Background and Objectives: Pre-donation screening of potential blood donors is critical for ensuring the safety of the donor blood supply, and donor deferral as a result of risk factors is practised worldwide. This systematic review was conducted in the context of an expert review convened by the Australian Red Cross Lifeblood in 2013 to consider Lifeblood’s injecting drug use (IDU)-related policies and aimed to identify studies assessing interventions to improve compliance with deferral criteria in blood donation settings. Materials and Methods: MEDLINE/PubMed, OVID Medline, OVID Embase, LILACS, and the Cochrane Library (CENTRAL and DARE) databases were searched for studies conducted within blood donation settings that examined interventions to increase blood donor compliance with deferral criteria. Observational and experimental studies from all geographical areas were considered. Results: Ten studies were identified that tested at least one intervention to improve blood donor compliance with deferral criteria, including computerized interviews or questionnaires, direct and indirect oral questioning, educational materials, and a combination of a tickbox questionnaire and a personal donor interview. High-quality evidence from a single study was provided for the effectiveness of a computerized interview in improving detection of HIV risk behaviour. Low-quality evidence for the effectiveness of computerized interviews was provided by 3 additional studies. Two studies reported a moderate effect of direct questioning in increasing donor deferral, but the quality of the evidence was low. Conclusion: This review identified several interventions to improve donor compliance that have been tested in blood donation settings and provided evidence for the effectiveness of computerized interviews in improving detection of risk factors.
Transfus Med Hemother

中文翻译：

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系统评价用于提高献血者对延迟标准的依从性的干预措施

背景和目的：对潜在献血者进行献血前筛查对于确保献血者血液供应的安全至关重要，并且由于风险因素导致献血者延期在世界范围内普遍存在。这项系统评价是在澳大利亚红十字会 Lifeblood 于 2013 年召集的专家评审的背景下进行的，以考虑 Lifeblood 的注射吸毒 (IDU) 相关政策，旨在确定评估干预措施以提高献血环境中推迟标准合规性的研究. 材料和方法：在 MEDLINE/PubMed、OVID Medline、OVID Embase、LILACS 和 Cochrane 图书馆（CENTRAL 和 DARE）数据库中搜索了在献血环境中进行的研究，这些研究检查了提高献血者对延期标准的依从性的干预措施。考虑了来自所有地理区域的观察和实验研究。结果：确定了 10 项研究，这些研究测试了至少一种干预措施，以提高献血者对延期标准的依从性，包括计算机访谈或问卷、直接和间接的口头提问、教育材料，以及复选框问卷和个人献血者访谈的组合。提供了来自单一研究的高质量证据，证明计算机化访谈在提高对 HIV 危险行为的检测方面的有效性。另外 3 项研究提供了计算机化访谈有效性的低质量证据。两项研究报告了直接询问对增加供体延迟的中等影响，但证据质量低。结论：本综述确定了几种改善献血者依从性的干预措施，这些干预措施已在献血环境中进行了测试，并为计算机化访谈在改善风险因素检测方面的有效性提供了证据。
Transfus Med Hemother