In search of stool donors: a multicentre study of prior knowledge, perceptions, motivators and deterrents among potential donors for fecal microbiota transplantation
File(s)In search of stool donors_Gut Microbes.pdf (978.04 KB)
Published version
Author(s)
Type
Journal Article
Abstract
Fecal microbiota transplantation (FMT) is a highly effective therapy for recurrent Clostridioides difficile infection. Stool donors are essential, but difficult to recruit and retain. We aimed to identify factors influencing willingness to donate stool. This multi-center study with a 32-item questionnaire targeted young adults and health care workers via social media and university email lists in Edmonton and Kingston, Canada; London and Nottingham, England; and Indianapolis and Boston, USA. Items included baseline demographics and FMT knowledge and perception. Investigated motivators and deterrents included economic compensation, screening process, time commitment, and stool donation logistics. Logistic regression and linear regression models estimated associations of study variables with self-assessed willingness to donate stool. 802 respondents completed our questionnaire: 387 (48.3%) age 21-30 years, 573 (71.4%) female, 323 (40%) health care workers. Country of residence, age and occupation were not associated with willingness to donate stool. Factors increasing willingness to donate were: already a blood donor (OR 1.64), male, altruism, economic benefit, knowledge of how FMT can help patients (OR 1.32), and positive attitudes towards FMT (OR 1.39). Factors decreasing willingness to donate were: stool collection unpleasant (OR 0.92), screening process invasive (OR 0.92), higher stool donation frequency, negative social perception of stool, and logistics of collection/transporting feces. We conclude that 1) blood donors and males are more willing to consider stool donation; 2) altruism, economic compensation, and positive feedback are motivators; and 3) screening process, high donation frequency, logistics of collection/transporting feces, lack of public awareness, and negative social perception are deterrents. Considering these variables could maximize donor recruitment and retention.
Date Issued
2020-01-01
Date Acceptance
2019-04-18
Citation
Gut Microbes, 2020, 11 (1), pp.51-62
ISSN
1949-0984
Publisher
Taylor & Francis
Start Page
51
End Page
62
Journal / Book Title
Gut Microbes
Volume
11
Issue
1
Copyright Statement
© 2019 The Author(s). Published with license by Taylor & Francis Group, LLC.This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/),which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Sponsor
Medical Research Council
Medical Research Council (MRC)
Grant Number
MR/R00875/1
MR/R000875/1
Subjects
Science & Technology
Life Sciences & Biomedicine
Gastroenterology & Hepatology
Microbiology
Fecal microbiota transplantation (FMT)
Clostridioides difficile infection (CDI)
recurrent Clostridioides difficile infection (RCDI)
fecal transplant donors
stool donors
CLOSTRIDIUM-DIFFICILE INFECTION
ACTIVE ULCERATIVE-COLITIS
OOCYTE DONATION
ECONOMIC BURDEN
RECURRENT
ATTITUDES
BLOOD
EFFICACY
TRIAL
RECRUITMENT
Clostridioides difficile infection (CDI)
Fecal microbiota transplantation (FMT)
fecal transplant donors
recurrent Clostridioides difficile infection (RCDI)
stool donors
0605 Microbiology
Publication Status
Published
Date Publish Online
2019-04-23