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Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety

BACKGROUND: Men‐who‐have‐sex‐with‐men (MSM) have been deferred from donating blood. However, recent evidence supports the adoption of donor screening based on individuals' sexual behavior over population‐based criteria. We explore how best to frame communications about adopting this change to m...

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Autores principales: Ferguson, Eamonn, Bowen, Sarah, Lawrence, Claire, Starmer, Chris, Barr, Abigail, Davison, Katy, Reynolds, Claire, Brailsford, Susan R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099824/
https://www.ncbi.nlm.nih.gov/pubmed/36349898
http://dx.doi.org/10.1111/trf.17175
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author Ferguson, Eamonn
Bowen, Sarah
Lawrence, Claire
Starmer, Chris
Barr, Abigail
Davison, Katy
Reynolds, Claire
Brailsford, Susan R
author_facet Ferguson, Eamonn
Bowen, Sarah
Lawrence, Claire
Starmer, Chris
Barr, Abigail
Davison, Katy
Reynolds, Claire
Brailsford, Susan R
author_sort Ferguson, Eamonn
collection PubMed
description BACKGROUND: Men‐who‐have‐sex‐with‐men (MSM) have been deferred from donating blood. However, recent evidence supports the adoption of donor screening based on individuals' sexual behavior over population‐based criteria. We explore how best to frame communications about adopting this change to minimize any potential negative consequences (e.g., reduced donor numbers). We examine the effectiveness of risk (emphasizing safety vs. emphasizing low risk), and focus (donor vs. recipient) frames on intentions to donate blood (approach) or feeling deterred from donating (avoid), and mechanisms linked to under‐reporting sexual behavior. STUDY DESIGN AND METHODS: We conducted a 2 (risk frame: risk vs. safety) by 3 (focus: donor vs. recipient vs. both) between‐subjects online experiment (n = 2677). The main outcomes were intentions to donate and feelings of being put‐off/deterred from donating (both for self and others). We also assessed the extent that forgetting, embarrassment/shame, and question irrelevance were perceived to be associated with under‐reporting sexual behavior. RESULTS: Frames that focused on safety or a recipient resulted in people reporting being less deterred from donating. Regardless of frame, people from ethnic minorities were more likely to feel deterred. Embarrassment/shame followed by forgetting and perceived irrelevance were the main reasons for under‐reporting sexual behaviors, especially in ethnic minorities, and smartphones were perceived as an acceptable memory aid for sexual behavior. DISCUSSION: Blood services moving to an individualized policy should frame donor selection in terms of safety and/or a recipient focus, explore sensitivities in ethnic minority communities, consider ways to normalize reporting sexual behavior, and use smartphones as a memory aid.
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spelling pubmed-100998242023-04-14 Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety Ferguson, Eamonn Bowen, Sarah Lawrence, Claire Starmer, Chris Barr, Abigail Davison, Katy Reynolds, Claire Brailsford, Susan R Transfusion Blood Donors and Blood Collection BACKGROUND: Men‐who‐have‐sex‐with‐men (MSM) have been deferred from donating blood. However, recent evidence supports the adoption of donor screening based on individuals' sexual behavior over population‐based criteria. We explore how best to frame communications about adopting this change to minimize any potential negative consequences (e.g., reduced donor numbers). We examine the effectiveness of risk (emphasizing safety vs. emphasizing low risk), and focus (donor vs. recipient) frames on intentions to donate blood (approach) or feeling deterred from donating (avoid), and mechanisms linked to under‐reporting sexual behavior. STUDY DESIGN AND METHODS: We conducted a 2 (risk frame: risk vs. safety) by 3 (focus: donor vs. recipient vs. both) between‐subjects online experiment (n = 2677). The main outcomes were intentions to donate and feelings of being put‐off/deterred from donating (both for self and others). We also assessed the extent that forgetting, embarrassment/shame, and question irrelevance were perceived to be associated with under‐reporting sexual behavior. RESULTS: Frames that focused on safety or a recipient resulted in people reporting being less deterred from donating. Regardless of frame, people from ethnic minorities were more likely to feel deterred. Embarrassment/shame followed by forgetting and perceived irrelevance were the main reasons for under‐reporting sexual behaviors, especially in ethnic minorities, and smartphones were perceived as an acceptable memory aid for sexual behavior. DISCUSSION: Blood services moving to an individualized policy should frame donor selection in terms of safety and/or a recipient focus, explore sensitivities in ethnic minority communities, consider ways to normalize reporting sexual behavior, and use smartphones as a memory aid. John Wiley & Sons, Inc. 2022-11-09 2023-01 /pmc/articles/PMC10099824/ /pubmed/36349898 http://dx.doi.org/10.1111/trf.17175 Text en © 2022 The Authors. Transfusion published by Wiley Periodicals LLC on behalf of AABB. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Blood Donors and Blood Collection
Ferguson, Eamonn
Bowen, Sarah
Lawrence, Claire
Starmer, Chris
Barr, Abigail
Davison, Katy
Reynolds, Claire
Brailsford, Susan R
Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety
title Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety
title_full Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety
title_fullStr Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety
title_full_unstemmed Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety
title_short Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety
title_sort communicating the move to individualized donor selection policy: framing messages focused on recipients and safety
topic Blood Donors and Blood Collection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099824/
https://www.ncbi.nlm.nih.gov/pubmed/36349898
http://dx.doi.org/10.1111/trf.17175
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