How to measure motivation to change risk behaviours in the self-determination perspective? The Polish adaptation of the Treatment Self-Regulation Questionnaire (TSRQ) among patients with chronic diseases

Abstract

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.

Psychometric analysis of the Treatment Self-Regulation Questionnaire-Persian (TSRQ-P) version: autonomous regulation appraisal among the Iranian type 2 diabetes patients

“…The tested 19-items TSRQ-P in this study indicated robust psychometric properties in both the emerged 4factor and 2-factor models and the conducted CFA's outputs replicated the underlying factor structure of the TSRQ demonstrated in previous studies (1,(6)(7).…”

“…The original scale was validated for use in other languages i.e. English (1) Polish (7), Portuguese (10) French (44), Spanish (6), and Hungarian (45) and validity corroboration of the TSRQ-P adds to the overall functionality of the TSRQ.…”

Scoping Review on the Concept of Patient Motivation and Practical Tools to Assess it

“…(1989) theory of planned behavior. [ 36 37 ] The transtheoretical model of change,[ 24 31 ] 3D model of motivation for change,[ 25 ] stages-of-change model of motivation,[ 18 ] and social constructivist metatheory[ 30 ] were other theories that had been used to define motivation. Intrinsic and extrinsic terminology was used in the tools according to SDT.…”

“…Most questionnaires had been designed and suited in countries with English language and culture. [ 15 17 19 24 26 27 29 32 33 34 35 38 40 41 42 43 44 ] Studies in other cultures were limited to the Dutch,[ 12 14 16 17 18 31 36 37 ] German,[ 20 ] Polish,[ 37 ] Chinese,[ 28 ] Italian,[ 25 ] Swedish,[ 11 30 ] and Iranian cultures. [ 39 ] Definition of motivation: The definition of motivation varied considerably in different studies [Tables 2 and 3 ].…”

Avaliação das propriedades psicométricas do Questionário de Autorregulação para o tratamento medicamentoso na doença crónica

“…Another factor that varied across the multiple versions of the questionnaire is associated with the amotivation subscale, which was eliminated in several versions of the questionnaire (Denman et al, 2016;Marques et al, 2012). However, this subscale tends to be used when the Revista de Enfermagem Referência 2020, Série V, nº2: e19069 DOI: 10.12707/RIV19069 analyzed behaviors are associated with the initiation or maintenance of a medical treatment (Życińska, Januszek, Jurczyk & Syska-Sumińska, 2012). In view of the above, this study used the four-factor version: Autonomous Motivation, External Regulation, Introjected Regulation and Amotivation.…”