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Self in learning: Chinese adolescents' goals and sense of agency.

This study examined goals and agency as the 2 core aspects of self in learning among Chinese adolescents. A sample of 259 adolescents aged 12-19 responded to open-ended probes about themselves. Counter to the common view that Chinese selves are predominantly social, adolescents expressed many more individual than social goals and agency. Moreover, older adolescents showed overall more goals and agency than younger adolescents. However, their specific goals did not differ by age. Regarding agency, older adolescents articulated more of the so-called "learning virtues." Yet their social agency did not differ by age. We interpret these findings as in reference to the Confucian learning tradition, the existing research on goals and agency, and self in culture from a domain-specific perspective.

Adolescent↗

Family goals as indicants of adaptation during chronic illness.

Families that successfully adapt to new situations have been found not only to appraise the situations as manageable but also to possess the necessary resources to meet the challenges. The purpose of this study was to determine the goals that families in which the mother had chronic illness identified for themselves and how these goals related to family functioning. A five-occasion, 15-month, descriptive longitudinal design was used to collect data. Data from occasions 2 and 3 were used to generate the coding scheme. This coding scheme was used to analyze the fourth-occasion data set, which is presented here. The sample at the fourth occasion consisted of 103 families in which the mother was diagnosed with breast cancer, diabetes, or fibrocystic breast disease. Content analysis of responses revealed 10 mutually exclusive categories of family goals: viability of children, cohesion, adaptation, boundary alterations, health maintenance, conflict management, individual achievements and pursuits, acquisition of possessions, financial stability, and family relocation. Types of goals identified did not significantly differ by disease type. The results suggest that family-system goals are relatively enduring and not readily discarded in response to health or illness disruption.

Adaptation, Psychological↗

The role of achievement goal orientations and perceived ability upon somatic and cognitive indices of sport competition trait anxiety. A study of young athletes.

Goal orientation theory and competence motivation theory were used to examine the relationships between young athletes' achievement goals and indices of somatic and cognitive trait sport competition anxiety. Included in these analyses were also the potential mediating and moderating role of the athletes' perceived competence in sport. We examined 136 young athletes aged 13 to 18 years involved in organized sport within a community in northern Norway. Whereas no association was found between an ego oriented achievement goal and indices of anxiety, multiple regression analyses revealed that both a high task goal orientation and high perceived sport competence predicted a reduced tendency to report cognitive anxiety when competing in sport. In addition, athletes who perceived their competence in sport as high were found to be less predisposed to experiencing somatic anxiety in the form of elevated physiological arousal when competing than those who doubt their competence. The results further showed that perceived competence did not mediate or moderate the relationships between achievement goal orientations and somatic and cognitive indices of trait sport competition anxiety. The findings suggest that being task oriented in sport as well as having a sense of being competent are important in order to prevent sport competitions giving rise to elevated cognitive anxiety in young athletes.

Achievement↗

The nurse practitioner's role in helping patients achieve lipid goals with statin therapy.

PURPOSE: To discuss the merits of statins in achieving lipid goals and the role of nurse practitioners (NPs) in improving adherence to medical regimens with the goals of improving patient outcomes, reducing cardiovascular disease (CVD) risk within the population at large, and enhancing patients' ability to reach their individual goals. DATA SOURCES: Original research articles, journal articles, professional association practice guidelines. CONCLUSIONS: Despite extensive research clearly documenting the relation between lowering low-density lipoprotein cholesterol (LDL-C) and decreasing rates of cardiovascular events and deaths, lipid-lowering therapy is not being aggressively managed to achieve optimal lipid levels and CVDs remain the leading cause of death among adults in the United States. Contributing factors include lack of patient adherence with prescribed therapy, absence of dose titration when needed, and suboptimal follow-up. Two pathways to improving compliance are the following: first, use of a starting dose of a more efficacious statin to allow more patients to reach their LDL-C goal and, second, more effective primary care programs with NPs as team leaders who can assess and diagnose patients, then develop individual treatment plans and follow-up with patients to ensure that their lipid goals are met. IMPLICATIONS FOR PRACTICE: NPs are well suited to manage patients with hypercholesterolemia. The NP can bridge all aspects of care for the patient by overseeing assessment and treatment of cardiovascular risk factors, including elevated levels of LDL-C, initiating pharmacotherapy when needed, and establishing for each patient an individualized program that features education, support, and follow-up.

Anticholesteremic Agents↗

Are goals and topics influenced by gender and modality in the initial marriage and family therapy session?

Establishment of a goal is crucial to therapy, but identification of therapeutic goals may be difficult in conjoint therapy because each participant may identify a different problem. We examined the influence of gender on ability to successfully introduce therapeutic topics in marital and family therapy by conducting two studies. The first study evaluates the ability of therapists to identify therapeutic goals that matched goals prioritized by both women and men clients on pretherapy questionnaires. The second study examines the process of initial therapy sessions to see whether gender influences a client's ability to introduce a therapeutic topic. Results suggest that therapeutic topic is influenced by the interaction of gender and treatment modality. Specifically, therapists were better able to match women's pretherapy stated goals in marital therapy than family therapy, men were more successful at introducing topics in family therapy, and women were more successful at introducing topics in marital therapy.

Adult↗

Goal-setting behaviour and coronary heart disease.

In order to test Dunbar's (1943) theory about goal-setting behaviour in cardiovascular subjects, measures of performance and goal levels were taken on 25 coronary subjects, 25 hypertensive subjects and a control group of 25 fracture subjects. Ths hypertensive pattern of goal-setting behaviour appeared not significantly discriminated from that of control subjects, although the data were in the direction predicted by Dunbar, hypertensive subjects being higher for success and for low goals. For coronary subjects, the results were in complete agreement with the tested theory, these subjects showing a significantly higher rate of high goals than control subjects, and recording a higher rate of failure.

Achievement↗

Effects of task goal and personal preference on seated reaching kinematics after stroke.

BACKGROUND AND PURPOSE: Current theories of motor control in rehabilitation focus on how the nervous system responds to many types of external and internal constraints to execute motor behavior to accomplish a task. However, the dynamic interplay between these 2 constraints remains unclear. This study examined the impact of some aspects of internal and external constraints on motor performance in persons with stroke. METHODS: Twenty-seven persons with stroke used the uninvolved arms to perform an upper-extremity reaching task under 4 experimental conditions, formed by the crossing of functional goals and personal preferences. For the higher level of a functional goal, subjects took a drink from a can of beverage. For the lower level of a functional goal, subjects brought the can to the mouth without drinking. The level of personal preferences was determined, by interview, by the degree of predilection for particular beverages. RESULTS: Significant and large effects of functional goals and personal preference were found in the variables of movement time and reaction time. However, the data trend of the 4 testing conditions varied according to presence of visuospatial neglect and side of lesion. CONCLUSIONS: Offering choices for the treatment activities and incorporating functional goals to therapeutic tasks might enhance response rate or movement efficiency, depending on the side of the lesion and presence of visuospatial neglect. The findings suggest that the consideration of the neglect phenomenon is a necessity when rehabilitative treatment planning incorporates constraint factors.

Aged↗

Goal-striving discrepancy stress in urban Filipino men: II. Housing.

As part of a larger investigation of social/psychological stress and psychiatric adaptation in urban Manila, efforts were made to study the effects of goal-striving discrepancy stress in housing among Filipino men from different age groups and social classes. Goal-striving discrepancy stress is an organismic state characterized by tension and discomfort due to discrepancies between aspirations and achievements. Several studies have demononstrated that goal-striving discrepancy stress are asociated with psychiatric disorder. The present study focused upon the discrepancies between aspiration and achievements in housing among Filipino men. Housing constitutes one of man's basic problems in urban societies; however, in spite of the fact that housing is related to psychiatric adaptation, relatively few studies have been made of this problem. It is important to recognize that housing has numerous psychological implications for an individual. It is a symbol of social status and social acceptance and greatly influences an individual's view of himself and others. Some investigators have even suggested that housing may be construed as a symbolic representation of the mother-child relationship. For the present investigation, twelve housing characteristics considered to be important to Filipinos e. g., size, cost, location, ownership of land, etc., were derived and ninety-six Filipino males from different age groups and social classes were asked to indicate both their aspiration and their actual achievement for each of the twelve housing characteristics. Goal-striving discrepancies were obtained by subtracting the aspirational endorsements from the achievement endorsements. The discrepancy scores were then correlated with various psychiatric symptom patterns through factor analysis. Results of the investigation revealed profound social class differences in the amount of goal-striving discrepancy stress. ......

Achievement↗

The use of goal setting by physicians in the treatment of diabetes.

Although physicians commonly report that they use goals in introducing diabetic regimens, little is known about exactly which aspects of established goal-setting techniques are used. This exploratory study sought to ascertain if and how medical doctors employ goal setting in presenting regimens to their patients. Six physicians (second-year metabolism fellows or endocrinologists) were asked to describe their treatment of a "typical" diabetic patient. The responses were analyzed for use of the elements of systematic goal setting. The results indicated that while the physicians had target outcomes in mind they made little use of the key elements of established goal-setting techniques.

Adult↗

Quality of life and goal attainment.

King's conceptual framework of three dynamic interacting systems (personal, interpersonal, social) provides a structure for observing the interacting elements that enhance or impinge on quality of life. Interactions and transactions with the nurse lead to goal-setting for individuals, families, and society. Goal-setting usually leads to goal attainment, which produces satisfaction with self and improves one's ability to achieve future success. The goal of King's theory (which is derived from her conceptual system) is health for individuals, groups, and society. This article explores the use of King's theory of goal attainment in maintaining and promoting health, which influences quality of life.

Goals↗

Work-related goal perceptions and affective well-being.

The aim was to clarify how perceptions of work-related goals influence affective well-being and goal commitment. Participants (N = 201) completed a Goal Perceptions Questionnaire and affect scales. A model was refined using structural equation modelling. Value and success expectation substantially mediated the effects of other goal perceptions on affects and commitment. Both value and success expectation increased commitment, but whereas value increased positive affects, success expectation reduced negative affects. The determinants of value (e.g. personal origin) were different from those of success expectation (e.g. personal control). Through astute goal setting, it is possible to promote well-being without compromising commitment.

Adult↗

Relationship among achievement goal orientations and multidimensional situational motivation in physical education.

BACKGROUND: Contemporary research suggests that task and ego achievement goal orientations affect students' intrinsic motivation in physical education. This research has assessed intrinsic motivation as a unidimensional contruct, however, which is inconsistent with the more contemporary postulates of self-determination theory (Deci & Ryan, 1985, 1991) which states that intrinsic motivation is only one type of motivation. To date, research has not addressed whether different types of motivation at the situational level are influenced by the proneness to adopt task or ego involvement. AIMS: To examine the relationship between achievement goal orientations and multidimensional situational motivation in PE. SAMPLE: Middle school children (182 male, 136 female; M age = 13.2 years). METHOD: Responded to questionnaires assessing their dispositional goal orientation (POSQ; Roberts, Treasure, & Balague, 1998) and situational motivation (SIMS; Guay, Vallerand, & Blanchard, 2000) in PE. RESULTS: Task orientation was found to be positively associated with more self-determined types of situational motivation. Ego orientation was weakly related to less self-determined motivation. An extreme group split was conducted to create four goal groups and goal profile analyses conducted. A significant MANOVA was followed by univariate analyses, post hoc comparisons, and calculated effect sizes, which revealed that groups high in task orientation reported more motivationally adaptive responses than groups low in task orientation. CONCLUSIONS: The results suggest that a high level of task orientation singularly or in combination with ego orientation fosters self-determined situational motivation in the context of PE.

Achievement↗

Therapy for haemophilia: recent advances and goals for the future.

In the 20th century, haemophilia evolved from a life-threatening, crippling disease to one for which the prognosis is excellent and many patients lead normal, productive lives. Although dramatic achievements in the treatment of haemophilia have occurred, the current therapies have significant drawbacks. Among these is the relatively high incidence of inhibitor development, the requirement for frequent intravenous infusions to prevent bleeding complications, the lack of effective treatment for established joint disease, and the high cost of treatment. The future goal of haemophilia treatment first and foremost is curing this genetic condition via gene therapy. As this goal is likely many years away, improvements in the current factor products in order to reduce the development of inhibitors and to reduce the frequency of therapy are more immediately achievable goals. Finally, improving the treatment of bleeding complications, particularly in inhibitor patients, and developing novel adjunctive therapies for the management of joint disease are also important goals for the near future. This review will discuss in detail the cu-rrent and future goals of haemophilia therapy.

Clinical Trials as Topic↗

Goal attainment in patients referred to a telephone-based dyslipidemia program.

PURPOSE: Changes in low-density-lipoprotein cholesterol (LDL-C) levels and rates of LDL-C goal attainment among dyslipidemic patients newly referred to a telephone-based hyperlipidemia disease management program were studied. METHODS: The medical records of all patients referred to a hyperlipidemia disease management program between February 2002 and May 2003 were retrospectively reviewed. Patients were included in the study if they were between 18 and 80 years of age, were under the continuous care of a physician during the data collection period, had a baseline LDL-C measurement within the year before program enrollment, and had been assigned to a treatment protocol (low- or high-risk primary prevention, secondary prevention, or diabetes). For each patient, the final cholesterol value after six months of enrollment or the first value at goal was used to evaluate response. Subjects were deemed to have reached their goal if an LDL-C value recorded within six months after enrollment corresponded to national guidelines for their assigned protocol. RESULTS: Of 276 patients enrolled in the program, 205 were eligible for study. Forty-two patients (20.5%) were assigned to the secondary-prevention group, 69 (33.7%) to the diabetes group, 46 (22.4%) to the high-risk primary-prevention group, and 48 (23.4%) to the low-risk primary-prevention group. Overall LDL-C goals were attained by 76.2% of secondary-prevention patients, 56.5% of diabetes patients, 58.7% of high-risk primary-prevention patients, and 81.3% of low-risk primary-prevention patients. CONCLUSION: LDL-C goal-attainment rates increased in patients referred to a telephone-based hyperlipidemia management program.

Adolescent↗

Personal goals of young social drop-outs.

To examine the extent to which personal goals and their appraisals are associated with problems in socialization, 20 young 'social drop-outs' (15 men, 5 women) and 21 students from a vocational school (20 men, 1 woman) were interviewed about their personal goals, related views of internality, externality, and likelihood of accomplishing goals. Analysis indicated that young adults who showed problems in socialization mentioned less frequently personal goals related to future education and housing than did the control group. Second, social drop-outs held more external and less internal views and were less optimistic about accomplishing personal goals than was the control group.

Adolescent↗

Goal orientations and perceived purposes of training among elite athletes.

The goal perspective theories of motivated behavior are primarily concerned with the social, psychological, and behavioral antecedents and consequences of two goal perspectives of task orientation and ego orientation. According to Nicholls, goal perspectives may also influence the way individuals perceive the purpose of their involvement in achievement contexts. This study examined among elite athletes the relation of goal orientations to perceived purposes of their involvement in training. Canonical correlation analysis showed that ego-oriented athletes strongly endorsed status reasons for participation in training, whereas those task-involved reported a high preference for social purposes. The results suggest that the personal utility value of practicing in sport as perceived by elite athletes to some extent is different dependent upon their motivational goal perspectives.

Achievement↗

Combined effects of goal setting and performance feedback on performance and physiological response on a maximum effort task.

A laboratory experiment was conducted (N = 40 subjects) to examine whether goal setting would be associated with reduced heart rate on an endurance task. Participants performed an endurance task on an ergometer bicycle. One week later when participants performed the task again half of them set a specific personal goal for an increase in performance. Analysis indicated that subjects who set a goal showed significant improvement in comparison with the control group. Moreover, subjects in the goal group had a significantly lower mean heart rate during the test and had a higher mean heart rate at the end of the test than on the first trial. Results are discussed in terms of combining cognitive and physiological explanations for the beneficial effects of goal setting on performance.

Adult↗

Relationships among alcohol consumption, drug use, and goal orientation among college students in the southeastern USA.

Students attending 2 different universities completed a Goals Inventory as well as a self-report survey designed to address their use of alcohol and other drugs. University 1 was a large, public state-supported school that did not restrict alcohol use. From this university were 30 male and 77 female students who ranged in age from 18-25 years (M = 20 yr.). University 2 was a small, private church-affiliated school that enforced a no-alcohol-on-campus policy. This sample included 41 male and 50 female students, whose ages ranged from 18-24 years (M = 19 yr.). More than half of the sample at each school had consumed alcohol at some time. While men drank more than women at University 1, the sex-ratio at University 2 was not different. Students at University 2 had higher learning and performance goal scores, alcohol-use scores, and drug-abuse scores than those at University 1. Students at University 2 had higher alcohol-abuse scores. Learning goal orientation was inversely related to alcohol-abuse behaviors but only at University 1. General alcohol use was inversely related to learning goal orientation at University 2. Students at both universities reported drinking to relieve tension. Those with a learning goal orientation were reportedly not drinking excessive amounts of alcohol. However, the relationship between alcohol use and abuse and performance is unclear because students had high performance scores at both universities along with high alcohol-use scores.

Achievement↗