Supporting family members requested to donate hematopoietic stem cells to a relative: development and pilot testing of a psycho-educational resource

Nienke Zomerdijk, J. Turner, D. Gottlieb, Annette Barnes, J. Butler, K. Markey, Geoffrey R. Hill
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Abstract

Supplemental Digital Content is Available in the Text. Abstract Background: In light of the increased demand for related donors in allogeneic stem cell transplantation, recognition of the psychosocial issues has also emerged. While resources supporting unrelated volunteer donors exist, none address the emotional issues specific to being a related donor. Providing related donors with preparatory information could help improve the overall donation experience and donor's outcomes. Objective: The objectives of this study were to develop and pilot test a print-based psycho-educational resource to support donors in coping with the physical and emotional aspects of donating to a relative. This article describes the development and pilot testing of the resource. Methods: Seventeen related donors and eight transplant nurses and physicians (transplant professionals) completed a survey and provided quantitative and qualitative feedback on the acceptability of the resource and preferences regarding the ideal distribution time. Results: Respondents endorsed the resource and found it useful and appropriate for the information needs at different stages of the donation and transplant process. The most useful reported components of the resource were testimonials from previous donors and explanations of blood cancers and the stem cell donation process. Most donor respondents indicated that the resource should be distributed as soon as possible while transplant professionals felt this should be after tissue typing, once the donor is confirmed as suitable. Respondents requested additional information on the side effects of donating and the possibility of being asked to repeat donation if the recipient relapses. More donor testimonials were also desired. Conclusion: The resource appears to be acceptable to donors and transplant professionals and helpful for developing confidence about coping with the physical and emotional aspects of donation. Findings from this study are currently being used to further refine and deliver the resource in additional formats.
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支持家庭成员要求将造血干细胞捐赠给亲属:心理教育资源的开发和试点测试
文本中提供了补充数字内容。摘要背景:鉴于异基因干细胞移植对相关供体的需求增加,人们也认识到了心理社会问题。虽然存在支持不相关的志愿者捐赠者的资源,但没有一种资源能解决作为相关捐赠者所特有的情感问题。向相关捐赠者提供准备信息有助于改善整体捐赠体验和捐赠者的成果。目的:本研究的目的是开发并试点测试一种基于印刷品的心理教育资源,以支持捐赠者应对向亲属捐款的身体和情感方面。本文介绍了该资源的开发和试点测试。方法:17名相关捐赠者和8名移植护士和医生(移植专业人员)完成了一项调查,并就资源的可接受性和理想分配时间的偏好提供了定量和定性反馈。结果:受访者认可该资源,并认为它对捐赠和移植过程不同阶段的信息需求有用且合适。据报道,该资源中最有用的组成部分是以前捐赠者的证词以及对血癌和干细胞捐献过程的解释。大多数捐赠者受访者表示,应该尽快分配资源,而移植专业人员认为,一旦捐赠者被确认为合适,就应该在组织分型后进行分配。受访者要求提供更多信息,说明捐赠的副作用,以及如果接受者复发,是否有可能被要求重复捐赠。还希望有更多的捐助者证明。结论:该资源似乎是捐赠者和移植专业人员可以接受的,有助于培养应对捐赠的身体和情感方面的信心。这项研究的结果目前正被用于进一步完善和以其他形式提供资源。
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