Outcome expectations and repeated blood donation behavior

A Moderated Mediation Model in a Prospective Observational Study

Datos Bibliográficos

ID7146783
AutoresHuahua Hu (0000-0002-0884-983X, Blood Center of Zhejiang Province , Hangzhou , 310052), Wei Hu (0000-0003-1255-9453, Blood Center of Zhejiang Province , Hangzhou , 310052), Joseph T F Lau (0000-0003-2344-7107, Wenzhou Medical University), Qiuyue Hu (0000-0002-2392-7736, Blood Center of Zhejiang Province , Hangzhou , 310052), Yan (0000-0001-7336-7100), Yan Yan (0000-0001-5357-0187, Blood Center of Zhejiang Province , Hangzhou , 310052), Phoenix K H Mo (0000-0001-9822-5424, School of Public Health and Primary Care, The Chinese University of Hong Kong , 999077)
Año2025
Volumen59
Número1
Fecha de publicación2025-01-04
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAnnals of Behavioral Medicine (JOURNAL)
Identificadores de la revistaISSN: 0883-6612 • E-ISSN: 1532-4796
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/abm/kaaf036
PMID40396493
OpenAlexW4410551512
IdiomaEN
Citas recibidas1
Referencias citadas42

BACKGROUND: Social cognitive theory proposes outcome expectations as an important factor in behavior change and maintenance. However, it is unknown whether and how outcome expectations interact with prosocial traits in predicting repeated blood donation (RBD) behavior. PURPOSE: The current study aimed to test the prospective association between outcome expectations and RBD behavior and the roles of altruism and re-donation intention in this association. METHODS: A total of 850 blood donors recruited from blood donation sites in Hangzhou, China, completed an online baseline survey. Their RBD behavior was captured by checking their blood donation records in the database of Blood Center of Zhejiang Province 6 months later. RESULTS: Anticipated physical benefits positively predicted RBD behavior, while anticipated physical harms negatively predicted it. Moderated mediation analyses showed that overall outcome expectations and anticipated physical benefits predicted more RBD behavior through increased re-donation intention, and this effect was moderated by altruism. Specifically, the positive effect of overall outcome expectations and anticipated physical benefits on re-donation intention was stronger among donors with lower levels of altruism. Overall outcome expectations and anticipated physical benefits were found to have a significant impact on RBD behavior only in donors with lower levels of altruism. CONCLUSIONS: The findings suggest that interventions aimed at promoting RBD behavior should seek to enhance re-donation intention, overall outcome expectations, and altruism. In particular, it is important to increase the overall outcome expectations-especially anticipated physical benefits-of donors with lower levels of altruism.

Altruism (biology) · Donation · Health psychology · Mediation · Moderated mediation · Observational study · Outcome (game theory) · Prosocial behavior · Psychiatry · Psychological intervention · Public health · Blood donation and transfusion practices · Clinical Psychology · Death Anxiety and Social Exclusion · Internal Medicine · Medicine · Nursing · Organ Donation and Transplantation · Psychology · Social Psychology