ABSTRACT
Objective@#To explore the relationship between voluntary blood donation and autonomous motivation based on self-determination theory, so as to provide insights into optimizing voluntary blood donation recruitment. @*Methods@#Participants meeting the blood donation criteria were selected from blood stations and medical institutions in Hangzhou City, Jiaxing City and Quzhou City, Zhejiang Province. A self-designed questionnaire based on self-determination theory was used to collect basic information, awareness and source of blood donation knowledge, autonomous motivation and controlled motivation. The correction between autonomous motivation and voluntary blood donation was analyzed using a multivariable logistic regression model.@*Results@#A total of 986 participants at ages of 18-55 years were surveyed, including 730 females (74.04%) and 256 males (25.96%). Among them, 705 participants (71.50%) had experience of voluntary blood donation. The mean score for blood donation knowledge was (5.76±1.17) points, and the total motivation score for blood donation was (58.21±8.17) points, with autonomous motivation scoring (40.86±5.46) points and controlled motivation scoring (17.35±3.26) points. Multivariable logistic regression analysis identified gender (female, OR=0.419, 95%CI: 0.273-0.644), occupation (medical profession, OR=4.027, 95%CI: 2.440-6.646), blood donation knowledge (OR=1.307, 95%CI: 1.159-1.475) and autonomous motivation (OR=1.074, 95%CI: 1.033-1.116) as factors affecting voluntary blood donation. @*Conclusions@#Autonomous motivation may promote voluntary blood donation. In blood donation recruitment efforts, it is vital to enhance autonomous motivation and make appropriate use of controlled motivation.
ABSTRACT
【Objective】 To explore the influence of blood donors′ demographic characteristics and blood donation service experience on voluntary blood donation motivation. 【Methods】 Using self-made questionnaire, stratified sampling method was used to select blood donors from three urban areas in Zhejiang province for investigation. Independent sample t-test, variance analysis and chi-square test were used to compare the differences of blood donation motivation and blood donation service experience of different blood donors. Spearman correlation analysis and linear regression were used to analyze the correlation between blood donation motivation and blood donation service and the influencing factors of blood donation motivation. 【Results】 There were 705 valid samples. The motivation level of blood donation is higher in married people than that in unmarried people, in those over 27 years old than in those under 26 years old, and in those who donated for ≥3 times than those 1-2 times (P<0.05). The experience of blood donors in blood station staff service, blood donation process and blood donation environment was stronger than that of blood donation sites (P<0.05). Both voluntary motivation and controlled motivation were positively correlated with blood donation service experience (P<0.05). Good experience of blood donors on the distribution of blood donation sites, service of blood station staff and blood donation process was conducive to the improvement of blood donation motivation. 【Conclusion】 Blood donation service experience can influence the autonomous motivation and controlled motivation of blood donors to donate blood again. It is suggested that blood centers should take the test during conducting blood donation publicity and blood donation services.
ABSTRACT
Objective To investigate the traits of autonomous motivation and its effect on the de-pression severity and short-term clinic outcome. Methods Behavioral Approach System and Behavioral In-hibition System Scale(BAS / BIS),Motivational Traits Questionnaire Short Form(MTQ),the Hamilton De-pression Scale(HAMD-17)and the Hamilton Anxiety Scale(HAMA)were applied to 82 depression patients (case group)at baseline and after 2 weeks of treatment and 82 gender-matched healthy controls(control group). The reduction rate of HAMD total scores before and after treatment was used as the main efficacy in-dicator.Results The scores of MTQ-desire to learn((30.37 ± 6.78)vs(33.72 ± 4.34))and MTQ-mastery ((28.68±6.24)vs(32.29±4.74)),BAS-drive scores((9.90±2.76)vs(11.18±2.13))were significantly lower in the case group than those in the control group,and the difference was statistically significant(all P<0.001),While the scores of MTQ-emotionality((36.26± 7.14)vs(27.29± 5.73)),MTQ-worry((40.87± 7.56)vs(33.69±6.38)),BIS scores((22.68±2.61)vs(15.51±3.62))were significantly higher than those in the control group,the difference was statistically significant(all P<0.01).Correlation analysis found that baseline HAMD-17total scores were significantly positively correlated with baseline HAMA total scores(r=0.666,P<0.05),BIS(r=0.278,P<0.05),MTQ-worry(r=0.264,P<0.05)and MTQ- emotionality(r=0.371, P<0.05). Baseline HAMA total scores were significantly positively correlated with baseline HAMD-17 total scores(r=0.666,P<0.05),MTQ-worry(r=0.228,P<0.05)and MTQ-emotionality(r=0.282,P<0.05). The reduction rate of HAMD-17 and HAMA in patients with 2 weeks of treatment was respectively used with step-wise regression analysis,which showed that the significant contribution of MTQ-mastery and BAS-drive,and explained the reduction rate variables 19%(R2=0.19)of HAMD. BAS-drive contributed significantly,and explained the reduction rate variables 16.9%(R2=0.169)of HAMA. Conclusion Autonomous motivation levels of depression patients are significantly lower than that of healthy controls,while higher levels of autono-mous motivation(BAS-drive)may be associated with better short-term clinic outcome.
ABSTRACT
Objetivo Evaluar los cambios en la motivación autónoma y controlada en un grupo de adolescentes consumidores en riesgo y consumidores excesivos de alcohol, que recibió una intervención basada en la Entrevista Motivacional (EM). Métodos Se implementó una intervención grupal basada en la EM para observar sus efectos sobre los tipos de motivación. Se conformaron dos grupos, un grupo experimental, y un grupo control en un diseño pretest-postest. Participaron en total 63 adolescentes, 31 conformaron el grupo experimental, (80 % hombres) y 32 el grupo control (68 % hombres). La motivación autónoma y la motivación controlada se evaluaron mediante el TSRQ. Resultado El análisis de varianza muestra que los puntajes de la motivación autónoma no presentaron cambios estadísticamente significativos después de la intervención, mientras que la motivación controlada sí los presentó (p<.05), sugiriendo que la intervención promovió este tipo de regulación hacia el consumo moderado, expresada en términos de controles externos, por ejemplo, la aprobación social. Conclusión Estos resultados sugieren que la EM es una técnica promisoria para la intervención con adolescentes colombianos ya que tiene efectos positivos cuantificables sobre los dos tipos de motivación y probablemente la orientación motivacional hacia el control medió los resultados. Es importante considerar en el futuro la orientación motivacional individual y el género.
Objective Assessing changes in autonomous and controlled motivation in a group of young at risk consumers and excessive alcohol consumers receiving motivational interviewing-based (MI) Intervention. Methods MI-based group intervention was put into practice to observe its effects on types of motivation. Two groups were formed (an experimental and a control group) using pretest-posttest design. 63 adolescents participated: 31 formed the experimental group (80 % male) and 32 the control group (68 % male). The treatment self-regulation questionnaire (TSRQ) was used to evaluate autonomous and controlled motivation. Results Analysis of variance revealed that autonomous motivation scores had no statistically significant change after the brief intervention, whereas this was so with controlled motivation (p<.05), suggesting that brief intervention had promoted this type of regulation towards moderate consumption expressed in terms of an external control, such as gaining social approval. Conclusion The above results suggested that MI is a promising technique for intervention with Colombian adolescents as it had measurable positive effects on both types of motivation and motivational orientation toward control probably mediated the results. Individual motivational orientation and gender should be considered in the future.