Plasma donation interest among men who have sex with men seeing either a co-developed intervention or "business-as-usual" control materials

ISRCTN ISRCTN99980283
DOI https://doi.org/10.1186/ISRCTN99980283
Secondary identifying numbers Protocol V1.0, 2025/04/30
Submission date
23/07/2025
Registration date
24/07/2025
Last edited
04/08/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Backgrounds and study aims
Despite plasma-derived medications being a critical health resource, Canada does not collect enough plasma (the yellow, liquid portion of blood) to meet the needs of our population and consequently must buy most stock from the global market. However, a global shortage of plasma and plasma-derived medications has renewed the push for Canada’s self-sufficiency. Furthermore, greater inclusivity in donation criteria reduces marginalization of communities who have been excluded from taking part in this socially valued activity, often considered a civic duty. Until 2022, men (primarily based on sex-designated-at-birth) were not eligible to donate blood or plasma if they had sex with another man within a specified period of time before donation, contributing to marginalization and discrimination of gay, bisexual, and all men who have sex with men. Canadian Blood Services has since moved to sexual behaviour-based eligibility criteria for all donors, which better reflects individual risk assessment rather than group identity. These more equitable eligibility criteria are necessary but also require sensitive, tailored communications to encourage donation consideration among this long-excluded community. The current study aims to test if and how a short video developed to address concerns of men who have sex with men works to support consideration of plasma donation at one of Canada's two national blood collection agencies.

Who can participate?
Members of Leger Marketing Inc.'s Opinion panel who are 18 or older, live in Canada excluding Quebec, and identify as either a cisgender or transgender man AND gay, bisexual, pansexual, queer, Two-Spirit, or questioning within Leger's routinely collected demographic survey will be invited to take part in this study. Participants whose gender identity changes to anything other than a cisgender or transgender man by the point of baseline survey participation will be ineligible to continue. However, participants whose sexual orientation changes to anything other than the above-listed will be eligible to continue.

What does the study involve?
Eligible Leger panelists will be invited to participate in two online surveys posted two months apart. During the first survey, participants will be randomly allocated in a 1:1 ratio to the intervention group or control group. Intervention group participants will see a short video developed to address community-specific concerns. Control group participants will see general social media communications encouraging donation. All participants will be asked a series of questions regarding their experiences, opinions, and feelings related to blood plasma donation in Canada before and after seeing materials according to their assigned group. All participants will be invited to take part in a brief follow-up survey two months after taking part in the first survey.

What are the possible benefits and risks of participating?
Direct benefits are not expected, but participation in this research will benefit society by helping to better understand what supports consideration of plasma donation among communities previously impacted by exclusionary policies. Risks to participants include feeling some discomfort due to the sensitive nature of the topic and possible physical discomfort in response to the sight of donation paraphernalia.

Where is the study run from?
The University of Ottawa in Ontario, Canada.

When is the study starting and how long is it expected to run for?
September 2024 to December 2025

Who is funding the study?
The Canadian Institutes of Health Research through a Canada Graduate Scholarship for Master's Programs (CGS-M).

Who is the main contact?
Amelia Palumbo, apalu035@uottawa.ca

Study website

Contact information

Ms Amelia Palumbo
Public, Scientific

136 Jean-Jacques Lussier, Faculty of Social Sciences
Vanier Hall
Ottawa
K1N 6N5
Canada

ORCiD logoORCID ID 0000-0003-0098-4540
Email apalu035@uottawa.ca
Dr Justin Presseau
Principal Investigator

501 Smyth Rd, Ottawa Hospital Research Institute, Centre for Practice-Changing Research
Ottawa
K1H 8L6
Canada

ORCiD logoORCID ID 0000-0002-2132-0703
Email jpresseau@ohri.ca
Dr Elisabeth Vesnaver
Principal Investigator

401 Smyth Rd, BORN Ontario, Children's Hospital of Eastern Ontario Research Institute
Ottawa
K1H 8L1
Canada

ORCiD logoORCID ID 0000-0002-0499-8010
Email EVesnaver@bornontario.ca

Study information

Study designSingle-centre two-arm parallel-group interventional double-blinded randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Internet/virtual
Study typeEfficacy
Participant information sheet No participant information sheet available
Scientific titleAssessing a co-developed digital intervention supporting men who have sex with men in donating plasma: A randomized controlled trial and process evaluation
Study objectivesThe primary hypothesis of this study's outcome evaluation is that gay, bisexual, and other men who have sex with men (gbMSM) in the intervention group will report greater intention to donate plasma immediately after viewing the co-developed short video intervention compared to participants in the "business-as-usual" control group, controlling for baseline intention values.

The secondary hypothesis of the outcome evaluation is that more participants in the intervention group will attempt to donate plasma by 2-month follow-up than participants in the control group, after controlling for baseline intention and history of blood or plasma donation.

Another secondary hypothesis answers the process evaluation research question, which posits that the anticipated underlying mechanisms of action, informed by a theoretical framework, will mediate the effects of the intervention on immediate post-intervention intention, after controlling for baseline mediator and intention values.

The exploratory hypothesis is that gbMSM in the intervention group will report greater intention to donate plasma at 2-month follow-up compared to the control group, controlling for baseline intention values.
Ethics approval(s)

Approved 10/07/2025, University of Ottawa Health Sciences and Science Research Ethics Bureau (REB) (550 Cumberland St, Room 154, Ottawa, ON, K1N 6N5, Canada; +1 613-562-5338; ethics@uottawa.ca), ref: H-05-25-10891

Health condition(s) or problem(s) studiedPlasma donation among men who have sex with men
InterventionAfter completing baseline outcome and process measures and demographics questions, participants will be randomized automatically within the online survey software in a 1:1 ratio to (a) the intervention group or (b) the "business-as-usual" control group.

Participants randomized to the intervention group will receive an approximately 5-minute video. Participants will be unable to move forward in the survey until 30 seconds have passed. This video was collaboratively developed with community partners and tailored to address community-reported barriers and enablers to plasma donation. An intervention logic model describes the linkage between Theoretical Domains Framework-coded barriers/enablers identified in previous research and specific behaviour change techniques. The intervention was previously found to be feasible and acceptable to community members.

Participants randomized to the business-as-usual control group will be shown an image of a social media infographic post from the national blood collection agency's social media page that addresses a general audience. There will be no minimum required viewing time for control materials before participants may proceed to the next survey page. This serves as a naturalistic comparator exemplifying the type of communications the target population may come across in everyday life.
Intervention typeBehavioural
Primary outcome measureIntention to donate plasma in the upcoming two months measured using the average score of three self-report Likert scale items immediately after exposure to the intervention/control materials
Secondary outcome measuresSecondary outcome measure will be assessed at 2-month follow-up:
1. Plasma donation attempted in the past 2 months measured using a single dichotomous self-report item

Exploratory outcome measure will be assessed at 2-month follow-up:
1. Intention to donate plasma in the upcoming two months measured using the average score of three self-report Likert scale items

Process evaluation measures will be assessed immediately after exposure to the intervention/control materials:
1. Positive affect measured using the average score of seven self-report Likert scale items
2. Negative affect measured using the average score of eleven self-report Likert scale items
3. Knowledge measured using the average score of three self-report Likert scale items
4. Social influences measured using the average score of five self-report Likert scale items
5. Beliefs about Consequences measured using the average score of four self-report Likert scale items
6. Memory, Attention & Decision Processes measured using the average score of three self-report Likert scale items
7. Beliefs about Capabilities measured using the average score of three self-report Likert scale items
Overall study start date01/09/2024
Completion date31/12/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexMale
Target number of participants196
Key inclusion criteria1. Validated member of Leger Marketing Inc's proprietary Opinion panel
2. Living anywhere in Canada, except for Quebec
3. English-speaking
4. 18 years of age or older
5. Identifying as a cisgender or transgender man
6. Willing and able to complete an online survey
7. Able to access a computer, phone, or tablet with access to the internet
Key exclusion criteria1. Members of the Leger Marketing Inc's proprietary Opinion panel who do not meet the inclusion criteria
2. Participants who, since completing the Leger profiling questionnaire, have shifted their self-identified gender to (a) cisgender woman, (b) trans woman, (c) gender creative or non-conforming person, (d) non-binary person, (e) none of the listed gender identity options, or (f) prefer not to answer as identified within the baseline survey
Date of first enrolment11/08/2025
Date of final enrolment12/09/2025

Locations

Countries of recruitment

  • Canada

Study participating centre

Leger Marketing Inc
507 Place d’Armes, Suite 700
Montreal
H2Y 2W8
Canada

Sponsor information

University of Ottawa
University/education

136 Jean-Jacques Lussier, Faculty of Social Sciences
Vanier Hall
Ottawa
K1N 6N5
Canada

Phone +(1) 613-562-5801
Email psychot@uOttawa.ca
Website https://www.uottawa.ca
ROR logo "ROR" https://ror.org/03c4mmv16

Funders

Funder type

Government

Canadian Institutes of Health Research
Government organisation / National government
Alternative name(s)
Instituts de Recherche en Santé du Canada, Canadian Institutes of Health Research (CIHR), CIHR_IRSC, Canadian Institutes of Health Research | Ottawa ON, CIHR, IRSC
Location
Canada

Results and Publications

Intention to publish date31/12/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository, Available on request
Publication and dissemination planPlanned publication in a peer-reviewed journal. Details regarding the trial and the intervention will be reporting according to the CONsolidated Standards Of Reporting Trials (CONSORT) 2025 guidelines and the template for intervention description and replication (TIDieR), respectively.
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in at least one of the following publicly available repositories: Federated Research Data Repository (FRDR; https://www.frdr-dfdr.ca/repo/), uOttawa - Dataverse (Borealis; https://borealisdata.ca/dataverse/ottawa).

Participants' consent will be obtained to store a copy of the dataset with all indirectly identifiable information removed in one or more publicly available data repositories that meet University of Ottawa institutional requirements, such as the two named above, for secondary research use. The complete dataset will be anonymized to the research team, and the research team will further protect marginalized participants' identities by removing sociodemographic data that, together, could indirectly identify someone.

Data will be made permanently available after the student researcher has completed their program. Data will be shared under an Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) copyright license agreement.

Editorial Notes

04/08/2025: The date of first enrolment was changed from 04/08/2025 to 11/08/2025. The date of final enrolment was changed from 05/09/2025 to 12/09/2025.
24/07/2025: Study's existence confirmed by the University of Ottawa Health Sciences and Science Research Ethics Bureau (REB).