Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis, Jan 12, 2015
This paper identifies critical beliefs underpinning intentions to commence and continue plasmaphe... more This paper identifies critical beliefs underpinning intentions to commence and continue plasmapheresis donation. Whole blood (n = 624) and first-time plasmapheresis (n = 460) donors completed a cross-sectional survey assessing the belief-base of the theory of planned behaviour and rated their plasmapheresis donation intentions. While the idea of red blood cells being returned was a key deterrent for all donors, critical beliefs underlying commencement and continuation in the plasmapheresis donor panel differed and varied as a function of blood donation history. Findings will assist the development of targeted persuasion messages to optimise recruitment and retention of plasmapheresis donors in a non-remunerated context.
Background Demand for essential plasma-derived products is increasing. Purpose This prospective s... more Background Demand for essential plasma-derived products is increasing. Purpose This prospective study aims to identify predictors of voluntary non-remunerated whole blood (WB) donors becoming plasmapheresis donors. Methods Surveys were sent to WB donors who had recently (recent n=1,957) and not recently donated (distant n=1,012). Theory of Planned Behavior (TPB) constructs (attitude, subjective norm, self-efficacy) were extended with moral norm, anticipatory regret, and donor identity. Intentions and objective plasmapheresis donation for 527 recent and 166 distant participants were assessed. Results Multi-group analysis revealed that the model was a good fit. Moral norm and self-efficacy were positively associated while role identity (suppressed by moral norm) was negatively associated with plasmapheresis intentions. Conclusions The extended TPB was useful in identifying factors that facilitate conversion from WB to plasmapheresis donation. A superordinate donor identity may be synonymous with WB donation and, for donors with a strong moral norm for plasmapheresis, may inhibit conversion.
As blood collection agencies (BCAs) face recurrent shortages of varying blood products, developin... more As blood collection agencies (BCAs) face recurrent shortages of varying blood products, developing a panel comprising donors who are flexible in the product they donate based on same-time inventory demand could be an efficient, cost-effective inventory management strategy. Accounting for prior whole blood (WB) and plasmapheresis donation experience, this article explores current donors' willingness to change their donation product and identifies the type of information required for such donation flexibility. Telephone interviews (mean, 34 min; SD, 11 min) were conducted with 60 donors recruited via stratified purposive sampling representing six donor groups: no plasma, new to both WB and plasma, new to plasma, plasma, flexible (i.e., alternating between WB and plasma), and maximum (i.e., high frequency alternating between WB and plasma) donors. Participants responded to hypothetical scenarios and open-ended questions relating to their and other donors' willingness to be flex...
Stroke telemedicine is widely used to treat patients with acute stroke in Europe and North Americ... more Stroke telemedicine is widely used to treat patients with acute stroke in Europe and North America but is seldom used in Australia. The Victorian Stroke Telemedicine (VST) program aims to enhance acute stroke care in regional Australia. 12 month pilot prospective, historical-controlled, implementation cohort study. Emergency Department (ED) at a large regional hospital in Victoria. Patients ≥18 years of age arriving <4.5 hours in the ED with a possible diagnosis of acute stroke. Telemedicine consultation by a Melbourne-based stroke specialist. Stroke thrombolysis rate, timelines for clinical processes, discharge outcomes. In the initial 12 month VST implementation, 62 patients arrived <4.5 hours of stroke onset (60% male; median age 75 years). Compared to pre-VST data (n= 58; 52% male; median age 77 years), stroke thrombolysis use increased from 17% to 26% (p=0.26). Clinical process timelines improved including door to CT time (reduced by 29 minutes, p=0.006), and door to need...
Fast diagnosis and delivery of treatment to patients experiencing acute stroke can reduce subsequ... more Fast diagnosis and delivery of treatment to patients experiencing acute stroke can reduce subsequent disability. While telemedicine can improve rural community access to specialists and facilitate timely diagnosis and treatment decisions, it is not widely used for stroke in Australia. Identifying the barriers and facilitators to clinician engagement with, and utilisation of, telemedicine consultations could expedite implementation in rural and remote locations. Purposive sampling was used to identify and recruit medical and nursing staff varying in telemedicine experience across one hospital department. Twenty-four in-depth, face-to-face interviews were conducted examining aspects surrounding stroke telemedicine uptake. Inductive qualitative thematic analysis was undertaken and two further researchers verified coding. The main barriers identified were contrasting opinions about the utility of thrombolysis for treating acute stroke; lack of confidence in the telemedicine system; perc...
Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis, Jan 12, 2015
This paper identifies critical beliefs underpinning intentions to commence and continue plasmaphe... more This paper identifies critical beliefs underpinning intentions to commence and continue plasmapheresis donation. Whole blood (n = 624) and first-time plasmapheresis (n = 460) donors completed a cross-sectional survey assessing the belief-base of the theory of planned behaviour and rated their plasmapheresis donation intentions. While the idea of red blood cells being returned was a key deterrent for all donors, critical beliefs underlying commencement and continuation in the plasmapheresis donor panel differed and varied as a function of blood donation history. Findings will assist the development of targeted persuasion messages to optimise recruitment and retention of plasmapheresis donors in a non-remunerated context.
Ongoing shortages of blood products may be addressed through additional donations. However, donat... more Ongoing shortages of blood products may be addressed through additional donations. However, donation frequency rates are typically lower than medically possible. This preliminary study aims to determine voluntary nonremunerated whole blood (WB) and plasmapheresis donors' willingness, and subsequent facilitators and barriers, to make additional donations of a different type. Forty individual telephone interviews were conducted posing two additional donation pattern scenarios: first, making a single and, second, making multiple plasmapheresis donations between WB donations. Stratified purposive sampling was conducted for four samples varying in donation experience: no-plasma, new-to-both-WB-and-plasma, new-to-plasma, and plasma donors. Interviews were analyzed yielding excellent (κ values > 0.81) inter-rater reliability. Facilitators were more endorsed than barriers for a single but not multiple plasmapheresis donation. More new-to-both donors (n = 5) were willing to make multi...
Background: The use of Geographic information Systems (GIS) to display the geographic distributio... more Background: The use of Geographic information Systems (GIS) to display the geographic distribution of blood donors and its characteristics on a map can be a useful tool in blood transfusion management. GIS permit the allocation of raw data or processed information on a map, allowing contextualization of the information itself and the extrapolation of knowledge. The increasing development of Free/Libre Open Source Software (FLOSS) as resulted in quality improvement and constant evolution in the GIS area, by reduction in the cost of software development and increased its speed.
... However, it is not systematically integrated into existing clinical teaching nor is there evi... more ... However, it is not systematically integrated into existing clinical teaching nor is there evidence that simulated experience ... in clinical education in Medicine, Nursing, Midwifery, e-learning, interprofessional education and building partnerships with community-based organisations. ...
Demand for plasma-derived products, and consequently plasmapheresis donors, continues to increase... more Demand for plasma-derived products, and consequently plasmapheresis donors, continues to increase. This study aims to identify the factors that facilitate the persuasion success of conversations with whole blood (WB) donors to convert to plasmapheresis donation within a voluntary nonremunerated context. Surveys were sent to WB donors after a plasmapheresis conversion conversation with a blood collection agency (BCA) staff member: in center (Sample 1) or via a call center (Sample 2). Participants reported the number of donor-initiated and BCA-initiated conversations about plasma, experienced in the prior 12 months. Perceptions of the most recent conversation, donor oriented and conversion oriented, were also reported. The BCA provided WB donation history for the prior 5 years. Participants&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; intentions to make a first plasmapheresis donation were captured and any subsequent plasmapheresis donation was objectively recorded. Conversion rates were higher for in-center than call center-based conversations. For both samples, path analyses revealed that intentions are associated with conversion. Prior WB donations are negatively associated, while donor-initiated and donor-orientated conversations are positively associated with conversion intentions. Results for agent-initiated conversations and conversion-orientated conversations were mixed across samples. Converting suitable WB donors to plasmapheresis is best achieved early in the donor&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s career using face-to-face conversations with collection center staff. BCAs should facilitate donor-initiated conversations through promotional campaigns that encourage donors to approach staff. Conversations that focus on donors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; needs and welfare more effectively encourage conversion intentions than those perceived as pushing the requirements of the BCA.
Background Demand for essential plasma-derived products is increasing. Purpose This prospective s... more Background Demand for essential plasma-derived products is increasing. Purpose This prospective study aims to identify predictors of voluntary non-remunerated whole blood (WB) donors becoming plasmapheresis donors. Methods Surveys were sent to WB donors who had recently (recent n=1,957) and not recently donated (distant n=1,012). Theory of Planned Behavior (TPB) constructs (attitude, subjective norm, self-efficacy) were extended with moral norm, anticipatory regret, and donor identity. Intentions and objective plasmapheresis donation for 527 recent and 166 distant participants were assessed. Results Multi-group analysis revealed that the model was a good fit. Moral norm and self-efficacy were positively associated while role identity (suppressed by moral norm) was negatively associated with plasmapheresis intentions. Conclusions The extended TPB was useful in identifying factors that facilitate conversion from WB to plasmapheresis donation. A superordinate donor identity may be synonymous with WB donation and, for donors with a strong moral norm for plasmapheresis, may inhibit conversion.
With little research examining children's restorative environments, the design of environments su... more With little research examining children's restorative environments, the design of environments supportive of children's functioning is limited. The aim of this study was to examine the predictors of perceived restorativeness of children's school playgrounds, using Attention Restoration Theory. Children (N ¼ 550, 46% boys, M age ¼ 9.73 years, SD ¼ 1.21) from 14 schools reported playground perceived restorativeness and play period experiences (affect, physical activity, social activity, perceived affordances). Playground characteristics of nature, size, play areas, play equipment and ratio of total grounds were assessed. After controlling for gender, age and playground size, vegetation volume was the only significant naturalness measure predicting perceived restorativeness. Play period experiences explained more variance than physical characteristics. With only moderate levels of perceived restorativeness revealed, the potential for school grounds to enhance children's functioning remains. Factors contributing to children's restorative environments may differ from adults, requiring children's inclusion in the research and design of their environments.
With worldwide demand for plasma-derived products increasing, a critical question is how to effec... more With worldwide demand for plasma-derived products increasing, a critical question is how to effectively recruit and retain VNR plasmapheresis donors? This review summarises an emerging empirical literature and translates this into practical strategies for BCAs. We extend this to consider how 'flexible' donorsdonors who move between panels as required to donate the right product at the right timemay be best cultivated by BCAs.
Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis, Jan 12, 2015
This paper identifies critical beliefs underpinning intentions to commence and continue plasmaphe... more This paper identifies critical beliefs underpinning intentions to commence and continue plasmapheresis donation. Whole blood (n = 624) and first-time plasmapheresis (n = 460) donors completed a cross-sectional survey assessing the belief-base of the theory of planned behaviour and rated their plasmapheresis donation intentions. While the idea of red blood cells being returned was a key deterrent for all donors, critical beliefs underlying commencement and continuation in the plasmapheresis donor panel differed and varied as a function of blood donation history. Findings will assist the development of targeted persuasion messages to optimise recruitment and retention of plasmapheresis donors in a non-remunerated context.
Background Demand for essential plasma-derived products is increasing. Purpose This prospective s... more Background Demand for essential plasma-derived products is increasing. Purpose This prospective study aims to identify predictors of voluntary non-remunerated whole blood (WB) donors becoming plasmapheresis donors. Methods Surveys were sent to WB donors who had recently (recent n=1,957) and not recently donated (distant n=1,012). Theory of Planned Behavior (TPB) constructs (attitude, subjective norm, self-efficacy) were extended with moral norm, anticipatory regret, and donor identity. Intentions and objective plasmapheresis donation for 527 recent and 166 distant participants were assessed. Results Multi-group analysis revealed that the model was a good fit. Moral norm and self-efficacy were positively associated while role identity (suppressed by moral norm) was negatively associated with plasmapheresis intentions. Conclusions The extended TPB was useful in identifying factors that facilitate conversion from WB to plasmapheresis donation. A superordinate donor identity may be synonymous with WB donation and, for donors with a strong moral norm for plasmapheresis, may inhibit conversion.
As blood collection agencies (BCAs) face recurrent shortages of varying blood products, developin... more As blood collection agencies (BCAs) face recurrent shortages of varying blood products, developing a panel comprising donors who are flexible in the product they donate based on same-time inventory demand could be an efficient, cost-effective inventory management strategy. Accounting for prior whole blood (WB) and plasmapheresis donation experience, this article explores current donors' willingness to change their donation product and identifies the type of information required for such donation flexibility. Telephone interviews (mean, 34 min; SD, 11 min) were conducted with 60 donors recruited via stratified purposive sampling representing six donor groups: no plasma, new to both WB and plasma, new to plasma, plasma, flexible (i.e., alternating between WB and plasma), and maximum (i.e., high frequency alternating between WB and plasma) donors. Participants responded to hypothetical scenarios and open-ended questions relating to their and other donors' willingness to be flex...
Stroke telemedicine is widely used to treat patients with acute stroke in Europe and North Americ... more Stroke telemedicine is widely used to treat patients with acute stroke in Europe and North America but is seldom used in Australia. The Victorian Stroke Telemedicine (VST) program aims to enhance acute stroke care in regional Australia. 12 month pilot prospective, historical-controlled, implementation cohort study. Emergency Department (ED) at a large regional hospital in Victoria. Patients ≥18 years of age arriving <4.5 hours in the ED with a possible diagnosis of acute stroke. Telemedicine consultation by a Melbourne-based stroke specialist. Stroke thrombolysis rate, timelines for clinical processes, discharge outcomes. In the initial 12 month VST implementation, 62 patients arrived <4.5 hours of stroke onset (60% male; median age 75 years). Compared to pre-VST data (n= 58; 52% male; median age 77 years), stroke thrombolysis use increased from 17% to 26% (p=0.26). Clinical process timelines improved including door to CT time (reduced by 29 minutes, p=0.006), and door to need...
Fast diagnosis and delivery of treatment to patients experiencing acute stroke can reduce subsequ... more Fast diagnosis and delivery of treatment to patients experiencing acute stroke can reduce subsequent disability. While telemedicine can improve rural community access to specialists and facilitate timely diagnosis and treatment decisions, it is not widely used for stroke in Australia. Identifying the barriers and facilitators to clinician engagement with, and utilisation of, telemedicine consultations could expedite implementation in rural and remote locations. Purposive sampling was used to identify and recruit medical and nursing staff varying in telemedicine experience across one hospital department. Twenty-four in-depth, face-to-face interviews were conducted examining aspects surrounding stroke telemedicine uptake. Inductive qualitative thematic analysis was undertaken and two further researchers verified coding. The main barriers identified were contrasting opinions about the utility of thrombolysis for treating acute stroke; lack of confidence in the telemedicine system; perc...
Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis, Jan 12, 2015
This paper identifies critical beliefs underpinning intentions to commence and continue plasmaphe... more This paper identifies critical beliefs underpinning intentions to commence and continue plasmapheresis donation. Whole blood (n = 624) and first-time plasmapheresis (n = 460) donors completed a cross-sectional survey assessing the belief-base of the theory of planned behaviour and rated their plasmapheresis donation intentions. While the idea of red blood cells being returned was a key deterrent for all donors, critical beliefs underlying commencement and continuation in the plasmapheresis donor panel differed and varied as a function of blood donation history. Findings will assist the development of targeted persuasion messages to optimise recruitment and retention of plasmapheresis donors in a non-remunerated context.
Ongoing shortages of blood products may be addressed through additional donations. However, donat... more Ongoing shortages of blood products may be addressed through additional donations. However, donation frequency rates are typically lower than medically possible. This preliminary study aims to determine voluntary nonremunerated whole blood (WB) and plasmapheresis donors' willingness, and subsequent facilitators and barriers, to make additional donations of a different type. Forty individual telephone interviews were conducted posing two additional donation pattern scenarios: first, making a single and, second, making multiple plasmapheresis donations between WB donations. Stratified purposive sampling was conducted for four samples varying in donation experience: no-plasma, new-to-both-WB-and-plasma, new-to-plasma, and plasma donors. Interviews were analyzed yielding excellent (κ values > 0.81) inter-rater reliability. Facilitators were more endorsed than barriers for a single but not multiple plasmapheresis donation. More new-to-both donors (n = 5) were willing to make multi...
Background: The use of Geographic information Systems (GIS) to display the geographic distributio... more Background: The use of Geographic information Systems (GIS) to display the geographic distribution of blood donors and its characteristics on a map can be a useful tool in blood transfusion management. GIS permit the allocation of raw data or processed information on a map, allowing contextualization of the information itself and the extrapolation of knowledge. The increasing development of Free/Libre Open Source Software (FLOSS) as resulted in quality improvement and constant evolution in the GIS area, by reduction in the cost of software development and increased its speed.
... However, it is not systematically integrated into existing clinical teaching nor is there evi... more ... However, it is not systematically integrated into existing clinical teaching nor is there evidence that simulated experience ... in clinical education in Medicine, Nursing, Midwifery, e-learning, interprofessional education and building partnerships with community-based organisations. ...
Demand for plasma-derived products, and consequently plasmapheresis donors, continues to increase... more Demand for plasma-derived products, and consequently plasmapheresis donors, continues to increase. This study aims to identify the factors that facilitate the persuasion success of conversations with whole blood (WB) donors to convert to plasmapheresis donation within a voluntary nonremunerated context. Surveys were sent to WB donors after a plasmapheresis conversion conversation with a blood collection agency (BCA) staff member: in center (Sample 1) or via a call center (Sample 2). Participants reported the number of donor-initiated and BCA-initiated conversations about plasma, experienced in the prior 12 months. Perceptions of the most recent conversation, donor oriented and conversion oriented, were also reported. The BCA provided WB donation history for the prior 5 years. Participants&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; intentions to make a first plasmapheresis donation were captured and any subsequent plasmapheresis donation was objectively recorded. Conversion rates were higher for in-center than call center-based conversations. For both samples, path analyses revealed that intentions are associated with conversion. Prior WB donations are negatively associated, while donor-initiated and donor-orientated conversations are positively associated with conversion intentions. Results for agent-initiated conversations and conversion-orientated conversations were mixed across samples. Converting suitable WB donors to plasmapheresis is best achieved early in the donor&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s career using face-to-face conversations with collection center staff. BCAs should facilitate donor-initiated conversations through promotional campaigns that encourage donors to approach staff. Conversations that focus on donors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; needs and welfare more effectively encourage conversion intentions than those perceived as pushing the requirements of the BCA.
Background Demand for essential plasma-derived products is increasing. Purpose This prospective s... more Background Demand for essential plasma-derived products is increasing. Purpose This prospective study aims to identify predictors of voluntary non-remunerated whole blood (WB) donors becoming plasmapheresis donors. Methods Surveys were sent to WB donors who had recently (recent n=1,957) and not recently donated (distant n=1,012). Theory of Planned Behavior (TPB) constructs (attitude, subjective norm, self-efficacy) were extended with moral norm, anticipatory regret, and donor identity. Intentions and objective plasmapheresis donation for 527 recent and 166 distant participants were assessed. Results Multi-group analysis revealed that the model was a good fit. Moral norm and self-efficacy were positively associated while role identity (suppressed by moral norm) was negatively associated with plasmapheresis intentions. Conclusions The extended TPB was useful in identifying factors that facilitate conversion from WB to plasmapheresis donation. A superordinate donor identity may be synonymous with WB donation and, for donors with a strong moral norm for plasmapheresis, may inhibit conversion.
With little research examining children's restorative environments, the design of environments su... more With little research examining children's restorative environments, the design of environments supportive of children's functioning is limited. The aim of this study was to examine the predictors of perceived restorativeness of children's school playgrounds, using Attention Restoration Theory. Children (N ¼ 550, 46% boys, M age ¼ 9.73 years, SD ¼ 1.21) from 14 schools reported playground perceived restorativeness and play period experiences (affect, physical activity, social activity, perceived affordances). Playground characteristics of nature, size, play areas, play equipment and ratio of total grounds were assessed. After controlling for gender, age and playground size, vegetation volume was the only significant naturalness measure predicting perceived restorativeness. Play period experiences explained more variance than physical characteristics. With only moderate levels of perceived restorativeness revealed, the potential for school grounds to enhance children's functioning remains. Factors contributing to children's restorative environments may differ from adults, requiring children's inclusion in the research and design of their environments.
With worldwide demand for plasma-derived products increasing, a critical question is how to effec... more With worldwide demand for plasma-derived products increasing, a critical question is how to effectively recruit and retain VNR plasmapheresis donors? This review summarises an emerging empirical literature and translates this into practical strategies for BCAs. We extend this to consider how 'flexible' donorsdonors who move between panels as required to donate the right product at the right timemay be best cultivated by BCAs.
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Papers by Kathleen Bagot