{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:08:09Z","timestamp":1789697289048,"version":"4.0.1"},"reference-count":43,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T00:00:00Z","timestamp":1625443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HL127766"],"award-info":[{"award-number":["R01HL127766"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aimed to promote competence, autonomy, and relatedness among first\u2010time whole blood donors to enhance intrinsic motivation and increase retention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design and methods<\/jats:title><jats:p>Using a full factorial design, first\u2010time donors (<jats:italic>N<\/jats:italic>\u00a0=\u00a02002) were randomly assigned to a no\u2010treatment control condition or to one of seven intervention conditions designed to promote donation competence, autonomy, relatedness, a combination of two (e.g., competence and autonomy), or all three constructs. Participants completed donor motivation measures before the intervention and 6\u2009weeks later, and subsequent donation attempts were assessed for 1\u2009year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant group difference in the frequency of donation attempts or in the number of days to return. Significant effects of group were observed for 10 of the 12 motivation measures, although follow\u2010up analyses revealed significant differences from the control group were restricted to interventions that included an autonomy component. Path analyses confirmed direct associations between interventions involving autonomy and donor motivation, and indirect mediation of donation attempts via stronger donation intentions and lower donation anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among young, first\u2010time, whole blood donors, brief interventions that include support for donor autonomy were associated with direct effects on donor motivation and indirect, but small, effects on subsequent donation behavior.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.16577","type":"journal-article","created":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T17:22:43Z","timestamp":1625505763000},"page":"2637-2649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Results from the blood donor competence, autonomy, and relatedness enhancement (blood donor <scp>CARE<\/scp>) randomized trial"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4723-0247","authenticated-orcid":false,"given":"Christopher R.","family":"France","sequence":"first","affiliation":[{"name":"Department of Psychology Ohio University  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0669-4253","authenticated-orcid":false,"given":"Janis L.","family":"France","sequence":"additional","affiliation":[{"name":"Department of Psychology Ohio University  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina K.","family":"Himawan","sequence":"additional","affiliation":[{"name":"Department of Psychology Ohio University  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen R.","family":"Fox","sequence":"additional","affiliation":[{"name":"Center for Biobehavioral Health The Abigail Wexner Research Institute at Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina E.","family":"Livitz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Cambridge Health Alliance  Cambridge Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Ankawi","sequence":"additional","affiliation":[{"name":"VA Connecticut  West Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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