Identifying and overcoming barriers and facilitators to blood donation in young adults using the theoretical domains frameworks

This study applied the Theoretical Domains Framework (TDF) to identify barriers and facilitators to blood donation among young adults in the UK. A total of 195 individuals (aged 18-29) completed an online survey covering 14 TDF domains, with non-donors offered the chance to register as donors. Binary logistic regression analysis revealed that Knowledge, Beliefs about capabilities and Emotion were the most significant predictors of current donation status. Although nearly half of the non-donors expressed interest in registering as donors, only about a quarter completed the registration when provided with a link. The TDF proved to be an effective framework for understanding the psychological and behavioral factors influencing donation decisions. Based on these findings, targeted intervention strategies were suggested using the Behavior Change Wheel (BCW). These approaches emphasize digital engagement, aligning with the online behaviors and social influences that shape young adults' decision-making. Further research is needed to implement and evaluate these interventions, comparing their effectiveness against current NHS Blood and Transplant (NHSBT) campaigns.