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PubMedDate not supplied

Intrinsic and extrinsic motivation and intention to breast-feed.

OBJECTIVE: To examine the feasibility of using the cognitive evaluation theory to examine pregnant women's intention to breast-feed. METHODS: A questionnaire designed to measure intrinsic and extrinsic motivation was administered to 228 pregnant women. RESULTS: Results provide evidence for reliability and validity of the revised instrument in this population. A factor analysis suggests the instrument measures 2 types of intrinsic motivation, one type of extrinsic motivation, and motivation related to the baby. The instrument distinguished differences in motivation between women who intend to breast-feed and those who intend to formula feed. CONCLUSION: This study helps elucidate motivational factors involved in infant-feeding decisions.

Adolescent↗
PubMedDate not supplied

Motivation: the fire within.

This article defines motivation. It tells managers how they can motivate themselves and whether they can motivate others. If managers cannot motivate others, this article explains what they can do instead. It reveals the FOUR essential elements of motivation: direction, importance, faith, and example. And it identifies the THREE most motivational messages managers can send to their staffs: "You are important," "You can do it," and "Follow me!"

Humans↗
PubMedDate not supplied

[EEG spectral characteristics at different stages of the unconscious visual set in two motivation conditions].

Multichannel EEG were recorded in young healthy subjects in two series of experiments during formation, actualization, and extinction of the visual unconscious set to the perception of unequal circles under conditions of increased motivation of subjects to the result of their performance. In the first series of experiments, subjects were promised to be rewarded (a small money price) for each correct response (the "general" rise of motivation). In the second series, subjects were promised to be rewarded for correct responses only in cases when one of the circles was larger than the other one (the "directed" rise of motivation). The dynamics of the EEG spectral power derived under these two conditions was compared with similar indices obtained earlier during formation of the same set without any special motivation of subjects (control). In all experimental conditions, before the presentation of the stimuli the EEG power in the alpha range was higher in subjects with the stable set. The dynamics of changes in the alpha power at set stages was principally similar in all conditions. In all the experimental conditions, in subjects with unstable set the EEG power in the delta range was highest at the stage of set actualization. The most pronounced generalized changes in the EEG power in the theta-range during the "general" rise of motivation in subjects with stable and unstable forms of set and greater variability of the reaction time to the probe stimulus suggest that the task performance under these conditions required greater tension than under conditions of the "directed" rise of motivation.

Adolescent↗
PubMed2003

[Empathy and motives in choosing medical studies as possible predictors of future physician's career performance].

The article presents an evaluation of empathy level and motives of choosing medical studies as possible predictors of future physicians' career performance. The data for the study was collected based on biographical-environmental charts from the School of Medicine in Gdańsk and questionnaire forms completed by sixth-year students of the faculty of medicine in 1998-1999. The admission test scores and grades obtained during the studies were correlated to the level of empathy and motives of choosing medical studies among the candidates. The correlation between empathy and motives was also checked. "It has always been my dream" and "The possibility of helping the suffering" were found as the most important motives. Only in case of the above motives the correlation with the level of empathy was confirmed. The motives expressed as "Getting the best marks in biology, chemistry and physics at school" and "Getting the job of high social prestige" were significantly correlated with the grades during the first two years of studies. The present admission test seems to be good enough to predict the future students' performance. But it also seems that tools are lacking identifying who wold become a good doctor in future.

Achievement↗
PubMed2003

Responses of tonically active neurons in the monkey striatum discriminate between motivationally opposing stimuli.

The striatum is involved in the control of appetitively motivated behavior. We found previously that tonically active neurons (TANs) in the monkey striatum show discriminative responses to different stimuli that are appetitive or aversive. However, these differential responses may reflect the sensory qualities of the stimulus rather than its motivational value. In the present study, we sought to define more precisely the relationship between the particular aspect of the response of TANs and the motivational value of stimuli. For this purpose, three monkeys were presented with two types of aversive stimuli (loud sound and air puff) and one appetitive stimulus (fruit juice). In most instances, the TAN responses to the loud sound and the air puff were similar, in terms of response pattern and duration, whereas responses to the liquid reward showed distinct features. Using classical appetitive conditioning, we reversed the motivational value of a stimulus so that a previously aversive stimulus was now associatively paired with a reward and found that this manipulation selectively modifies the expression of TAN responses to the stimulus. These data indicate that the characteristics of neuronal responses undergo modifications when the valence of the stimulus is changed from aversive to appetitive during associative learning, suggesting that TANs may contribute to a form of stimulus encoding that is dependent on motivational attributes. The adaptation of TAN responses such as observed in the present study likewise reflects a neuronal system that adjusts to the motivational information about environmental events.

Acoustic Stimulation↗
PubMed1992

[Common attitudes about the effect of positive and negative mood on task related motivation].

Several theories on emotion and mood have stressed the close relationship between emotion and motivation. However, assumptions on mood contingent motivations have mainly been studied in the field of social behavior, and there are only few studies concerned with mood contingent task motivations, an area in which nit is possible to distinguish between two motivational sets, the deliberative and the implemented mind set. Assuming that positive mood is associated with a stronger task-oriented deliberative mind set, and that negative mood is associated with a stronger self-oriented deliberative mind set, and that implemented mind set should be intrinsically task-oriented during positive mood and instrumentally task-oriented during negative mood. The present paper is concerned with these assumptions from a subjective perspective: The respondents were asked about their lay perceptions of mood influences (positive, elated versus negative, sad mood) on task related motivations. In study I the respondents (N = 40) were asked about their deliberative mind sets during positive versus negative mood and about their general perceptions of mood influences on performance. In study II the respondents (N = 58) were requested to imagine situations which elicit positive, negative or neutral mood, and then to answer questions on deliberative and implemented mind sets during these states; they also hat to answer a general question about mood influences on task performance. Both quantitative and qualitative measures are used in these studies. The findings support the above general notions, and they additionally show that in the respondents' opinions negative mood effects are more variable than positive mood effects; further, that there are quite a few individual differences in assumed mood effects on task-related motivation.

Achievement↗
PubMedDate not supplied

Job satisfaction and motivation: how do we inspire employees?

Productivity is defined as the efficient and effective use of resources with minimum waste and effort to achieve outcome. We live in a world that has limited resources. The health care industry faces this limitation more than any other industry. With these challenges facing health care administrators, the concept of productivity, job satisfaction and motivation become very important. Employee satisfaction and retention have always been an important issue for physicians, medical centers and businesses in general. Conventional human resources theories, developed some 50 years ago by Maslow and Herzberg, suggest that satisfied employees tend to be more productive, creative and committed to their employers. People are essential to productivity. The success of productivity improvement strategy is dependent on employee commitment, job satisfaction, skills, and motivation. Maslow's theory consists of a 5-level pyramid: physiologic or basic survival; physical and mental safety; sense of belonging; accomplishment, creativity, and growth; and self-actualization. Herzberg's theory suggests there are 2 groups of factors: hygiene (which satisfy) and motivation. The terms "job satisfaction" and "motivation" have, in my experience, become used interchangeably. There is a difference. Job satisfaction is an individual's emotional response to his or her current job condition, while motivation is the driving force to pursue and satisfy one's needs. Maslow and Herzberg's theories can be easily applied to the workplace. Managers can help employees achieve overall job satisfaction, which, with the employee's internal motivation drive, increase performance on the job.

Academic Medical Centers↗
PubMed2004

[Psychological theories of motivation].

The comprehension of the principles guiding the human actions has always been an important aspect of philosophy. The development of experimental psychology first completely rejected all mental explanations such as will, intentions or motives. Behavior should then only be understood as determined by conditioning and learning. However, different theories denied that human behavior could be considered as purely reactive to the environment and stressed the active role of the organism on the environment. Theories from the humanist psychology and the social psychology described two kinds of motivation. The extrinsic motivation results from external stimuli and the intrinsic motivation from the organism himself. Our behavior is therefore determined by an interaction between our beliefs, expectations, needs and the environment. Actually, the concept of motivation is not well specified. It refers either to a global dynamic structure responsible for action either to a specific tendency toward some specific actions. Anyway, motivation is a concept infered from behavior. Therefore, its evaluation could only be secondary.

Emotions↗
PubMedDate not supplied

[Dominating motivation in systemic memory mechanisms].

The materials provided in the article support the key role of dominating motivation in the systemic processes of fixation and opening of memory mechanisms. The activating mechanisms of dominating motivations in the systemic architectonics of behavioural acts provide the basis for development of a multicomponent acceptor apparatus of an action outcomes broadly represented in various analysing brain sections. As result of enhancement of action outcomes on acceptors structures, molecular behaviour engrammes form within the functional systems. It is these molecular engrammes that are opened by dominating motivations in the same spatial-temporal sequence in which training takes place, and determine deliberate actions of animals. It was demonstrated that dominating motivation opens genetic information with an approximating-exploratory reaction under strong activation of early genes expression, in particular, of c-fos gene protein. Inherent motivation reactions are not blocked by inhibitors of proteins synthesis, by cycloheximide, in particular. In the process of training animals, i.e., satisfaction of the demands which are the basis of dominating motivations, expression of early genes in reduced, while expression of late genes is initiated. In this case, blockators of protein synthesis begin to produce strong inhibiting impact on behaviour of animals.

Animals↗
PubMedDate not supplied

Physician assessment of patient motivation: influence on disposition for follow-up care.

This study of 3,318 outpatient visits evaluated the influence of the physician-assessed level of patient motivation on the level of physician involvement in follow-up care. Data collected included patient demographics, health risk factors, physician-assessed level of patient motivation, and the disposition for follow-up care (return office visit or self-care). Physicians more frequently scheduled patients for a return office visit, regardless of assessed level of patient motivation, when they presented with a traditional biomedical problem. Patients with health promotion-disease prevention problems were more frequently relegated to self-care; patients physicians judged to be poorly motivated were four times as likely to be relegated to self-care. We discuss the implications of physician overuse of self-care strategies on the health status of poorly motivated patients. Factors influencing such physician behavior may include prior unrewarding experiences with poorly motivated patients, perceived lack of skill in affecting behavior change, time constraints, lack of reimbursement for preventive care services, and the actual process of physician education and professional socialization.

Adolescent↗
PubMed2006

[Motivation as a basis of mental activity].

Motivation is considered as a key component of systemic organization of mental activity. Forming on the stage of afferent synthesis, motivation determines activity of the subsequent systemic architectonic stages of mental acts: decision-making, construction of an acceptor of resulting actions, efferent synthesis and the very purposeful action. It is shown that motivation acts as an energy basis of mental activity. The foresight instrument of required resulting actions--an acceptor of resulting actions that, strongly linked to dominating motivation, is a leading guiding component of mental actions. A role of motivation in the processes of perception, memory, movement organization, intellectual and creative activity and their relationship to emotions are considered. A conception of motivation as a basis of intellect is formulated.

Concept Formation↗
PubMed2006

Efficacy of an emergency department-based motivational teenage smoking intervention.

INTRODUCTION: Motivational interviewing techniques have been minimally researched as a function of a teenage smoking intervention. The present study examined the efficacy of a theory-based motivational tobacco intervention (MTI). METHODS: A randomized two-group design was used to compare 6-month post-baseline quit and reduction rates among teenagers who received the MTI with those who received brief advice or care as usual. Participants were smokers aged 14 to 19 years (N = 75) who presented for treatment in a university-affiliated hospital emergency department (ED). Motivational interviewing techniques were used by trained providers to facilitate individual change; stage-based take-home materials also were provided. RESULTS: Similar to past clinic-based studies of motivational interviewing with teenage smokers, our study found negative results in terms of intervention efficacy for cessation. Six-month follow-up cessation rates were nonsignificant--two teenagers quit smoking. Among teenagers who were available at follow-up, a medium effect size (Cohen's h = .38) was found for reduction and a large effect size (Cohen's h = .69) was found for percentage reduction, although these results also were not statistically significant. CONCLUSION: Although the major findings of this study were not significant, the reductions in tobacco use suggest that motivational interviewing may be a clinically relevant counseling model for use in teenage smoking interventions. However, many questions remain, and the current literature lacks studies on trials with significant outcomes using motivational interviewing in smoking cessation. Additionally, more research is needed to examine the suitability of the ED for MTI-type interventions.

Adolescent↗
PubMed1978

[Psychological determinants of motivation in adult education (author's transl)].

The psychology of motivation in adult education has been mostly confined to the assessment of superficial causes for attending courses and seminars. The findings were not integrated in a ced in a conclusive theory of motivation elaborated for instance by American and German psychologists. Besides that the verbalized "motives" to attend courses were hardly correlated with other psychological and social context variables. An investigation of the relationship between verbalized "motives" to attend courses, certain personality dimensions (Freiburg Personality Inventory) and some aspects of the "life space" (occupational and non-occupatoinal) revealed that the motivation to participate in adult education is embedded in the context of psychological and socio-demographic factors and that the motive structure depends on the relevance of life-long learning, for example, to keep or improve the occupational status or to meet people involved in creative activities.

Adult↗
PubMed1988

[Assessment of motivation for achievement in connection with rehabilitation measures].

Reported are the results obtained in assessing young brain-injured patients of a rehabilitation hospital (N = 39, male subjects). "Vocational therapists" had evaluated the patients relative to achievement and achievement motivation variables, and results of routine performance testing had also been available. The KEMB (Konstanzer Erfolgs-Misserfolgs-Batterie--Constancy success-failure battery) was administered in addition. Vocational therapists' ratings and KEMB findings permit the conclusion that the less severely disabled patients tend to hold unrealistically high objectives. Whereas results were found to be consistent in this patient group even across the different methods used for evaluating achievement motivation variables, this did not apply to the more severely disabled subjects. For this latter group, the KEMB achievement motivation findings show hardly any relation with the achievement motivation ratings given, but, rather, with specific performance tests used in organic brain damage and with duration of the condition. It seems that achievement motivation can in the less severely disabled subjects be understood in its usual sense; those with more severe disability on the other hand seem to strongly orientate their motivation on the specific deficits associated with the organic brain damage, thus arriving at possibly more reality-adjusted objectives. KEMB and progress in general performance within the rehabilitation programme--especially in the more severely disabled patients--are found to correlate much closer then is the case for the various performance tests administered routinely for outcome prediction.

Achievement↗
PubMedDate not supplied

[Functional transswitching of dominant motivation in the systems organization of behavioral acts].

In experiments on rabbits, instrumental and complex conditioned alimentary behaviour was studied at various ways of raising alimentary motivation to extreme levels. Animals behaviour in these conditions could acquire an outwardly non-motivated (in relation to alimentary need) character. It is suggested that these phenomena are based on the transformation of the dominant motivation and not on the mechanism of "shifted" activity. In experiments on rats, a long "pseudoreinforcement" of extremely enhanced motivation of thirst by ethanol led to profound changes of physiological and neurochemical properties of the primary drinking motivation centres of the hypothalamus. It is suggested that such changes underlie the realization of plasticity properties of the dominant motivation.

Animals↗
PubMedDate not supplied

Mastery motivation and temperament of 7-month-old infants.

PURPOSE: To examine relationships among infant mastery motivation, temperament, and cognition with the goal of highlighting infant behaviors to which nurses should be alert in the clinical environment to promote optimal infant development. SAMPLE: Subjects were 26 healthy, full-term infants, age 7 months, recruited from a well baby clinic. METHOD: A descriptive correlational design was used. Tools included the Bayley Scales of Infant Development, Fagan Test of Infant Intelligence, the Dimensions of Mastery Questionnaire, and the Revised Infant Temperament Questionnaire. RESULTS: Cognition was not related to either mastery motivation or temperament. Several relations between mastery motivation and temperament emerged. Infants with high mastery pleasure were rated as more cooperative and less difficult, and tended to be rated as more active and less irritable. Independent mastery, on the other hand, showed no correlation with temperament scores. Infants who were rated as high in persistence on the mastery motivation questionnaire were rated as more cooperative, more rhythmical, and less difficult on the temperament questionnaire, and they tended to be rated as more approachable and less irritable. Infants who were rated as high in competence tended to be rated as less difficult. CONCLUSIONS: While temperament and mastery motivation are related, information on mastery motivation provides additional information to the nurse that may be helpful both in planning interventions to promote infant development and in providing anticipatory guidance for parents.

Child Development↗
PubMed1996

[Development and outcome of motivational support during inpatient education of insulin-dependent diabetic patients--a pilot project].

At the Ulm University Hospital 43 type-1-diabetes patients took part in a structured in-patient diabetes education program during a 12-day hospitalization period. 27 of the patients received an additional motivational support program which addressed psychological and social impediments related to the topics of the structured diabetes education program. 16 patients underwent the structured diabetes education program only. Motivational support aimed at reducing the specifically addressed sociopsychological barriers. Thus, the effects of the structured diabetes education program should be stabilized and an optimal outcome insured. All patients were asked to complete a questionnaire before, right after and 3 months after the program. Glycosylated hemoglobin (HbAlc) was evaluated before and 3 months after the program. Patients who underwent the motivational support program still felt 3 months after completion of the program that metabolic control was important, whereas patients without motivational support did not. Metabolic control--as indicated by measurement of glycosylated hemoglobin--could be maintained in the patient group with motivational support. Although their blood glucose levels had been in the normal range to start with. These encouraging results suggest implementation of a motivational support program into standard diabetes education programs for type-I-diabetes patients.

Adaptation, Psychological↗
PubMed1997

Dentofacial disharmony: motivations for seeking treatment.

Patients whose skeletal disharmony was severe enough to warrant a surgical treatment option completed a 24-item Motives for Treatment questionnaire. Each item was rated from (1) not at all a reason to (4) very much a reason. Items were grouped to form six dimensions. An average score of 3.0 or greater on a given dimension was considered a strong motivation. Of the 135 patients who completed the questionnaire, 16% of the patients had primarily a self-image motivation, 4% primarily an oral function motivation, and 6% strong dual self-image/oral function motivations. Males and females differed significantly on the social well-being and temporomandibular joint (TMJ) dimensions. A strong social motivation occurred 4.5 times more frequently among males than among females, while a higher proportion of females than males reported TMJ concerns. Patients older than 25 scored higher on oral function, future health, and TMJ dimensions. Patients who elected surgery had higher scores on oral function, nasal function, and TMJ dimensions. Approximately 1.5 times as many patients who elected surgery scored on average of 3.0 or higher on the self-image and oral function dimensions.

Adolescent↗