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The aim of this study was to validate the Polish adaptation of the Treatment Self-Regulation Questionnaire (TSRQ; Ryan, Conell, 1989), which measures the degree of self-determination in risk behaviour changes (diet, exercise and smoking). The study comprised 219 patients (101 after acute coronary syndrome and 118 with type 2 diabetes), beginning to undergo treatment. The Global Motivation Scale was used to test a convergent validity. The confirmatory factor analysis (CFA) did not support the theoretical four-factor model, thus an exploratory analysis was conducted to determine an optimal model across risk behaviours. The adopted two-factor model matched original TSRQ subscales: autonomous motivation and external regulation (it did not contain the items from the introjected regulation and amotivation subscales). The internal consistency of factors (Cronbach’s α) ranging from .78 to .89. Structural equation modeling revealed the impact of global motivation on contextual motivation, limited to the equivalent type of regulation. The action aimed at supporting patient’s autonomy should consider the particular behaviour and the global motivation as a resource in disease.

The results suggest that positive rather than negative aspects of well-being, after control for sociodemographic variables, may be significant correlates of breast reconstruction decision.

The Global Motivation Scale (GMS) is an 18-item self-report questionnaire. It measures a multidimensional conceptualization of motivation that falls along the self-determination continuum. The aim of the study was to evaluate the psychometric properties of the Polish version of the GMS, and to investigate its structure and reliability in a group of 537 subjects, aged 18-86 (M = 36.19; SD = 15.20). The bifactor modelling didn't validate the theoretical six-factor model of the GMS, thus an exploratory analysis was conducted to determine an optimal model across age, gender and education. The adopted four-factor model matched three original GMS subscales: intrinsic motivation, external regulation and amotivation; the fourth factor represented identified and integrated regulations simultaneously (introjected regulation wasn't included). Correlations among the factors didn't confirm the simplex pattern, while the composite reliability coefficients were low (.55-.66). It is insufficient to analyze the assessment of the self-determination continuum only for statistical correctnesslinguistic and cultural contexts should also be considered.

Objective:The aim of the study was to explore the predictability of beliefs and expectancies concerning one’s own health and the health of the infant in electing health behaviors by pregnant smokers.Methods:The study comprised 442 women, mean age 28.33 (SD=4.54), in normal pregnancy. Among the subjects 10.4% were current smokers while 30.3% had quit the habit. The beliefs and expectancies were evaluated using own questionnaire. Health behaviors were assessed on the basis of the IZZ by Z. Juczyński, supplemented by specific pregnancy-related behaviors.Results:Pregnant non-smokers adopted significantly more health behaviors in comparison with pregnant smokers. The multiple regression analysis revealed the highest effectiveness of the applied model among pregnant smokers (55% of the explained variance). Predictors of increased pregnancy-related health behaviors were: expectancies concerning delivery, internal health locus of control and self-efficacy associated with quitting smoking. Surprisingly, the socioeconomic status and educational attainment as well as the level of nicotine addiction did not influence these behaviors. The study verified discontinuity patterns of the TTM.Conclusions:Programs intended for pregnant smokers should aim not only at cessation of smoking but also at improving life styles. The general transformation of cognitive variables related to this process is more important than the phases of health behavior change.