Motivation-related Factors Research Articles

Motivation and Barriers to Postoperative Rehabilitation Exercise in Type 2 Diabetic Patients with Rotator Cuff Injuries: A Qualitative Study.

Postoperative rehabilitation is particularly important for Rotator cuff injury. However, type 2 diabetic patients with RCI (T2DM-RCI) are at an elevated risk of rehabilitation failure. The factors influencing the postoperative rehabilitation management of these patients have yet to be elucidated. The objective of this study was to investigate the factors influencing the postoperative rehabilitation of T2DM-RCI patients. Data was collected using a descriptive qualitative research design. The sample included 22 interviewees, who were recruited in Subei People's Hospital according to the purposive sampling method. Colaizzi's method was employed for the purpose of evaluation in the course of the data analysis. Thematic analysis of the postoperative rehabilitation views of the interviewees identified eight sub-themes connected to three main themes in accordance with the Behaviour Change Wheel Theory. These were capability-related, opportunity-related, and motivation-related factors. It is imperative to enhance the glycaemic control and health perception of T2DM-RCI patients. To this end, rehabilitation programmes, comprising exercise and dietary modifications, must be tailored to the specific needs of each patient. Furthermore, it is crucial to harness the potential of family and social support to motivate patients to maintain a positive outlook.

The Differential Weights of Motivational and Task Performance Measures on Medial and Lateral Frontal Neural Activity.

Behavioral adaptations are triggered by different constraints given by rules, and are informed by outcomes, or motivational changes. Neural activity in multiple frontal areas is modulated during behavioral adaptations, but the source of these modulations and the nature of the mechanisms involved are unclear. Here we tested how different variables related to changes in task performance and to behavioral adaptation impact the amplitude of event-related local field potentials (LFPs) in the lateral prefrontal and midcingulate cortex of male rhesus macaques. We found that the behavioral task used induced consistently different types of performance modulation: in relation to task difficulty (imposed by the experimental setup), to successes and errors, and to the time spent in the task. Difficulty had a significant effect on monkeys' accuracy and reaction times. Interestingly, there is also a strong interaction between difficulty and trial success on the reaction times variation. However, LFP modulations were mostly related to reaction times, touch position, feedback valence and time-in-session, with little, if any, effect of difficulty. Hence, difficulty modulated performance but not LFP activity. This suggests that, in our experimental design, execution, regulation, and motivation-related factors are the main factors influencing medial and lateral frontal activity.SIGNIFICANCE STATEMENT Adapting decisions might be determined by several mechanisms and might be driven by motivational factors and/or factors inherent to the task at hand. Multiple frontal areas contribute to behavioral adaptations. One current challenge is to understand which information they process contributes to behavioral changes. Diverging views have emerged on whether task demands, like the decision difficulty, or factors linked to incentives to adapt, are driving frontal activity. Here we show that task difficulty had a strong effect on performance (accuracy and reaction times) but little effect on LFP recorded in monkey lateral prefrontal and midcingulate cortex. However, information related to actions, outcome valence, and time-in-session had major influences. Thus, task difficulty modulated performance but not LFP activity in frontal areas.

Global survey to assess preferences when attending virtual orthodontic learning sessions: optimising uptake from virtual lectures

ObjectivesUnderstanding the issues concerning the conducting of virtual orthodontic learning sessions (VOLSs) is essential. This study aims to identify attendees- and host-related aspects that could optimise learning and uptake from the VOLSs.MethodologyFourteen pre-validated questions were anonymously and electronically sent to 3000 orthodontic residents and specialists globally. The survey included demographic questions and questions to gauge attendees' engagement, memorising, and motivation-related factors. Reminders were sent at two-week intervals to non-respondents. The survey was closed when the sample size was met. Descriptive and inferential statistics were performed.Results593 orthodontic residents and specialists (294 males and 299 females), primarily junior orthodontists and residents aged between 25 and 35 years of age, completed the survey. Post-VOLS recording was highly requested by the participants (8.84/10, 95% CI 8.67–9.00) with no significant influence of demographics on this trend (p > 0.05). Most of the participants were in favour of short post-VOLSs feedback (6.79/10 95% CI 6.58–6.99) with significant differences (p = 0.048) between participants from different regions of the world. The average number of screenshots taken was 6.1 per lecture. The learners’ interests in attending on-line lectures were mainly to learn new clinical orthodontic tips (96.8%).ConclusionImplementing a short feedback survey after VOLSs, the provision of recording, and the provision of certificates of attendance need to be considered.

Risk Management on Pre-Exposure Prophylaxis Adherence of Men Who Have Sex with Multiple Men: A Multicenter Prospective Cohort Study.

BackgroundMen who have sex with multiple men (MSMM) belong to a high-risk group for HIV infection, and pre-exposure prophylaxis (PrEP) is an effective measure to prevent the infection. However, few studies on PrEP adherence by MSMM in China exist. We aimed to explore the protective motivation-related factors for PrEP adherence in an HIV-negative MSMM population in Western China and to provide a reference for future risk management and effective prevention strategies.MethodsData were collected from a 2-year follow-up cohort study of PrEP in MSM in China. Rogers’ protective motivation theory (PMT) was used to study the PrEP adherence of MSMM, and logistic regression was performed to analyze the influencing factors of PrEP adherence.ResultsA total of 496 MSMM were included in the study: 299 (60.28%) of them in the good adherence group and 197 (39.72%) in the poor adherence group. The threat assessment scores of the good and poor adherence groups were 2.15 ± 0.59 and 2.06 ± 0.47, respectively, and the response assessment scores were 2.81 ± 0.62 and 2.74 ±0.62, respectively. Poor PrEP adherence was associated with on-demand PrEP medication (OR=0.670), students at school (OR=1.837), occasional condom use (OR=1.621), and good HIV knowledge (OR= 0.659). The higher the threat assessment score, the higher the susceptibility; and the lower the response cost, the stronger the protection motivation and the less likely MSMM were to have poor adherence.ConclusionOn-demand PrEP medication is more conducive to adherence. Preventive management should focus on MSMMs who are students at school, those who occasionally use condoms, and those with poor HIV knowledge. Improving threat perception and susceptibility, and controlling and reducing the response cost can effectively improve PrEP adherence, and the subsequent application of PMT during intervention research can provide a reference for HIV prevention in MSMM.

Motivation and motivation-related factors in children with disabilities.

Assessing motivation and motivation-related factors will contribute to a better understanding of motivation and the development of optimal rehabilitation conditions. The purpose of this study was to determine the motivation level and investigate the relationship of motivation level with socio-demographic characteristics (i.e., age, gender, comorbidities), functional level, and family satisfaction with rehabilitation centers in children with disabilities. Sixty-two children with disabilities were included in the study, and the socio-demographic characteristics were recorded. Children were assessed by the Pediatric Motivation Scale (PMOT) and the Pediatric Functional Independence Measure (WeeFIM). Also, parents were asked to complete a questionnaire titled, "A patient satisfaction instrument for outpatient physical therapy clinics." The mean age of the children was 12.16 ± 3.19 years. Total PMOT and WeeFIM scores were found to be 93.71 ± 9.66 and 108.23 ± 22.14, respectively. There was a positive correlation between children's PMOT score and the satisfaction score of their families that was statistically significant (r= 0.602, p< 0.05). The level of family satisfaction with rehabilitation centers was found to be positively correlated with the motivation level of children. Improving family satisfaction with rehabilitation centers, potentially through modifying the physical conditions of rehabilitation centers and focusing on the interest of the family, may increase the motivation level of children, and thus may improve rehabilitation outcomes.

Postretirement work from a gender perspective: in-depth analysis of the Chilean case

ABSTRACT Due to the ever-increasing life expectancy rates worldwide, there has been an emerging need to conduct more research on older adults’ participation in the labor market after reaching the state pension age. This study aims to analyze the factors associated with postretirement work in Chile, a country characterized by a strong persistence of a male-breadwinner model endorsed by deeply-rooted traditional gender roles, and at the same time characterized by a dual-earner model strongly encouraged by a neoliberal system. Relying on a gendered life course perspective and using a nationally representative survey, we conducted logistic regression analyses to explore how a number of cumulative advantages and disadvantages (such as work trajectory, job satisfaction, and caregiving duties) shape working beyond legal retirement age and the intrinsic motivation to continue working among economically active older adults in Chile. One of the main findings of the present study is that intrinsic motivation to continue working was a remarkably significant predictor of postretirement work among older Chilean adults, especially among women. The results also suggest that even though older women are motivated to continue working, the national labor market is unlikely to offer such possibility. The findings of this study have implications for practice in the sense that they demonstrate the imperative need for organizations to focus on intrinsic motivation-related factors in striving to improve employees’ willingness to stay within the company after the state pension age.

Holistically addressing motivation and maladaptive traits in anorexia nervosa: Impact on prognosis and treatment outcomes

Anorexia Nervosa (AN) is a serious psychiatric disorder, characterized by restriction of energy intake, low body weight, intense fear of weight gain, and a disturbance in body weight self-perception. Severe and Enduring AN (SE-AN) is a long-lasting (typically 5-7 or more years and marked by several unsuccessful treatment attempts) form of AN. Traditional treatments, centering on weight restoration and core eating pathology, may be part of the reason rates of treatment dropout are high and long-term outcomes are poor, particularly in SE-AN. For SE-AN patients, who have a past marked by failed traditional treatment attempts, multidimensional treatments, addressing motivation to change and maladaptive traits, may improve a range of patient outcomes outside of eating-related symptoms, such as quality of life and interpersonal functioning.The objective of this narrative review is to briefly examine motivation-related factors (e.g., hope and readiness to change), experiential avoidance, perfectionism, and obsessive-compulsiveness, and the impact of treatment approaches incorporating these individual characteristics on various patient outcomes. In conclusion, a holistic, multidimensional, person-centred recovery approach that accounts for (a) illness severity/ chronicity, (b) individual traits, and (c) motivational factors (with a secondary focus on weight gain/eating pathology), could improve quality of life outcomes, particularly in SE-AN. Additionally, integrating patient perspectives, insights, and values into developing/testing novel person-centred interventions is paramount in order to holistically address the underlying biopsychosocial causes and perpetuating factors of AN, and to better understand the trajectory of chronicity.

The case of high motivation and low achievement in science: what is the role of students’ epistemic beliefs?

ABSTRACTThe importance of motivation-related factors in shaping students’ academic achievement across a range of areas, including science, has been consistently acknowledged by the existing research literature. In an effort to improve students’ science achievement, many education systems put particular emphasis on the enhancement of intrinsic (i.e. enjoyment and interest) and instrumental motivation in the subject. However, based on the latest Programme for International Student Assessment (PISA) data, many of the countries that managed to increase their motivation indices between 2006 and 2015 did not necessarily note a rise in science performance, with many still performing below the Organisation for Economic Co-operation and Development (OECD) average. Interestingly, although students’ motivation increased in some of these countries (e.g. Luxembourg, Iceland and Greece), their average performance in science decreased. Using the PISA 2015 data for Greece, this study examined the case of high motivation and low achievement in science by incorporating epistemic beliefs in the discussion. The multilevel analysis confirmed the importance of 15-year-old students’ motivation for learning science in predicting their science achievement and highlighted the positive predictive power of their epistemic beliefs. Policy and practice recommendations are provided based on the study findings, stressing the key role of students’ epistemic beliefs.

Examining the determinant factors of perceived online community usefulness using the expectancy value model

PurposeThis study aims to examine the determinant factors of perceived online community usefulness from a motivational point of view. The researchers have combined the use of the expectancy value model and the information system continuous-use model to predict continuous knowledge-sharing behaviour between online community members. This research provides an additional view of current literature focusing on technology-related factors.Design/methodology/approachThis research has adopted a quantitative research method, with data being collected through a Web survey technique. The members of online business communities were invited to participate in the survey. A total of 220 respondents participated in the online survey. These data were then analysed using structural equation modelling.FindingsThe research findings revealed that motivation-related factors have a moderate ability to predict members’ perception of online community usefulness. The research findings have shown that attainment and utility values are two significant motivational factors, which can positively influence perceived online community usefulness. By promoting these values, continuous knowledge-sharing intentions can be encouraged through perceived online community usefulness.Research limitations/implicationsHaving members from communities other than online business communities might deliver different results, given that they have different needs and values. Also, this study only received responses from active contributors within selected online business communities. The responses from non-active contributors were not included in this study.Practical implicationsThis study provides practical suggestions on how the administrators and designers of an online community can promote positive values within their community platform, using motivation-related mechanisms.Originality/valueThe existing literature that examines the determinants of perceived online community usefulness have mainly directed attention towards technology-related factors. This study fills the gap by examining the determinant factors of this construct from a motivation perspective.

A PhD completed. Oral health care and oral health-related quality of life of frail and care-dependent older people

When older people become frail, they often give up making dental visits, while their oral health care and oral health deteriorate. Open interviews and questionnaires were used to explore why frail older people change their oral health care behaviour and which (frailty-related) factors contribute to this change. These are mainly motivation-related factors. There seems to be a turning point where frail older people discontinue their oral health care routines and stop caring whether or not they loose teeth, because the perceived efforts no longer outweigh the perceived benefits of making dental visits and upkeep of oral hygiene. The use of standard questionnaires such as the validated Geriatric Oral Health Assessment Index-NL to measure oral health-related quality of life is limited, because they do not provide personal context required to interpret the outcomes. From a pre-frail stage (oral) care providers should monitor specific factors that might negatively affect oral health and oral health care behaviour, like chronic pain or diminished mobility, dexterity, cognition, will to live, energy and social support.

Does food store access modify associations between intrapersonal factors and fruit and vegetable consumption?

Existing theoretical frameworks suggest that healthy eating is facilitated by an individual's ability, motivation and environmental opportunities. It is plausible, although largely untested, that the importance of factors related to ability and motivation differ under varied environmental conditions. This study aimed to determine whether the magnitude of associations between fruit and vegetable consumption and intrapersonal factors (ability and motivation) were modified by differences in access to stores selling these items (environmental opportunities). Cross-sectional analysis of 4335 women from socioeconomically disadvantaged neighbourhoods in the state of Victoria, Australia. Self-reported fruit and vegetable consumption was assessed against a number of ability- and motivation-related factors. To examine whether associations were modified by store access, interactions with access to supermarkets and greengrocers within 2 km of participants' households were tested. Of the two factors related to ability and seven factors related to motivation, almost all were associated with fruit and vegetable consumption. In general, associations were not modified by store access suggesting that these factors were not tempered by environmental opportunities. This study provides little support for the hypothesis that the importance of intra-personal factors to fruit and vegetable consumption is modified by food store access. Further research on this topic is required to inform behaviour change interventions.

“Teaching Is Like Nightshifts …”: A Focus Group Study on the Teaching Motivations of Clinicians

Background: To ensure the highest quality of education, medical schools have to be aware of factors that influence the motivation of teachers to perform their educational tasks. Although several studies have investigated motivations for teaching among community-based practitioners, there is little data available for hospital-based physicians. Purposes: This study aimed to identify factors influencing hospital-based physicians’ motivations to teach. Methods: We conducted 3 focus group discussions with 15 clinical teachers from the Medical Faculty at Hamburg University. Using a qualitative inductive approach, we extracted motivation-related factors from the transcripts of the audio-recorded discussions. Results: Three main multifaceted categories influencing the motivation of teachers were identified: the teachers themselves, the students, and the medical faculty as an organization. Participants showed individual sets of values and beliefs about their roles as teachers as well as personal notions of what comprises a “good” medical education. Their personal motives to teach comprised a range of factors from intrinsic, such as the joy of teaching itself, to more extrinsic motives, such as the perception of teaching as an occupational duty. Teachers were also influenced by the perceived values and beliefs of their students, as well as their perceived discipline and motivation. The curriculum organization and aspects of leadership, human resource development, and the evaluation system proved to be relevant factors as well, whereas extrinsic incentives had no reported impact. Conclusions: Individual values, beliefs, and personal motives constitute the mental framework upon which teachers perceive and assess motivational aspects for their teaching. The interaction between these personal dispositions and faculty-specific organizational structures can significantly impair or enhance the motivation of teachers and should therefore be accounted for in program and faculty development.

Motivation and motivation-related factors and their relationship with burnout and engagement: A study of Iranian EFL learners

Motivation is a complex issue and several studies performed in this area have found several factors affecting it. Additionally, motivation and factors affecting it can be related to several other factors some of which still have not been subject to any empirical study. The purpose of the present study is to know how motivation and some motivation-related factors can be germane to burnout and engagement. The basis of the analysis is data collected from 95 language learners studying in language institutes in Iran. The analysis of data revealed that motivation and motivation-related factors are clearly linked to burnout and engagement.

Measuring the success of Finnish family farms

Abstract The purpose of this article is to discuss the indicators used to evaluate success and to describe the success of Finnish family farms by using subjective and objective measurements of success. We used bookkeeping information and survey data from 296 Finnish farms. We found that the perceived success of farmers has five dimensions: Quality awareness; Family farm lifestyle; Managing farm investments; Operational success; and Economic result. The correlations between subjective success factor scores and variables describing size and financial outcome of the farms were generally low. Our results support the need to use both objective and subjective success indicators to understand the success of family farms. The acceptable level of perceived success on several dimensions may partly explain the reasons for continuing agricultural production despite its objectively measured quite low profitability. The results indicate that farmers' subjective interpretation of the opportunities provided by the environment as well as their individual motivation-related factors largely determine how they expect to perform in farming.

Appetitive motivational experience during adolescence results in enhanced alcohol consumption during adulthood.

Exposure to alcohol during adolescence is predictive of adult alcohol abuse and dependence. The present experiment was designed to measure the impact of appetitive motivational engagement with ethanol during adolescence on adult ethanol consumption. To this end, a group of adolescent male Wistar rats was allowed to traverse an operant runway to obtain access to a sweetened 10% ethanol solution (wt/vol) over 18 sessions. An additional yoked-control group was allowed access to an identical solution; however, exposure to the solution was contingent on the experimental groups entry into the goal box of the runway. Once the adolescent exposure sessions were completed, the animals were allowed to mature into adults and then tested for differences in ethanol consumption during 30-min 2-bottle limited access sessions. Following 14 ethanol consumption sessions during adulthood, a naltrexone dose-response challenge (0-0.4 mg/kg) was initiated for both groups. The results of the experiment showed that the animals allowed to traverse the runway during adolescence displayed increased ethanol consumption during adulthood when compared to the yoked-control group. In addition, both groups showed dose-dependent attenuation of ethanol consumption by naltrexone. Thus, appetitive motivational experience during adolescence can impact adult ethanol consummatory behavior, a process that appears to involve common reinforcement-related neural substrates. This model should prove useful in delineating appetitive motivation-related factors that contribute to excessive ethanol consumption.