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Expectations and motives for alcohol use in a psychiatric outpatient population.

The purpose of the study was to assess alcohol expectancies and motives of psychiatric outpatients with and without comorbid current or lifetime substance use disorders. Seventy-five psychiatric outpatients with diagnoses of mood disorders, anxiety disorders, and substance use disorders were administered the Alcohol Effect Expectancy Questionnaire-Abridged Version and the Drinking Motives Measure. Results demonstrated that the internal reliabilities for the two scales were comparable with those reported for these measures in the general population. Psychiatric outpatients with a history of comorbid substance use disorders reported greater expectancies and motives for using alcohol than did patients with no such history. In addition patients with comorbid alcohol and drug use disorders, and only comorbid alcohol use disorder, showed significantly greater expectancies and motives for alcohol use than patients with only comorbid drug use disorders and patients with no history of comorbid substance use disorder. We discuss the implications of the findings for role of expectancies and motives in the maintenance and treatment of substance abuse in psychiatric patients.

Adolescent↗

Motivation for alcohol assessed by multiple variable interval schedule behaviour: effects of reward size and alcohol cues.

Altered motivation for drugs of abuse is a central feature of most definitions of drug dependence and the impact of drug-related cues on motivation is of current interest. However, since most studies of cue-reactivity have not used behavioural measures of motivation, their results are often difficult to interpret in motivational terms. In the current paper we describe two experiments in which a behavioural technique, based on multiple variable interval (VI) schedules of reinforcement, was used to study motivation for alcohol in human subjects. In both experiments, subjects attended for several sessions and, during each session, were exposed to a 6-ply VI schedule (values ranged from 1 to 720 s), during which they earned points that were later exchanged for a preferred beer or lager. In Experiment 1 the procedure was validated by showing that changes in the magnitude of reinforcement altered behaviour appropriately. In Experiment 2 we found evidence that the presence of an alcohol-related cue increased the value of alcohol rewards. The results are discussed with reference to a model for the behavioural effects of drug-related cues in triggering relapse and a number of problems we found in using the multiple variable interval schedule procedure.

Adult↗

Learn what motivates your employees: look to yourself.

Supervisors and managers tend to behave as though they are responsive to somewhat different motivating forces than their employees. However, employees at all levels are basically similar in terms of what they want to obtain from work. While drives vary in intensity from person to person, the basic motivating forces remain the same. Essentially it is not possible to "motivate" another as such; it is possible only to create the conditions under which another can become self-motivated. The supervisor must appreciate the key principles of motivation, including the relationship between repetition and reinforcement and the importance of timely feedback. Also, the supervisor must learn what his or her legitimate role is concerning the fulfillment of employee needs. Successful supervisors will be those who are sensitive to their own needs and desires, credit their employees with the same or similar needs and desires, and treat employees in the manner in which they would like to be treated by higher management.

Administrative Personnel↗

Motivating your employees and yourself: how different is the manager from the staff?

Managers often tend to behave as though they are responsive to different motivating forces than their employees. However, employees at all levels are much alike in terms of what they wish to obtain from their work. There are drives that vary in intensity from person to person, but the basic motivating forces remain the same. Essentially, it is not possible to "motivate" another person as such; it is possible only to create the conditions under which the individual can become self-motivated. The manager must appreciate the key principles of motivation, including the relationship between repetition and reinforcement and the importance of timely feedback. Also, the manager must learn what his or her legitimate role is concerning the fulfillment of employee needs. Successful managers will be those who are sensitive to their own needs and desires, credit their employees with the same or similar needs and desires, and treat employees in the manner in which they would like to be treated by higher management.

Administrative Personnel↗

Comparisons of motivation, health behaviors, and functional status among elders in residential homes in Korea.

This study compared the changes in health behaviors, motivation, and functional status between motivation enhancement exercise-program participants and program dropouts over 6 months. A total of 73 older adults living in residential homes participated in the study. Face-to-face interviews were conducted at pretest and then at 10 weeks and 6 months in the program. The participants exercised using traditional Korean dance movements for 50 min, 4 times per week, for 6 months. The subjects were classified as participants or dropouts by using a cutoff attendance rate of 80%. Repeated ANOVA revealed the following results over 6 months: 1 The motivation to perform health behaviors, especially for perceived benefits, improved significantly for the participants than for the dropouts. 2 Significant differences in the performance of overall health behaviors and exercise-related behaviors were found between the participants and the dropouts. 3 The sickness impact profile (SIP) of the participants improved significantly, compared with the dropouts. Significant group differences were found for total SIP, physical dimensions, and enjoyment of recreation and pastimes. In conclusion, the study found that the 6-month motivation enhancement program was effective in motivating older adults to perform health behaviors and to improve their functional status.

Activities of Daily Living↗

The efficacy of single-session motivational interviewing in reducing drug consumption and perceptions of drug-related risk and harm among young people: results from a multi-site cluster randomized trial.

AIM: To test whether a single session of motivational interviewing (discussing alcohol, tobacco and illicit drug use) would lead successfully to reduction in use of these drugs or in perceptions of drug-related risk and harm among young people. DESIGN: Cluster randomized trial, allocating 200 young people in the natural groups in which they were recruited to either motivational interviewing (n=105) or non-intervention education-as-usual control condition (n=95). SETTING: Ten further education colleges across inner London. PARTICIPANTS: Two hundred young people (age range 16-20 years) currently using illegal drugs, with whom contact was established through peers trained for the project. INTERVENTION: The intervention was adapted from the literature on motivational interviewing in the form of a 1-hour single-session face-to-face interview structured by a series of topics. MEASUREMENTS: Changes in self-reported cigarette, alcohol, cannabis and other drug use and in a range of drug-specific perceptions and other indicators of risk and harm. Measurement at recruitment and follow-up interview 3 months later. FINDINGS: A good follow-up rate (89.5%; 179 of 200) was achieved. In comparison to the control group, those randomized to motivational interviewing reduced their of use of cigarettes, alcohol and cannabis, mainly through moderation of ongoing drug use rather than cessation. Effect sizes were 0.37 (0.15-0.6), 0.34 (0.09-0.59) and 0.75 (0.45-1.0) for reductions in the use of cigarettes, alcohol and cannabis, respectively. For both alcohol and cannabis, the effect was greater among heavier users of these drugs and among heavier cigarette smokers. The reduced cannabis use effect was also greater among youth usually considered vulnerable or high-risk according to other criteria. Change was also evident in various indicators of risk and harm, but not as widely as the changes in drug consumption. CONCLUSIONS: This study provides the first substantial evidence of non-treatment benefit to be derived among young people involved in illegal drug use in receipt of motivational interviewing. The targeting of multiple drug use in a generic fashion among young people has also been supported.

Adolescent↗

Motivational enhancement and other brief interventions for adolescent substance abuse: foundations, applications and evaluations.

AIMS: To present a comprehensive review of the use of motivational enhancement and other brief interventions for substance use in adolescents. METHODS: In this paper, we review the major theoretical foundations and influences of brief interventions (including motivational interviewing), consider developmental issues in its application for adolescents, discuss methodological issues in the design and implementation of brief interventions, including the assessment of treatment fidelity, evaluate and interpret the latest findings on brief interventions for adolescents and young people and discuss the issue of translating and exporting effective research into practice. FINDINGS: Results from recent clinical trials using motivational interventions indicate that these approaches result in decreases in substance-related negative consequences and problems, decrements in substance use and increased treatment engagement, with results particularly strong for those with heavier substance use patterns and/or less motivation to change. CONCLUSION: While results are promising, more research is needed to examine the essential elements of motivational interventions, for whom they work best, and their impact on developmental transitions during adolescence.

Adolescent↗

Continuity and correlates of emotions and motives in self-defining memories.

Two studies examined emotions and motives in self-defining memories. In Study 1, participants recalled five self-defining memories (four recent and one earliest childhood), rated their emotions and motives during each memory, and completed a set of personality measures. A subset of participants provided a second set of memories, as well as emotion and motive ratings, approximately 2 weeks after the initial session. Results suggest that emotions and motives are moderately stable across memories and over time and show theoretically meaningful relations with self-esteem, narcissism, and affective dispositions. Study 2 extended the findings of Study 1 to a longitudinal context. Emotions and motives coded from self-defining memories were associated with changes in personality, well-being, and academic performance over a 4-year period.

Achievement↗

Individual differences in approach and avoidance movements: how the avoidance motive influences response force.

The present research is based on the assumption that people differ in their responsiveness to incentives and threats. In two experiments we examined whether the trait corresponding to the responsiveness to threats (avoidance motive) and the trait corresponding to the responsiveness to incentives (approach motive) influence voluntary motor behavior toward or away from stimuli. In Experiment 1, stimuli consisted of positive and negative words within a lexical decision task. Participants moved their arms backward in order to withdraw from the stimuli or forward in order to approach them. In Experiment 2, participants responded with forward or backward arm movements to neutral sounds coming from behind or in front of them. The main dependent variable was the strength of the approach and avoidance movements. In both experiments this variable was related to participants' avoidance-motive disposition but not to their approach-motive disposition. Avoidance-motivated individuals generally showed more forceful avoidance movements than approach movements. There was no effect of stimulus valence on the strength of the movements in Experiment 1. Furthermore, the results of Experiment 2 suggest that it is not the physical direction (forward or backward) but rather the movement's effect of distance reduction (approach) or distance increase (avoidance) in regard to the stimulus that defines a movement as an approach or an avoidance movement.

Adolescent↗

Cognitive-motivational influences on the task-related help-seeking behavior of black children.

The present study examined the relation between children's mastery motivation, self-assessment of performance, and task-related help-seeking behavior during task performance. Average-achieving black American children, varying in mastery motivation as measured by subscales of the Harter's Intrinsic-Extrinsic Orientation in the Classroom Scale, performed a multitrial verbal task and were given the opportunity to seek help on each trial after making a tentative response and assessing their performance by rating their confidence in the correctness of the response. A response-contingent payoff system was implemented to encourage children to restrict their help seeking to those instances in which they perceived that they could not make a correct response without assistance. As predicted, children's self-assessments of performance, regardless of their accuracy, appeared to influence help seeking more than the actual performance outcomes. Neither children's self-assessments of performance nor their overall rate of help seeking varied with level of measured mastery motivation. However, the type of help sought varied as expected with mastery motivation. Children characterized by high intrinsic orientations toward independent mastery in academic achievement contexts sought indirect help (i.e., hints) more often than they sought direct help (i.e., answers), whereas children characterized by low intrinsic orientations toward independent mastery showed no preference. These differences in motivational orientation influenced requests for help only when children perceived their initial solutions to be incorrect. These findings are discussed in the context of the analyses of help seeking as an instrumental learning and achievement strategy. The implications of the findings for analyses of black children's achievement styles are highlighted.

Achievement↗

Oral hygiene instruction and motivation in children using manual and electric toothbrushes.

The effect of individual chairside instruction and motivation on children using either manual or electric toothbrushes was investigated. From 123 children aged 9-15 years attending the Children's Department, Eastman Dental Hospital, four groups were constructed. Group 1 acted as the control, Groups 2 and 3 used manual toothbrushes and received instruction and motivation, and Group 4 used electric toothbrushes (Touch Tronic, Teledyne Aqua Tec) and also received instruction and motivation. For all children, modified Löe and Silness' Gingival and Plaque Indices were scored, a disclosing agent applied and a prophylaxis completed. Children in Groups 2, 3 and 4 were additionally shown the disclosed plaque, and its importance was discussed. Their attempts to "get the stain off" were checked and their own brushing techniques modified. Re-examinations took place after 1 and 3 months. To estimate the reliability of the diagnosis, 172 of the 344 examinations were repeated by a second operator. The overall coefficient of correlation (between operators) was 0.8. In the control group no detectable improvement in the gingival health or oral cleanliness occurred over the 3-month study period. However, both gingival and plaque scores decreased significantly, by 35-50%, in all instructed and motivated groups within 1 month and this improvement was still observable 2 months later. There were no significant differences in improvement between motivated children using manual or electric toothbrushes.

Adolescent↗

Intrinsic motivation in dental care.

The aim of this work was to develop a method based on the idea of intrinsic motivation for analyzing motivation problems in dental care. A questionnaire dealing with intrinsic motivation was filled in by 207 women and 183 men. Factor analysis of the scale revealed the following dimensions of internal-external motivation: independence, responsibility, vs. non-independence, interest in preserving one's own teeth as long as possible vs. preference for tooth extraction, satisfaction from brushing teeth vs. brushing for others' sake, and critical evaluation of diet vs. improper diet with carbohydrates. The reliability of the questionnaire was good (standardized item alpha .69). The individual's own sense of independence and responsibility and the idea of preserving one's own teeth for as long as possible were found to be more important for the women than for the men. A longer education was also found to be related to preserving one's own teeth as long as possible. The time of the last dental visit was positively related to independence, responsibility and the far-reaching idea of preserving one's own teeth. It can be concluded that aspects of intrinsic motivation can give additional information when trying to understand dental health behavior.

Adult↗

Effects of fitness test type, teacher, and gender on exercise intrinsic motivation and physical self-worth.

This study compared effects on exercise intrinsic motivation and physical self-worth of taking either the President's Challenge or the Fitnessgram fitness test battery. Three teachers administered the battery to seventh and eighth grade students (N = 370). The only significant effect involving fitness test type on intrinsic motivation was a test-teacher-gender interaction on the interest-enjoyment subscale of the Intrinsic Motivation Inventory (IMI). Main effects occurred for gender on intrinsic motivation and physical self-worth (PSW). Finally, using a Fitness Level x Gender x Fitness Test Type design, a main effect occurred for fitness level on all four IMI subscales, and also on PSW. While results supported the construct validity of IMI and PSW scales, they did not support the theory-based premise that fitness test batteries would produce different motivational and self-perception outcomes. Results are discussed with reference to the limitations and delimitations of the field-based study.

Adolescent↗

Motivation: the most basic process in TQM/CQI.

Quality management professionals confront the challenge of motivating others to participate in the improvement of patient care. Producing this motivation frequently proves problematic. This article addresses the issue of motivation by presenting it as a process. Abraham Maslow's hierarchy of needs functions as the foundation of the process. A process model is used to demonstrate that satisfaction of the higher-level needs of esteem and self-actualization is required to produce true motivation. By understanding the process of motivation, we may become more effective in improving patient care.

Humans↗

Oxygen taxis and proton motive force in Azospirillum brasilense.

The microaerophilic nitrogen-fixing bacterium Azospirillum brasilense formed a sharply defined band in a spatial gradient of oxygen. As a result of aerotaxis, the bacteria were attracted to a specific low concentration of oxygen (3 to 5 microM). Bacteria swimming away from the aerotactic band were repelled by the higher or lower concentration of oxygen that they encountered and returned to the band. This behavior was confirmed by using temporal gradients of oxygen. The cellular energy level in A. brasilense, monitored by measuring the proton motive force, was maximal at 3 to 5 microM oxygen. The proton motive force was lower at oxygen concentrations that were higher or lower than the preferred oxygen concentration. Bacteria swimming toward the aerotactic band would experience an increase in the proton motive force, and bacteria swimming away from the band would experience a decrease in the proton motive force. It is proposed that the change in the proton motive force is the signal that regulates positive and negative aerotaxis. The preferred oxygen concentration for aerotaxis was similar to the preferred oxygen concentration for nitrogen fixation. Aerotaxis is an important adaptive behavioral response that can guide these free-living diazotrophs to the optimal niche for nitrogen fixation in the rhizosphere.

Azospirillum brasilense↗

Are intrinsic motivational factors of work associated with functional incapacity similarly regardless of the country?

BACKGROUND: Many psychosocial models of wellbeing at work emphasise the role of intrinsic motivational factors such as job autonomy, job complexity, and innovativeness. However, little is known about whether the employees of multinational enterprises differ from country to country with regard to intrinsic motivational factors, and whether these factors are associated with wellbeing similarly in the different countries. The purpose of this study was to examine the level of intrinsic motivational factors and their impact on functional incapacity in different countries in a multinational corporation. METHODS: In 2000, data were collected from a globally operating corporation with a questionnaire survey. The participants were 13 795 employees (response rate 59%; 56% under age 45; 80% men; 61% blue collar employees), who worked in similar industrial occupations in five countries (Canada, China, Finland, France, and Sweden). RESULTS: The Chinese employees reported higher autonomy and lower complexity at work than the employees from the other countries. After adjustment for age, sex, socioeconomic status, and physical work environment, job autonomy, and job complexity at work were associated with functional incapacity in most countries, whereas in China the impact was significantly stronger. In Finland and in China employees with low innovativeness at work were more prone to functional incapacity than corresponding employees in other countries. CONCLUSIONS: The level of intrinsic motivational factors varied between the Chinese employees and those in other countries. In line with theoretical notions, the relation between intrinsic motivational factors of work and functional incapacity followed a similar pattern in the different countries. However, these country specific results show that a culture specific approach to employee wellbeing should also be applied.

Adult↗

Motivational and emotional aspects of the self.

Recent theory and research are reviewed regarding self-related motives (self-enhancement, self-verification, and self-expansion) and self-conscious emotions (guilt, shame, pride, social anxiety, and embarrassment), with an emphasis on how these motivational and emotional aspects of the self might be related. Specifically, these motives and emotions appear to function to protect people's social well-being. The motives to self-enhance, self-verify, and self-expand are partly rooted in people's concerns with social approval and acceptance, and self-conscious emotions arise in response to events that have real or imagined implications for others' judgments of the individual. Thus, these motives and emotions do not operate to maintain certain states of the self, as some have suggested, but rather to facilitate people's social interactions and relationships.

Anxiety↗

Intracranial self-stimulation motivates treadmill running in rats.

Most animal running models have traditionally used aversive motivators to induce exercise tasks. This study demonstrates treadmill running motivated by reinforcement of intracranial self-stimulation (ICSS), providing an alternative model with which to study physiological responses to exercise. Twenty-nine male Sprague-Dawley rats were stereotaxically implanted with bipolar electrodes aimed at the ventral tegmental area of the brain. After 7 days of operant lever-press training for ICSS, rats that pressed at least 50 presses/min were randomly divided into three conditions: exercise-reinforcing brain stimulation (Ex-St), exercise-aversive shock (Ex-Sh), and sedentary controls (C). Ex-St and Ex-Sh ran for 30 min at 25 m/min at 5% grade for 2 wk with ICSS and electric shock as the motivator, respectively, while C did not run. At the end of 2 wk, Ex-St and Ex-Sh performed an endurance run. Results show that Ex-St ran longer than Ex-Sh [63 +/- 10 vs. 42 +/- 10 (SD) min; P less than 0.05]. HR was higher in Ex-St than in C (P less than 0.05). Rectal temperature increased similarly in both exercise groups. This model provides a highly effective method to motivate treadmill running in rats and as such can be used to characterize physiological responses to exercise without the potentially confounding influence of stress associated with an aversive shock motivator.

Animals↗