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PubMed1979

[Prospective controlled clinical trials in surgery. controversial issues in motivation and performance (author's transl)].

Controversial aspects in prospective controlled trials in surgery can be detected at various stages in the course of this research work, such as in motivation, planning and performance as well as in assessment and evaluation of the results. Especially the introduction of control groups, randomization and "blindness" of patients, operators and doctors running the follow-up are subjects of a controversial discussion. Subthreshold arguments for defenders and eniers of the trial are taken from different theories of science, such as empirism and rationalism which are more effective in the daily routine work than expected. Provided that convincingly only therapeutic and diagnostic procedures are compared which were considered as equi-effective and reliable to the same extent according to the best and most complete knowledge available it is ethically justified to perform controlled randomized trials. It should, however, not be expected that they (always) produce differences between treatment of high degree of difference. The aim of the controlled trials is not the introduction of sensational novelties into medicine, but the abolition and prevention of unnecessary and unworthy modes.

Ethics, Medical↗
PubMed1979

Efficiency of address cards, experienced health visitors and motivated registry clerks in obtaining the home address of urban patients in South India.

The address card, a card on which the patient's home address is asked to be recorded by the local postman, or by a knowledgeable and literate neighbour, relative or friend, was investigated for acceptability and efficiency in 4 tuberculosis out-patient clinics, in an urban community with substantial levels of illiteracy in Madras City. In the 4 clinics combined, 96% of the patients who reattended returned the completed card. Letters posted to the address on the cared were received by 85% of 419 patients, while 5% were returned by the post office as undelivered and a further 4% were, in all probability, not delivered; no information was available about the remaining 6%. A formal comparison in 392 of the above patients demonstrated the address card method to be significantly more efficient than interrogation by experienced health visitors. A retrospective comparison suggested that the efficiency of experienced health visitors was slightly better than that of highly motivated registry clerks, the proportions of letters received being 72% and 65% respectively.

Community Health Nursing↗
PubMed1978

Motivation for vasectomy.

Men under 35 tend to request vasectomy for different reasons from those given by older men. Potential sexual, marital, or ageing problems seemed to motivate older couples, and problems related to family size, recent pregnancy, and difficulty with contraception the younger ones.

Adult↗
PubMed1979

Effects of difficulty and diagnosticity on choice among tasks in relation to achievement motivation and perceived ability.

The experiment is a partial replication of a study conducted by Trope. It investigates the effects of two person characteristics (achievement motive and perceived own ability) and two task characteristics (difficulty and diagnostic value about own ability) on choice among achievement tasks. In accordance with the results of Trope, it was found that high-diagnostic tasks were preferred to low-diagnostic tasks, independent of their difficulty. Trope's finding that high resultant achievers choose high-diagnostic tasks over low-diagnostic tasks to a greater extent than low resultant achievers was not replicated. However, the perceived degree of own ability affected choice behavior: When easy and difficult tasks were both high in diagnosticity, subjects high in perceived ability preferred difficult over easy tasks, whereas subjects low in perceived ability preferred easy over difficult tasks. From this latter finding it is concluded that a self-informational conception of choice behavior has to include the subjective probability of success at tasks as a determinant of choice, in addition to objective difficulty and diagnostic value.

Achievement↗
PubMed1977

Display reinforcement in the Siamese fighting fish, Betta splendens: aggressive motivation or curiosity?

Fish were tested in a runway T-maze apparatus. The experiments compared performance (measured by swimming speed and percent choice correct) to a variety of stimuli in the goal box. The stimulus that evoked the most vigorous aggressive display (a live conspecific) supported the highest level of performance; a stimulus that evoked no display (a marble) failed to sustain operant behavior. Stimuli that induced some aggression, but also some escape (live nondisplaying fish), supported performance at reduced levels. These results implicate aggression and not curiosity as the primary motivating factor. They also show that the responsiveness of the stimulus is a critical aspect of reinforcement and that the level of performance is determined by escape tendencies as well as aggression. It is proposed that failure of a stimulus to provide appropriate feedback constitutes an aversive event.

Aggression↗
PubMed2026

Functional Reading Activities to Motivate and Empower: Maintenance of Reading Outcomes for Young Adults With Intellectual and Developmental Disabilities Following a Randomized Controlled Trial.

PURPOSE: This study examined whether the effects of Functional Reading Activities to Motivate and Empower (FRAME), a functional, strategy-based reading comprehension intervention for young adults with intellectual and developmental disabilities (IDDs), were maintained 6 months following the completion of the intervention and explored participants' perceptions of the intervention's feasibility, relevance, and perceived impact. METHOD: Participants were 44 young adults with IDDs (ages 18-26 years) who participated in a previously reported randomized controlled trial (FRAME participants: n = 23; controls: n = 21). Trial outcomes were assessed via telepractice at pretest, posttest, and 6-month follow-up. Six-month maintenance analyses focused on outcomes that demonstrated significant posttest group differences: use of (a) reading comprehension strategies (proximal) and (b) reading comprehension questions (distal). Participant perceptions (social validity) were collected post-intervention from FRAME participants using a structured interview protocol with closed- and open-ended items. RESULTS: At the 6-month follow-up, FRAME participants demonstrated sustained but reduced improvements in strategy use relative to controls (p = .040). Between-groups differences were not maintained for reading comprehension questions (p = .091). Participants reported high acceptability and perceived relevance of FRAME, with qualitative themes reflecting perceived improvements in comprehension, self-improvement, and increased independence. CONCLUSION: Findings suggest that FRAME supports sustainable gains in reading comprehension strategy use and is perceived as meaningful and feasible for young adults with IDDs, although additional supports may be needed to promote sustained improvements in distal comprehension outcomes. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.33307218.

Humans↗
PubMed1978

Motivating and rewarding the staff nurse.

In meeting the economic and professional need for staff nurses to stay at the bedside, a system established at one medical center uses four methods to motivate and reward the staff nurse. They are: recognition and monetary reward, rural nursing experience, cross-training, and inservice participation.

Career Mobility↗
PubMed1979

Response bias in deaf and hearing subjects as a function of motivational factors.

This experiment assessed the effect of different payoff matrices on 6 deaf and 6 hearing subjects on a visual brightness discrimination task. Subjects were required to make forced-choice responses to three different monetary payoff conditions, designed to induce a liberal, a conservative, and an equal-bias response criterion, respectively. The results showed that the deaf did not select the superior response strategies they had exhibited in a previous study (Bross, 1979) on the effect of changes in stimulus probability. Furthermore, the deaf earned significantly less money than the controls for all three conditions, indicating that the introduction of motivational demands affects their response strategies adversely.

Child↗
PubMed1979

Source of referral as an indicator of motivational factors and treatment outcome with drug-dependent clients.

Source of referral to substance abuse treatment agencies was investigated as a potential indicator of client motivation and treatment outcome. Clients referred by nine different sources were compared in terms of length of stay in treatment, drug use status at termination, and closing evaluation. There were no differences between the nine referral sources in terms of the frequency with which clients were rated as improved, no improvement, or recovered. However, there were significant differences between referral sources and length of time in treatment. Clients referred by their families or those who had prior institutional experience remained in treatment longer than other groups. Length of stay in treatment was related to drug use status at termination. Clients who had detoxified remained in treatment significantly longer than clients who had not detoxified. It may be that a social support system (family) and experience in a structured setting (prior institutional experience) facilitate positive treatment outcomes.

Humans↗
PubMed1977

[Causes, motivations and tendencies of suicidal acts in old age (author's transl)].

The conditioning problems of suicidal acts of aged people were described by demonstrating the results of investigations in 125 patients (over 65 years). The control group consisted of 3004 suicidal patients below 65 years. Depression has been the prevailing psychiatric diagnosis (50% in contrast to 33% in the control group). 24% of the patients alleged conflicts with partners or other relatives as a motivation for the suicidal act. Fear of somatic illness or social isolation follows next. It is remarkable that vocational or economical conflicts were not mentioned. At last prevention problems were discussed. The need for modifying the attitude toward the aged was stressed.

Aged↗
PubMed1978

The University of Rochester predental program: finding and motivating potential dental students.

While many dental schools have cooperative programs with various undergraduate schools, the University of Rochester has developed a unique program that emphasizes dental career opportunities and demonstrates how dental research relates to other disciplines. Through active participation in research, predental students become more highly motivated and appreciate more fully the relationship of dentistry to other aspects of health care. Dental schools benefit from such a predental program in that they are presented with a more complete picture of the dental school candidate. In addition to his grades and biographical data, they have an indication of his interests, his creativity and how well he functions in a research environment.

Curriculum↗
PubMed1979

[Periodontal treatment requirements, motivation and information levels in a groups of 35-year-old Zurich residents].

A representative sample of 35-year old residents of Zurich was examined with the PTN-system to determine their periodontal treatment needs. 8.8% required no periodontal treatment. An additional 7.0% required only oral hygiene instruction and motivation to restore their gingival health. 37.1% of the sample needed removal of marginal irritants. 47.1% of the sample population had periodontal pockets in two or more quadrants, in need of surgical treatment (curettage, flap surgery). Responses to a questionnaire completed by all participants in the study revealed a strong desire on their part to retain their teeth. However, knowledge of periodontal prophylactic measures and individual oral hygiene was inadequate.

Adult↗
PubMed1979

[Patient motivation by application of an individual intensive program for obtaining oral health].

The failure of group and individual dental prophylaxis based upon an authoritarian relationship between doctors and patients is demonstrated. In a new information and motivation program, the Hygiene Intensive Program (HIP), the patient's attention is focused on gingival bleeding as an unmistakable warning symptom of oral disease. The degree of marginal inflammation is scored using the Papillary Bleeding Index (PBI). The HIP is designed to introduce trust and confidence into the cooperative efforts of the dentist and the patient. The patient can see the increasing success of the dentist's work and judge the effect of his personal oral hygiene efforts. The possibilities for the cooperation of the increasingly involved third party of the dental "Troika", the actual purchaser of dental services (health insurance, social welfare system, etc.) in the HIP are discussed.

Gingival Hemorrhage↗
PubMed1979

[Motivation factors for smoking in adolescents].

The study reports on the motivations of tobacco consumption in various populations of youths in North-Switzerland. A questionnaire obtained from 1436 school-children in the Cantons of Zurich and St. Gall indicated that 9% of the boys and 3% of the girls have tried their first "curiosity-cigarette" before age 6. Among 400 female students of nursing there were 32% smokers, and one of four was smoking more than 20 cigarettes per day. In boarding schools the smoking habits varied according to pedagogic influences. Boys from farming families originating from East-Switzerland were smoking at a rate of 23% between ages 17-21. Girls of similar origin and age were smoking in 14% of the cases. Apprentices of the same age working in the metal industry of the city of Zurich were smoking in 55%, boys from High Schools in 30% of the cases. There were 17% of abstinents from alcohol among non-smokers as compared to 2% among smokers representing a significant difference. In High School-students from Berne there were 23% of smokers as compared to 3% of non-smokers with previous experience with hard drugs. The results of a Health Education Program conducted during three years as a longterm intervention demonstrated that tobacco consumption was significantly reduced in test groups as compared to controls.

Adolescent↗
PubMed1979

[Methodical aspects and results of studies into motivations for induced termination of pregnancy and the wish to have a child (author's transl)].

Medical and social aspects relating to human reproduction has been the heading of a research subject in the context of sociogynaecology. An account is given in this paper of medicosociological studies and survey approaches with regard to induced-termination patients, puerperae and a control population, with emphasis being laid on identifying attitudes, motivations, and general views on having children. -- Methodical aspects are reported and assessed together with preliminary results obtained from a GDR-representative sub-study into 2,776 induced-termination patients. Priorities issues included the social situation of the interviewees, their attitudes towards having a child and to induced termination of pregnancy, reasons given for termination decisions, as well as views on contraception and family planning.

Abortion, Induced↗
PubMed1979

Hyperkinetic impulse disorder: a developmental defect of motivation.

An integrated, testable, bio-psychological theory which proposes that hyperkinetic impulse disorder (H.I.D.) is determined interactively by polygenically inherited and environmental factors is presented and examined in the light of the literature. The theory holds that H.I.D. is a developmental disorder of intrinsic motivation, characterized by poor appreciation of the contingencies between behavior and environmental events. Characteristics of H.I.D. children, including apparent overactivity, impulsivity, impersistence, inattention, and underachievement in academic and social skills, are accounted for, and implications for treatment and management are spelled out.

Achievement↗
PubMed1978

Forms of aggression in Thomson's gazelle; their situational motivation and their relative frequency in different sex, age, and social classes.

Forms of aggression, their situational motivations and frequencies in Thomson's gazelle were investigated to elucidate the multiple functions of aggressive behavior as well as quantitative differences in encounters with opponents of different sex, age, and social classes. The study was conducted in the Serengeti National Park (Tanzania) where the gazelle population is estimated to total 600 000. Within three years, 4016 agonistic encounters were recorded and analyzed. Besides the confirmation of its conventionally recognized functions in territoriality, etc., the great role of intraspecific aggression in the coordination of group activities appears to be of special importance.

Age Factors↗