Background: Given the personal nature of health history interviews, it
is important to provide donors with both visual and auditory privacy.
Privacy is affected by variables such as background noise, the use of
visual screens, and the loudness of the donor's voice. Study Design a
nd Methods: In Phase I of this study, an interview station and waiting
area were simulated. To measure auditory privacy, a speech intelligib
ility lest was given to subjects with and without the use of a free-st
anding privacy screen and masking noise device. Phase II was a field t
rial designed to evaluate screens and masking noise. Background noise
was measured during each blood collection operation, and donors comple
ted a survey Results: In Phase I, speech intelligibility test scores r
anged from 78 to 5.1 percent, depending on the type of visual screen a
nd the number of masking noise devices used; In Phase II, with the use
of screens, 94 percent of donors rated visual privacy as ''good to ex
cellent,'' compared with 74 percent who did so when no screens were us
ed. At many blood drives, the background noise level exceeded the leve
l of the masking noise. Conclusion: The use of visual screens increase
s donors' perception of visual privacy. The use of masking noise is ef
fective only when the health history interview is conducted under cond
itions of low background noise levels.