donating blood: a meta-analytic review of self-reported motivators and deterrents. Transfus Med Rev 2011; 25: 317-334
  • 9 Guo N, Wang J, Ness P et al. NHLBI Retrovirus Epidemiology Donor Study-II, International Component. Analysis of Chinese donorsʼ return behavior. Transfusion 2011; 51: 523-530
  • 10 Schlumpf KS, Glynn SA, Schreiber GB et al. National Heart, Lung, and Blood Institute Retrovirus Epidemiology Donor Study. Factors influencing donor return. Transfusion 2008; 48: 264-272
  • 11 Misje AH, Bosnes V, Heier HE. Gender differences in presentation rates, deferrals and return behaviour among Norwegian blood donors. Vox Sang 2010; 98: e241-e248
  • 12 Veldhuizen I, Folléa G, de Kort W. Donor cycle and donor segmentation: new tools for improving blood donor management. Vox Sang 2013; 105: 28-37
  • 13 Veldhuizen IJ, Doggen CJ, Atsma F et al. Donor profiles: demographic factors and their influence on the donor career. Vox Sang 2009; 97: 129-138
  • 14 Yu PL, Chung KH, Lin CK et al. Predicting potential drop-out and future commitment for first-time donors based on first 1.5-year donation patterns: the case in Hong Kong Chinese donors. Vox Sang 2007; 93: 57-63
  • 15 Kasraian L, Tavassoli A. Relationship between first-year blood donation, return rate for subsequent donation and demographic characteristics. Blood Transfus 2012; 10: 448-452
  • 16 Godin G, Amireault S, Vézina-Im LA et al. The effects of a phone call prompt on subsequent blood donation among first-time donors. Transfusion 2011; 51: 2720-2726
  • 17 Sinclair KS, Campbell TS, Carey PM et al. An adapted postdonation motivational interview enhances blood donor retention. Transfusion 2010; 50: 1778-1786
  • 18 Custer B, Schlumpf KS, Wright D et al. NHLBI Retrovirus Epidemiology Donor Study-II. Donor return after temporary deferral. Transfusion 2011; 51: 1188-1196
  • 19 Custer B, Chinn A, Hirschler NV et al. The consequences of temporary deferral on future whole blood donation. Transfusion 2007; 47: 1514-1523
  • 20 Newman BH, Newman DT, Ahmad R et al. The effect of whole-blood donor adverse events on blood donor return rates. Transfusion 2006; 46: 1374-1379
  • 21 Custer B, Rios JA, Schlumpf K et al. NHLBI Retrovirus Epidemiology Donor Study-II (REDS-II). Adverse reactions and other factors that impact subsequent blood donation visits. Transfusion 2012; 52: 118-126
  • 22 France CR, France JL, Roussos M et al. Mild reactions to blood donation predict a decreased likelihood of donor return. Transfus Apher Sci 2004; 30: 17-22
  • 23 Nguyen DD, Devita DA, Hirschler NV et al. Blood donor satisfaction and intention of future donation. Transfusion 2008; 48: 742-748
  • 24 Weidmann C, Müller-Steinhardt M, Schneider S et al. Donor satisfaction with a new german blood donor questionnaire and intention of the donor to return for further donations. Transfus Med Hemother 2013; 40: 356-361
  • 25 Ownby HE, Kong F, Watanabe K et al. Analysis of donor return behavior. Retrovirus Epidemiology Donor Study. Transfusion 1999; 39: 1128-1135
  • 26 Godin G, Conner M, Sheeran P et al. Determinants of repeated blood donation among new and experienced blood donors. Transfusion 2007; 47: 1607-1615
  • 27 Notari 4th EP, Zou S, Fang CT et al. Age-related donor return patterns among first-time blood donors in the United States. Transfusion 2009; 49: 2229-2236
  • 28 Weidmann C. Entstehungsbedingungen von Spenderkarrieren. Eine Mehrebenenanalyse der wiederholten Blutspendebereitschaft. Berlin: Logos Verlag; 2013
  • 29 Weidmann C, Schneider S, Litaker D et al. A spatial regression analysis of German community characteristics associated with voluntary non-remunerated blood donor rates. Vox Sang 2012; 102: 47-54
  • 30 Cimaroli K, Páez A, Newbold KB et al. Individual and contextual determinants of blood donation frequency with a focus on clinic accessibility: a case study of Toronto, Canada. Health Place 2012; 18: 424-433
  • 31 Giles M, McClenahan C, Cairns E et al. An application of the Theory of Planned Behaviour to blood donation: the importance of self-efficacy. Health Educ Res 2004; 19: 380-391
  • 32 Masser BM, White KM, Hyde MK et al. The psychology of blood donation: current research and future directions. Transfus Med Rev 2008; 22: 215-233
  • 33 Masser BM, Bednall TC, White KM et al. Predicting the retention of first-time donors using an extended Theory of Planned Behavior. Transfusion 2012; 52: 1303-1310
  • 34 Veldhuizen I, Ferguson E, de Kort W et al. Exploring the dynamics of the theory of planned behavior in the context of blood donation: does donation experience make a difference?. Transfusion 2011; 51: 2425-2437
  • 35 Callero PL, Howard JA, Piliavin JA. Helping behavior as role behavior: disclosing social structure and history in the analysis of prosocial action. Soc Psychol Q 1987; 50: 247-256
  • 36 Charng HW, Piliavin JA, Callero PL. Role identity and reasoned action in the prediction of repeated behavior. Soc Psychol Q 1988; 51: 303-317
  • 37 Weidmann C, Müller-Steinhardt M, Schneider S et al. Characteristics of Lapsed German Whole Blood Donors and Barriers to Return Four Years after the Initial Donation. Transfus Med Hemother 2012; 39: 9-15
  • 38 Niza C, Tung B, Marteau TM. Incentivizing blood donation: systematic review and meta-analysis to test Titmussʼ hypotheses. Health Psychol 2013; 32: 941-949
  • 39 de Kort W, Veldhuizen I. Donor Management Manual. Nijmegen, the Netherlands: DOMAINE project; 2010
  • 40 Veldhuizen I. ‘Thank you! please visit us again . Reflecting on the donor retention literature – implications for retention practices. ISBT Science Series 2010; 5: 196-200
  • 41 Veldhuizen I, Atsma F, van Dongen A et al. Adverse reactions, psychological factors, and their effect on donor retention in men and women. Transfusion 2012; 52: 1871-1879
  • 42 Müller-Steinhardt M, Müller-Kuller T, Weiss C et al. Safety and frequency of whole blood donations from elderly donors. Vox Sang 2012; 102: 134-139