title: Donor attention to reading materials.
abstract: OBJECTIVE
  Mandatory predonation reading materials inform donors about risk factors for transmissible disease, possible complications of donation and changes to the donation process. We aimed to assess the attention to predonation reading materials and factors which may affect attention.
  
  
  METHODS
  A national survey in 2008 of 18,108 blood donors asked about self-assessed attention to reading the materials. In face-to-face interviews, 441 donors completed additional questions about reading the materials and a literacy test. Qualitative interviews of 27 donors assessed their approach to reading.
  
  
  RESULTS
  In the national survey, most of the first-time donors said they read all or most of the materials (90.9% first-time vs. 57.6% repeat donors, P < 0.001) and 66% vs. 23.1% reported reading them carefully (P < 0.001). In face-to-face interviews comparing those who read materials carefully, skimmed or did not read, most knew that donors are informed of positive transmissible disease test results (97.1%, 95.5, 98.0 P > 0.05), but fewer recalled seeing the definition of sex (77.2%, 56.9, 24.2 P < 0.001). Literacy was poor (30.5% frustration level, 60.3% instructional, 9.2% independent) but similar when those who read materials carefully, skimmed or did not read were compared (P > 0.05). Qualitative interviews showed that donors are reluctant to read any more than necessary and decide based on perceived importance or relevance.
  
  
  CONCLUSIONS
  Attention to predonation reading materials tends to be better among first-time donors. The effectiveness is limited by low motivation to read, especially for repeat donors, as well as poor literacy.
authors.affiliation: Canadian Blood Services, Ottawa, ON, Canada.|School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada.
authors.forename: S F
authors.initials: SF
authors.lastname: O'Brien
authors.affiliation: Canadian Blood Services, Ottawa, ON, Canada.
authors.forename: L
authors.initials: L
authors.lastname: Osmond
authors.affiliation: Canadian Blood Services, Ottawa, ON, Canada.
authors.forename: K
authors.initials: K
authors.lastname: Choquet
authors.affiliation: Canadian Blood Services, Ottawa, ON, Canada.|School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada.
authors.forename: Q-L
authors.initials: QL
authors.lastname: Yi
authors.affiliation: Canadian Blood Services, Ottawa, ON, Canada.|Department of Pathology & Laboratory Medicine, University of Ottawa, Ottawa, ON, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Goldman
mesh_terms: D000328:Adult; D001288:Attention; D001782:Blood Donors / Q000193:education* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011932:Reading
keywords: blood donor; education; learning; pamphlet; predonation reading