Objective: The aim of this study was to test key variations in the question-behavior effect against a control condition or an implementation intention condition on returning to give blood among lapsed donors (individuals who had not given blood in past two years).Design: At baseline, 7000 lapsed donors were randomized to one of six experimental or to a control condition. Participants in the experimental conditions were asked to complete a 6-item postal questionnaire assessing: intentions-only, interrogative intention, moral norm plus intention, anticipated regret plus intention, positive self-image plus intention, or implementation intentions. Objective measures of behavior were obtained 6 and 15 months later.Main Outcome Measure: The frequency of registrations to give blood over the next 6 and 15 months.Results: Intention-to-treat analysis of the frequency of registrations (GENMOD procedure, Poisson distribution) indicated main effects for condition (experimental versus control) at both 6 months, 2 (1) = 4.64, p < .05, and 15 months, 2 (1) = 5.88, p < .05. Positive self-image and implementation intention interventions outperformed the control condition at 6 months. At 15 months, standard intention, interrogative intention, and regret plus intention conditions each showed more frequent registrations compared to controls and were just as effective as implementation intention formation. Moderation analysis showed the moral norm and positive self-image conditions were significant for first-time (one previous donation) but not repeat (two or more previous donations) donors.Conclusions: The question-behavior effect can be used to reinvigorate blood donation among lapsed donors, and can be as effective as forming implementation intentions. extends previous work on the QBE in three key ways. First, we examine whether the impact of measuring intentions on subsequent behavior can be augmented by using the interrogative form or by measuring constructs in addition to intentions. Second, we compare the QBE not only to a standard nocontact control condition, but also in relation to an established behavior change intervention (i.e., implementation intentions; see (Gollwitzer & Sheeran, 2006) for a review). Third, we investigate the moderating effects of whether a questionnaire was returned or not and participants' age, sex, and donor status (first-time vs. repeat). The research focuses on a behavior of considerable importance for public health and on a sample of particular significance in this domain, namely, returning to give blood among lapsed blood donors.
Augmenting the Question-Behavior EffectSeveral studies have tested the QBE in relation to blood donation, with mixed results. In the first study in this area, Godin et al. (2008) observed significantly more frequent attempts to give blood at both 6-and 12-month follow-ups among repeat blood donors who were asked to complete a Question -Behavior Effect Interventions 4 questionnaire based on an extended version of the theory of planned behavior (TPB; (Ajzen, 19...