The treatment motivation survey: Defining patient motivation for treatment

Background and PurposeMotivation is often reported by clinicians and researchers as a key factor related to treatment and health outcomes. This systematic review aims to (a) Identify and critically appraise tools that measure patient motivation for treatment and (b) determine how these tools define and evaluate motivation.MethodsLibrary databases and the search engine Google Scholar were examined. Identified tools measuring patient motivation for treatment and reported measurement properties were selected.Results14 peer-reviewed articles covering 12 different tools made the final selection. Quality was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and a new measure checklist. Reliability evidence was predominantly estimated using internal consistency; validity evidence was limited, and responsiveness was seldom examined. Overall, quality ratings were poor or inadequately reported and serious methodological limitations were identified. A lack of conceptual foundation quality ratings as tools did not apply a theory related to motivation or have a clear definition of the construct of patient motivation.ConclusionsA significant gap exists of available tools with adequate measurement properties that use relevant theoretical frameworks.

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Pretrial Detainees, Sentenced Prisoners, and Treatment Motivation

International Journal of Offender Therapy and Comparative Criminology ◽

10.1177/0306624x19857665 ◽

2019 ◽

Vol 63 (15-16) ◽

pp. 2693-2712

Author(s):

Michael Weinrath ◽

Jillian Carrington ◽

Caroline Tess

Keyword(s):

Risk Perceptions ◽

General Level ◽

Treatment Motivation ◽

Strong Motivation ◽

Demographic Attributes ◽

Family Pressure ◽

Motivation For Treatment

A dilemma for corrections practitioners is treatment for pretrial detainees. They are innocent until proven guilty and are not required to take treatment, but many may benefit from intervention. To assess the general level of treatment interest and potential differences, a sample of 221 male remand and sentenced Canadian provincial prisoners completed several Client Evaluation of Self and Treatment (CEST) scales. Prisoner treatment motivation and its correlates were assessed by examining univariate, bivariate, and multivariate effects for demographic attributes, legal factors, risk, perceptions of personal/family/pressure for treatment, and depression. It was found that about 36% to 40% of study subjects expressed moderate to strong motivation for treatment. Age, pressure, and depression were the only correlates consistently associated with treatment motivation. There were no differences found between remand and sentenced prisoners. Results indicated that pretrial detainees have a definite interest in undertaking programming.

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PRELIMINARY RESULTS OF A NEW INSTRUMENT TO ASSESS PATIENT MOTIVATION FOR TREATMENT IN COGNITIVE-BEHAVIOUR THERAPY

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465899272074 ◽

1999 ◽

Vol 27 (2) ◽

pp. 165-179 ◽

Cited By ~ 38

Author(s):

Ger P. J. Keijsers ◽

Cas P. D. R. Schaap ◽

Cees Hoogduin ◽

Barrie Hoogsteyns ◽

Esther C. M. de Kemp

Keyword(s):

Treatment Outcome ◽

Psychometric Properties ◽

Cognitive Behaviour Therapy ◽

Drop Out ◽

Behaviour Therapy ◽

Patient Motivation ◽

Cognitive Behaviour ◽

New Instrument ◽

Positive Treatment ◽

Motivation For Treatment

The Nijmegen Motivation List 2 (NML2) is a new instrument to assess patient motivation for psychotherapy. A previous version of the instrument was associated with positive treatment outcome in cognitive-behaviour therapy in several studies but its psychometric properties were poor. The present study investigated the NML2’s factorial structure, psychometric properties, and predictive value for treatment outcome. The NML2 was completed by 133 outpatients. Three factors were found: preparedness, distress, and doubt. Internal consistencies and re-test reliabilities of the factors were reasonable. The NML2 total score and preparedness were associated with proximal treatment helpfulness and with treatment drop-out. Distress and doubt were not. These findings corroborate those found with the earlier NML version. Rather than assuming that the relationship between motivation factors and treatment outcome is mediated by the amount or quality of treatment or homework compliance, it is proposed that motivation for treatment is the first step in the patient’s change process itself.

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Correlates of motivation for treatment among alcohol service users in Uganda

Therapeutic Communities The International Journal of Therapeutic Communities ◽

10.1108/tc-04-2020-0004 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

David Kalema ◽

Lore Van Damme ◽

Sofie Vindevogel ◽

Ilse Derluyn ◽

Peter Baguma ◽

...

Keyword(s):

Alcohol Use ◽

Psychological Needs ◽

Longitudinal Impact ◽

Service Users ◽

Treatment Motivation ◽

Treatment Needs ◽

Content Type ◽

Addiction Severity ◽

Motivation For Treatment ◽

External Motivation

Purpose Given the scarce literature on alcohol use disorders (AUD) and their treatment in developing countries, this paper aims to explore motivation levels and their correlates among alcohol service users in two residential treatment centres in Kampala, Uganda. This study how motivation levels of Ugandan alcohol service users compare with those from American studies; and the specific factors affecting internal and external motivation in the Ugandan context. Design/methodology/approach The motivation for treatment was measured among 100 individuals entering AUD treatment using the Texas Christian University (TCU) Treatment needs and Motivation scale. The WHOQoL–BREF, Addiction Severity Index–6 and Hopkins Symptoms Check List–37 were used to measure addiction severity, quality of life (QoL) and psychopathology, respectively. Correlates of motivation were identified using linear regression analyses. Findings Ugandan service users demonstrated low treatment motivation in the treatment needs a domain. While addiction severity (recent heavy alcohol use) and participating in private treatment were associated with higher internal and external motivation, deterioration in physical and environmental QoL, depressive symptoms and lower education were linked with higher internal motivation. Research limitations/implications Different elements affect domains of treatment motivation, requiring attention for clients’ unique needs as influenced by their background, addiction severity, QoL, psychological needs and contextual factors (e.g. treatment setting). Further studies are needed to explore additional correlates of motivation for treatment among alcohol service users in Uganda and to assess the longitudinal impact of motivation on treatment outcomes. Originality/value Although motivation has been extensively studied, clinicians are challenged in understanding and explaining motivational dynamics given the multiplicity of factors influencing change-related decisions and behaviours and the diversity in substance-using populations. This need is even bigger in non-Western societies as cultural differences may require differential therapeutic management. This is one of the first studies measuring motivation for AUD treatment in a low-income country and offers insight for understanding motivation dynamics in similar settings.

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The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis

V M BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY ◽

10.31363/2313-7053-2020-2-73-79 ◽

2020 ◽

pp. 73-79

Author(s):

N. B. Lutova ◽

M. Y. Sorokin ◽

O. V. Makarevich ◽

V. D. Wied

Keyword(s):

Negative Symptoms ◽

Medication Compliance ◽

Subjective Assessment ◽

Russian Language ◽

Subjective Perception ◽

Treatment Motivation ◽

Subjective Meaning ◽

Icd 10 ◽

Compensatory Reactions ◽

Motivation For Treatment

Medication compliance and motivation for treatment, as adaptive- compensatory reactions of patients to the awareness of the fact of their own ill- being, are based on subjective perception of the disorder. To date, there is a shortage of objective methods for assessing the subjective concept of morbidity in psychotic patients.160 inpatients with psychosis in anamnesis were examined: nosologically according ICD-10 80%—F2, 11%—F3, 9%—F0. A self-questionnaire was adapted to the Russian language for determining the subjective meaning and significance of psychosis (Susi). The results of its internal and external (when compared with data on the severity of productive and negative symptoms, subjective assessment of the severity of the condition and treatment motivation of patients) validation are presented.Conclusions. The applicability of the concept of subjective morbidity in patients with mental disorders is shown. The role of the subjective attitude to the disease in case of its perception as a destructive life event is associated in patients with a violation of the structure of motivation for treatment. On the contrary, the ability of patients to form a subjective meaning of the disease can be considered as a guarantee of more intense therapeutic motivation.

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Illness uncertainty and treatment motivation in type 2 diabetes patients

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692007000400009 ◽

2007 ◽

Vol 15 (4) ◽

pp. 575-582 ◽

Cited By ~ 6

Author(s):

João Luís Alves Apóstolo ◽

Catarina Sofia Castro Viveiros ◽

Helena Isabel Ribeiro Nunes ◽

Helena Raquel Faustino Domingues

Keyword(s):

Type 2 Diabetes ◽

Intrinsic Motivation ◽

Extrinsic Motivation ◽

Self Regulation ◽

Treatment Motivation ◽

Illness Uncertainty ◽

Uncertainty In Illness ◽

The Face ◽

Motivation For Treatment

AIMS: To characterize the uncertainty in illness and the motivation for treatment and to evaluate the existing relation between these variables in individuals with type 2 diabetes. METHOD: Descriptive, correlational study, using a sample of 62 individuals in diabetes consultation sessions. The Uncertainty Stress Scale and the Treatment Self-Regulation Questionnaire were used. RESULTS: The individuals with type 2 diabetes present low levels of uncertainty in illness and a high motivation for treatment, with a stronger intrinsic than extrinsic motivation. A negative correlation was verified between the uncertainty in the face of the prognosis and treatment and the intrinsic motivation. DISCUSSION: These individuals are already adapted, acting according to the meanings they attribute to illness. Uncertainty can function as a threat, intervening negatively in the attribution of meaning to the events related to illness and in the process of adaptation and motivation to adhere to treatment. Intrinsic motivation seems to be essential to adhere to treatment.

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Patient Motivation as Crucial as Education in Managing Diabetes

Family Practice News ◽

10.1016/s0300-7073(07)71068-x ◽

2007 ◽

Vol 37 (17) ◽

pp. 21

Author(s):

MIRIAM E. TUCKER

Keyword(s):

Patient Motivation

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Relationship Of Patient's Motivation Concerning Prevention Of Transmission With Compliance With The Use Of Mask On Lung Tuberculosis Patients

Jurnal Kesehatan dr. Soebandi ◽

10.36858/jkds.v6i2.123 ◽

2018 ◽

Vol 6 (2) ◽

pp. 30-35

Author(s):

Ade Ella Nur Rizky Oktaviyanti

Keyword(s):

Pulmonary Tuberculosis ◽

Health Center ◽

Disease Transmission ◽

Positive Direction ◽

Individual Motivation ◽

Tuberculosis Patients ◽

Correlation Test ◽

Patient Motivation ◽

Relationship Of ◽

The Relationship

One of the factors that influence compliance is individual motivation. There are still many pulmonary tuberculosis patients who do not wear masks, this can have an impact on disease transmission. Poor individual motivation can affect someone's compliance. The purpose of this research is to determine the relationship of patient motivation regarding prevention of transmission with adherence to the use of masks in patients with pulmonary tuberculosis in Rambipuji Health Center, Jember Regency. This research uses descriptive correlative type of research. In this study using a cross-sectional approach. The sample of this study was taken using simple random sampling, namely pulmonary tuberculosis patients at the Rambipuji Health Center in Jember Regency, totaling 105 patients but only 50 patients were used as samples. This research was conducted by giving a questionnaire to pulmonary tuberculosis patients to find out the patient's motivation about preventing transmission by adhering to the use of masks. The results of the study were analyzed using the Lambda Correlation Test, the results of the analysis found that the motivation of patients was good motivation (22%), patient motivation was sufficient (56%), and patient motivation was less motivation (22%). Whereas adherence to the use of masks in pulmonary tuberculosis patients is compliant (36%), and non-compliant (64%). The Lambda Correlation Test results obtained from the variable compliance with ρ = 0.389 positive direction with a value of ρ count of 0.027 <0.05 which means there is a relationship between patient motivation about prevention of transmission with compliance with the use of masks in patients with pulmonary tuberculosis in Rambipuji Health Center, Jember District. It is recommended that further studies be able to conduct more in-depth research related to the relationship of patient motivation regarding the prevention of transmission with adherence to the use of masks in pulmonary tuberculosis patients

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