Assessment of donor fear enhances prediction of presyncopal symptoms among volunteer blood donors

Kowalsky, Jennifer M.; Ellis, Gary D.; Copley, Diane M.; Geneser, Ashley; Frame-Brown, Terri A.; Venable, Geri A.; Graham, David; Shipley, Patsy; Menitove, Jay E.

doi:10.1111/j.1537-2995.2011.03294.x

Cited by 47 publications

(73 citation statements)

References 26 publications

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“…In their study of 210 blood donors, Ando and colleagues 14 suggested that a simple standing test before and after whole blood donation detected heart rate changes that correlated with the risk of vasovagal reactions. France and colleagues 15 showed that assessment of donors' fear or anxiety before the donation may also lead to better prediction of presyncopal symptoms and more effective utilization of specific interventions, such as water ingestion or applied muscle tension for the most susceptible donors. While promising, these pilot studies still need to be tested on a larger scale in blood centers to assess their operational feasibility and effect on the risk of syncope and injuries after whole blood donation.…”

Section: Discussionmentioning

confidence: 99%

Do reactions after whole blood donation predict syncope on return donation?

2012

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Section: Discussionmentioning

confidence: 99%

Do reactions after whole blood donation predict syncope on return donation?

2012

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“…Further, the individual may find the symptoms distressing, thus promoting avoidance of future medical or otherwise important procedures [11,12,29].…”

Section: Introductionmentioning

confidence: 99%

Initial validation of a virtual blood draw exposure paradigm for fear of blood and needles

Trost

Jones

Guck

et al. 2017

Journal of Anxiety Disorders

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Fear of blood, injections, and needles commonly prevents or delays individuals' receipt of health care, such as vaccines or blood draws. Innovative methods are needed to overcome these fears and reduce anxiety related to activities of this nature. The present study describes initial testing of an arm illusion paradigm that may prove useful during early phases of graded exposure for people with blood and needle fear. Seventy-four undergraduate students aged 18-29 years were tested. In line with study aims, results indicated that the virtual blood draw paradigm promoted strong perceptions of arm ownership and elicited significant changes in physiological indices (blood pressure, heart rate, electrodermal activity, respiratory rate) in response to key procedure elements (e.g., needle insertion). Further, bivariate correlations indicated that individual differences in self-reported blood and needle fear collected prior to the illusion paradigm were significantly associated with presyncopal symptoms reported following the procedure. In regression analyses, self-reported measures of blood and needle fear explained unique variance in presyncopal symptoms even after controlling for general state anxiety. These findings provide initial support for the virtual blood draw paradigm as a promising tool to help provide graded exposure to medical procedures involving needles and blood draw.

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“…Those who expressed fear in the study of experienced donors had a higher percentage of positive BDRIs than those who did not express fear (48 vs. 18%; p < 0.002) [64]. In logistical regression analysis, fear was found to be a strong predictor for a positive reaction using BDRIs.…”

Section: Reducing Vasovagal Reactions and Increasing Donor Retentionmentioning

confidence: 99%

“…44% of the donors (755/1,715) in the high school were afraid, and most had low or moderate amounts of fear. The proportion with fear was higher in first-time donors (495/855 (58%)) than in repeat donors (260/860 (30%)), but both groups had higher fear rate proportions than the general donor population (15%) [64,65]. …”

Section: Reducing Vasovagal Reactions and Increasing Donor Retentionmentioning

confidence: 99%

“…There is concern that a fear question might discourage blood donations or even cause more donor reactions. Two donor fear questions were evaluated in 982 experienced donors, ages 16-92 years, with 4% being first-time donors [64]. Vasovagal reactions were evaluated using a 4-question BDRI (faintness, dizziness, weakness, or lightheadedness) because the group had very few observed reactions.…”

Section: Reducing Vasovagal Reactions and Increasing Donor Retentionmentioning

confidence: 99%

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Management of Young Blood Donors

Newman¹

2014

Transfus Med Hemother

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The emphasis on high-school blood drives and acceptance of 16-year-old blood donors led to more research on physiologic and psychological ways to decrease vasovagal reaction rates in young blood donors and to increase donor retention. Research on how to accomplish this has been advantageous for the blood collection industry and blood donors. This review discussed the current situation and what can be done psychologically, physiologically, and via process improvements to decrease vasovagal reaction rates and increase donor retention. The donation process can be significantly improved. Future interventions may include more dietary salt, a shorter muscle tension program to make it more feasible, recommendations for post-donation muscle tension / squatting / laying down for lightheadedness, more donor education by the staff at the collection site, more staff attention to donors with fear or higher risk for a vasovagal reaction (e.g. estimated blood volume near 3.5 l, first-time donor), and a more focused donation process to ensure a pleasant and safer procedure.

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Assessment of donor fear enhances prediction of presyncopal symptoms among volunteer blood donors

Abstract: Predonation assessment of fear of blood draws may help to identify donors who are most likely to benefit from brief interventions designed to enhance donor coping, reduce risk of presyncopal reactions, and increase donor retention.

Cited by 47 publications

References 26 publications

Do reactions after whole blood donation predict syncope on return donation?

Do reactions after whole blood donation predict syncope on return donation?

Initial validation of a virtual blood draw exposure paradigm for fear of blood and needles

Management of Young Blood Donors

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