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Blood Donation Knowledge Questionnaire (BDKQ-Brazil): analysis of items and application in primary healthcare users
Miriane Lucindo Zucoloto1, Edson Zangiacomi Martinez1
1Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP USP), Ribeirão Preto, SP, Brazil.
Insights
This study evaluated the Blood Donation Knowledge Questionnaire in primary care users. Knowledge about blood donation is linked to sex, education, and prior donation history.
Area of Science:
- Public Health
- Health Education
- Health Services Research
Background:
- Assessing knowledge about blood donation is crucial for improving donation rates.
- Primary care services offer a valuable setting to reach a diverse population for health knowledge assessments.
- Understanding sociodemographic factors influencing blood donation knowledge is key to targeted interventions.
Purpose of the Study:
- To evaluate the Blood Donation Knowledge Questionnaire in a large primary care user sample.
- To assess the psychometric properties of the questionnaire items.
- To examine the association between blood donation knowledge and sociodemographic variables.
Main Methods:
- A 24-item Blood Donation Knowledge Questionnaire was administered to 1055 primary care users.
- Data were collected from 12 healthcare facilities in Ribeirão Preto, São Paulo.
- Item analysis used classical test theory; associations were analyzed with Tobit regression.
Main Results:
- The questionnaire demonstrated good item understanding, facility, and discrimination.
- Higher knowledge scores were observed in females, individuals with higher education, and those who had previously donated blood.
- 23.3% of participants had donated blood previously, 63.4% had never donated, and 13.3% were ineligible.
Conclusions:
- The Blood Donation Knowledge Questionnaire is a valid instrument for assessing general knowledge about blood donation.
- Blood donation knowledge among primary care users is significantly associated with sex, educational level, and prior donation experience.
- Findings support the use of the questionnaire in diverse settings to inform blood donation education strategies.
Background:
To present the results of the application of the Blood Donation Knowledge Questionnaire in a large and representative sample of users of primary care services in order to extend the evaluation of the metrics of the items and to assess knowledge about blood donation in association with sociodemographic variables.
Method:
The Blood Donation Knowledge Questionnaire is composed of 24 items based on blood donation requirements of the Brazilian Ministry of Health and on some popular beliefs and concepts of the Brazilian population regarding the blood donation process. Data collection was carried out in 12 healthcare facilities of Ribeirão Preto, São Paulo. The analysis of items was performed using classical test theory with associations being assessed using the multivariate Tobit regression model.
Results:
A total of 1055 individuals participated (79.7% females and a mean age of 40.6 years). Previous blood donation was reported by 246 (23.3%) participants, 669 (63.4%) had never donated, and 140 (13.3%) reported being ineligible to donate blood. This questionnaire is comprised of items considered easy-to-understand, with a facility level of medium to high and generally an adequate capability of discrimination. Higher means of correct answers were detected among females, individuals with more schooling, and subjects who had already donated blood.
Conclusion:
The Blood Donation Knowledge Questionnaire is an instrument that aims to measure some general aspects of knowledge regarding blood donation and can be used in different contexts. There is evidence that knowledge of primary healthcare users regarding blood donation is correlated to sex, educational level, and previous blood donation.
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