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PubMed2005

Measuring the childbearing motivation of couples referred to the Shiraz Health Center for premarital examinations.

Millions of children who were born during the first decade after the Islamic revolution in Iran are now reaching the age of marriage and childbearing. Short spacing between marriage and the birth of the first child has the potential to cause an excessive and costly increase in the growth of population in Iran. Research into the motivations for the birth of first child among newly married couples can create a knowledge base that will enable health centres to help these couples make better decisions about the timing of their first pregnancy. Using a consecutive sampling technique and administering Miller's Childbearing Questionnaire, data were gathered regarding the childbearing motivations and desires of 300 couples who had been referred to the Shiraz Health Center for premarital counselling. The Childbearing Questionnaire, with some minor modifications, was found to be a valid and reliable instrument for measuring the childbearing motivations of newly married couples of Shiraz County, Fars Province, Iran. The utility of these findings for counselling in health centres is discussed. Based on the results, a longitudinal study is being designed that will allow the development of models for predicting the time of first pregnancy after marriage.

Adult↗
PubMed2001

Motivational interviews as goal assessment for persons with psychiatric disability.

A necessary first step in the psychosocial treatment of persons with severe mental illness is helping them identify their goals. Unfortunately, goal assessment is often viewed as a categorical process in which individuals list needs for which they require services. Motivational interviews provide a more sophisticated approach in which persons specify the costs and benefits to each of the needs in the list. Benefits define the reasons why a person should pursue a goal; costs define barriers to achieving that goal. The basic mechanisms for understanding and implementing motivational interviews are summarized. Ways to circumvent barriers to motivational interviews are also discussed.

Disability Evaluation↗
PubMed2000

Incapacitation and just deserts as motives for punishment.

What motivates a person's desire to punish actors who commit intentional, counternormative harms? Two possible answers are a just deserts motive or a desire to incarcerate the actor so that he cannot be a further danger to society. Research participants in two experiments assigned punishments to actors whose offenses were varied with respect to the moral seriousness of the offense and the likelihood that the perpetrator would commit similar future offenses. Respondents increased the punishment as the seriousness of the offense increased, but their sentences were not affected by variations in the likelihood of committing future offenses, suggesting that just deserts was the primary sentencing motive. Only in a case in which a brain tumor was identified as the cause of an actor's violent action, a case that does not fit the standard prototype of a crime intentionally committed, did respondents show a desire to incarcerate the actor in order to prevent future harms rather than assigning a just deserts based punishment.

Adult↗
PubMed2001

Measuring student motivation in health professions' colleges.

Active, independent, self-directed learning requires motivation, or a willingness to exert high levels of effort toward educational goals, conditioned by individual need. Motivation may be a function of individual differences or induced by situational constraints. Archer (1994), who used goal orientation to conceptualize university student motivation, theorized that students would exhibit a preference for either mastery orientation (desire to develop competence/increase understanding), performance orientation (desire to demonstrate competence/ability), or academic alienation (no concern for developing competence or demonstrating achievement). The purpose of this study was to identify and validate an instrument that would measure goal orientation preferences of students in health professions programs. The authors administered Archer's survey to a sample of medical, nursing, and pharmacy students to determine if the instrument was appropriate for this population. Results demonstrated that goal orientation preference could be measured in these students and confirmed the instrument's reliability and valid use for these populations.

Goals↗
PubMed1998

Perceptions of motivators and barriers to public prenatal care among first-time and follow-up adolescent patients and their providers.

OBJECTIVES: To compare perceptions of the motivators and barriers to obtaining public prenatal care from the perspectives of pregnant adolescents coming for first-time and follow-up appointments, as well as among those of their prenatal care providers. METHOD: The patient sample consisted of 250 consecutive, adolescent, public prenatal patients coming to one of the 5 prenatal clinics in one county in Arkansas. Patient responses were analyzed by appointment status (first-time vs. follow-up visitors). Sixteen providers at the same public prenatal clinics were also interviewed using the same survey instrument. RESULTS: We observed striking differences between patients and providers with respect to their perceptions of both the motivators and barriers to prenatal care. Adolescents reported "concern over the health of their baby" as a primary motivation, while providers identified adolescents' "concern over their own health" as the most important reason. With regard to barriers, adolescents were more likely to identify system-related barriers (e.g., lack of finances and transportation, and waiting time for appointments), while providers were more likely to identify personal barriers (e.g., feeling depressed, fear of procedures, and needing time to deal with problems at home). Patients and providers agreed, however, that fear of procedures and not wanting to be pregnant were important barriers to care. CONCLUSIONS: The differences in perceptions between adolescents and their prenatal care providers suggest that poor patient-provider communication may represent one of the single most important nonfinancial barriers to care. Possible explanations for inadequate patient-provider communication as well as solutions to improve their clinic interactions are discussed.

Adolescent↗
PubMed1997

Volunteer participation in context: motivations and political efficacy within three AIDS organizations.

Employed quantitative and qualitative data in a contextual examination of participation in three San Francisco-area HIV/AIDS organizations: an urban, gay community-based social change setting; an urban, broadly focused information/referral setting; and a suburban individual support setting. The settings attracted different kinds of volunteers and engaged them differently with the setting, each other, and community. In quantitative analyses external political efficacy (belief in the responsiveness of sociopolitical systems to change efforts) significantly distinguished settings, but was best predicted by setting-moderated relationships to scaled motivations. Qualitative data more clearly illuminated volunteers' motivations for participation, as well as complex, embedded relationships between setting, motivations, attitudes about sociopolitical participation, and personal and community experience and identification. Together the findings underscore three unique but related stories for the three AIDS organizations, and the value of contextual approaches to participation and empowerment.

Acquired Immunodeficiency Syndrome↗
PubMed2003

What motivates interest in attending a familial cancer genetics clinic?

The motivation of people who seek advice about a family history of cancer was explored in a cross sectional study of new cancer referrals to five regional cancer genetics centres in England: the PACT (patient and clinical team) psychosocial study. One hundred sixty-two people took part. Measures were source of referral, estimated and perceived cancer risk, level of cancer worry, and personal and family-centred reasons for wanting to be seen in clinic. General practitioners referred more people than hospital doctors, and referred a larger proportion of people at low genetic risk of developing cancer. More than half of the participants had been the first to raise the issue of their family history of cancer. Personal motivation for referral is clearly different for those who have had a diagnosis of cancer and for those with children, compared to unaffected and childless people, and is characterised by altruistic concern for other family members rather than a perception of increased personal risk. Men and people from ethnic minorities are very significantly under-represented. Understanding people's motivation may be useful in targeting genetic counselling for people with a family history of cancer.

Adult↗
PubMed2004

The development and psychometric evaluation of the Motivation and Energy Inventory (MEI).

Because depressed patients commonly experience reductions in motivation and energy, both as symptoms of their disorder and as side effects of pharmacotherapy, it is important to identify interventions that can restore their vitality. The Motivation and Energy Inventory (MEI) was recently developed to facilitate the evaluation of such efforts both in depression research, as well as in other therapeutic areas where vitality is an important issue. The constructs addressed by the MEI were identified through a combination of literature review, consultation with experts, and patient focus groups. Potential problems identified during cognitive testing and addressed in subsequent revisions related to the instructions, reference period, response scale sizes, and response scale labels, as well as a number of item-specific issues. Most recently, the data from two randomized, placebo-controlled clinical trials were utilized to evaluate the psychometric properties of the new questionnaire. In general, the data collected during the first and second trial were used for exploratory and confirmatory analysis, respectively. Consistent with the measurement model of the MEI, the psychometric results confirm that the instrument has three factors generally addressing physical energy, mental energy, and social motivation. Furthermore, these results provide evidence for the internal consistency, construct validity, and responsiveness of all three MEI subscales. Additional work is currently underway to examine test-retest reliability and establish minimal clinically important difference values for the MEI subscales.

Adolescent↗
PubMed2004

The impact of informative tutoring feedback and self-efficacy on motivation and achievement in concept learning.

Informative tutoring feedback (ITF) provides assisted multiple response tries by offering strategically useful information for task completion as opposed to simply offering the solution. Previous studies on ITF focused on its effects on achievement. The present studies examine the assumption that ITF affects not only achievement, but also motivational variables such as task engagement, effort, persistence, and satisfaction with performance. In two experiments, students differing in self efficacy (SE) for identifying concepts worked on concept identification tasks. In cases of incorrect hypothesis about the concept, they received either outcome feedback or ITF. Results reveal that motivation and achievement depend on both SE and type of feedback. Future research should examine in more detail how ITF affects the self-enhancing processes between on-task motivation, achievement, and self-evaluation.

Achievement↗
PubMed2002

Elite athletes' experiences of the motivational climate: the coach matters.

Recent research investigating the effect of the motivational climate has found that even elite athletes benefit from a mastery climate. The purpose of the present study was to obtain a deeper understanding of the importance of the climate surrounding an athlete and the role of the coach for elite athletes by conducting in-depth interviews with a group of athletes (n=7). The athletes also completed the Perception of Success Questionnaire (POSQ) and Perception of Motivational Climate Questionnaire (PMCQ) to measure motivational indices. All the athletes were very high on task orientation and moderate to high on ego orientation. Most of the athletes perceived a high mastery climate and a low performance climate. The athletes emphasized the importance of the coach as the creator of the climate, as well as their preference for a supportive and caring climate. This speaks for an emphasis on a mastery climate for elite athletes.

Adult↗
PubMed2003

Evaluation of motivation methods used to obtain appropriate oral hygiene levels in schoolchildren.

The aim of the present study is to assess the behaviour of different motivation methods on levels of oral hygiene among schoolchildren aged from 7 to 9 years in Araraquara, SP, Brazil. The methods tested were: indirect instruction using 'The Smiling Robot' (group I), indirect instruction through class presentation (group II) and direct instruction with macromodels (group III). A control group was also constituted, which received no kind of motivation (group IV). The O'Leary Plaque Index was used as the evaluation method, applied before the instruction and 30 days after application of the different methods. It was noted that the plaque index had not decreased in group IV only. In conclusion, all the motivation methods promoted significant decrease of plaque index and among these methods, the 'The Smiling Robot' was the one that provided the best results.

Audiovisual Aids↗
PubMed1990

Intrinsic and extrinsic motivation for smoking cessation.

An intrinsic-extrinsic model of motivation for smoking cessation was evaluated with 2 samples (ns = 1.217 and 151) of smokers who requested self-help materials for smoking cessation. Exploratory and confirmatory principal components analysis on a 36-item Reasons for Quitting (RFQ) scale supported the intrinsic-extrinsic motivation distinction. A 4-factor model, with 2 intrinsic dimensions (concerns about health and desire for self-control) and 2 extrinsic dimensions (immediate reinforcement and social influence), was defined by 20 of the 36 RFQ items. The 20-item measure demonstrated moderate to high levels of internal consistency and convergent and discriminant validity. Logistic regression analyses indicated that smokers with higher levels of intrinsic relative to extrinsic motivation were more likely to achieve abstinence from smoking.

Adult↗
PubMed1999

Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men.

Interventions to reduce HIV risk behavior have shown promise but have demonstrated inconsistent effects with heterosexual men. This article reports a cognitive-behavioral HIV risk reduction intervention designed for heterosexually active African American men. Men (N = 117) recruited from a public clinic were randomly assigned to either (a) a 6-hr video-based small group motivational-skills intervention or (b) a 6-hr video-based contact-matched HIV education comparison group. Results showed men in the motivational-skills intervention reported lower rates of unprotected vaginal intercourse and higher rates of condom use at the 3-month follow-up. However, because of increased condom use in the comparison condition, differences between groups dissipated 6 months following the intervention. These findings are among the first to demonstrate effects from a motivational-skills intervention for reducing HIV risk in men who have sex with women using a model designed to facilitate transferring prevention technology to community settings.

Acquired Immunodeficiency Syndrome↗
PubMed2001

Motivational enhancement and self-help treatments for problem gambling.

Two brief treatments for problem gambling were compared with a waiting-list control in a randomized trial. Eighty-four percent of participants (N = 102) reported a significant reduction in gambling over a 12-month follow-up period. Participants who received a motivational enhancement telephone intervention and a self-help workbook in the mail, but not those who received the workbook only, had better outcomes than participants in a 1-month waiting-list control. Participants who received the motivational interview and workbook showed better outcomes than those receiving the workbook only at 3- and 6-month follow-ups. At the 12-month follow-up, the advantage of the motivational interview and workbook condition was found only for participants with less severe gambling problems. Overall, these results support the effectiveness of a brief telephone and mail-based treatment for problem gambling.

Adult↗
PubMed1981

Unemployment and depressive affect: a motivational and attributional analysis.

It was hypothesized on the basis of expectancy-valence theory that the negative affect that follows failure to obtain employment will be stronger among those individuals who are more strongly motivated to seek employment than among those who are less motivated. This hypothesis was tested by administering a questionnaire to a sample of 212 unemployed youth contacted through helping agencies in Adelaide, South Australia. Consistent with the hypothesis, the results showed that subjects who indicated in their ratings that they were highly motivated to get a job also provided higher ratings of depressive affect. Those subjects with higher levels of depressive affect were less likely to blame themselves for their unemployment and more likely to blame external difficulties, such as the current economic situation. They also provided higher ratings of the valence or perceived attractiveness of work itself. Their retrospective ratings concerning how confident they were of getting a job on leaving school and how much they needed and tried for a job also tended to be higher than those of the less depressed subjects. Results are discussed in relation to the expectancy-valence approach, Beck's theory of depression, the helplessness theory of depression, and recent discussions of cognitive-effect linkages that employ attribution concepts.

Adult↗
PubMed1983

Alienation and drinking motivations among adolescent females.

The present study examined a hypothesized relation between alienation and stated motivations for alcohol use. It was predicted that such a relation would emerge more clearly among adolescent females than among adolescent males, and this prediction was confirmed. Among females, problem-related drinking motivations correlated positively with alienation, whereas social-convivial motivations correlated negatively with this attribute. No comparable correlations were found among the male subjects. It was concluded that important sex differences in the dynamics of problem drinking in our society are worthy of additional study.

Adolescent↗
PubMed1993

Need for cognition and desire for control as moderators of extrinsic reward effects: a person x situation approach to the study of intrinsic motivation.

Seventy-four Ss in extrinsic-reward or no-reward conditions completed a brainstorming task and then were left alone with the option to engage in additional versions of this task. If the Need for Cognition (NFC) Scale taps intrinsic motivation for effortful cognition (J. T. Cacioppo & R. E. Petty, 1982), the optional task engagement of high-NFCSs, but not low-NFCSs, should be undermined by extrinsic reward. Results confirmed this hypothesis, but regression analyses showed that NFC scores' moderation of reward effects was due to their covariation with scores on J. M. Burger and H. M. Cooper's (1979) Desire for Control Scale. The data suggest that (a) NFC involves intrinsic motivation for effortful cognitive processing, (b) NFC may predict such processing mainly in contexts with minimal extrinsic incentives for processing, and (c) control motivation may be related causally both to extrinsic undermining effects and to individual differences in NFC.

Adult↗
PubMed1993

Effects of motivationally significant stimuli on the regulation of dominant responses.

In 4 experiments, Ss responded as quickly as possible to indicate whether character strings consisted of letters or numbers. Following a warning stimulus that was or was not designed to trigger a motivational-emotional response in particular subgroups (viz., those with high anxiety, discrepant self-concepts, and eating disorders), strings were presented in a central (dominant) location on 75% of the trials or in 1 of 4 peripheral (nondominant) locations. Consistent with hypotheses, response times to peripherally located strings were significantly slower following motivationally significant than following neutral warning stimuli. Contrary to hypotheses, such stimuli did not facilitate responding to centrally located strings. It is proposed that motivationally significant stimuli engender a temporary reduction in control processing that hinders regulation of dominant responses.

Adult↗