Applying motivational framework in medical education: a self-determination theory perspectives

ABSTRACTBackground The application of self-determination theory in explaining student achievement has been well-established in various contexts. However, its application to medical education, particularly in interprofessional education (IPE) remains underexplored. Understanding how students’ motivat...

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Main Authors: Fraide A. Ganotice, Karen M. K. Chan, Siu Ling Chan, Sarah so Ching Chan, Kelvin Kai Hin Fan, May P. S. Lam, Rebecca Ka Wai Liu, Gloria H. Y. Wong, Grace Wai Yee Yuen, Jacqueline K. Yuen, Susanna Siu Sze Yeung, Ma Jenina N. Nalipay, Francis Hang Sang Tsoi, George L. Tipoe
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Medical Education Online
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10872981.2023.2178873
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author Fraide A. Ganotice
Karen M. K. Chan
Siu Ling Chan
Sarah so Ching Chan
Kelvin Kai Hin Fan
May P. S. Lam
Rebecca Ka Wai Liu
Gloria H. Y. Wong
Grace Wai Yee Yuen
Jacqueline K. Yuen
Susanna Siu Sze Yeung
Ma Jenina N. Nalipay
Francis Hang Sang Tsoi
George L. Tipoe
author_facet Fraide A. Ganotice
Karen M. K. Chan
Siu Ling Chan
Sarah so Ching Chan
Kelvin Kai Hin Fan
May P. S. Lam
Rebecca Ka Wai Liu
Gloria H. Y. Wong
Grace Wai Yee Yuen
Jacqueline K. Yuen
Susanna Siu Sze Yeung
Ma Jenina N. Nalipay
Francis Hang Sang Tsoi
George L. Tipoe
author_sort Fraide A. Ganotice
collection DOAJ
description ABSTRACTBackground The application of self-determination theory in explaining student achievement has been well-established in various contexts. However, its application to medical education, particularly in interprofessional education (IPE) remains underexplored. Understanding how students’ motivation plays a role in students’ engagement and achievement is essential to optimize efforts to improve learning and instruction.Objective This two-stage study aims to contextualize the SDT framework to IPE through the adaptation of the Basic Psychological Need Satisfaction to IPE (Study 1) and to demonstrate how SDT can be applied in IPE by examining a model of SDT constructs (Study 2) in predicting outcomes (behavioral engagement, team effectiveness, collective dedication, goal achievement).Design In Study 1 (n=996), we adapted and validated BPNS-IPE using confirmatory factor analysis and multiple linear regression using data from 996 IPE students (Chinese Medicine, Medicine, Nursing, and Pharmacy). In Study 2 (n=271), we implemented an IPE program where we integrated SDT approaches and examined the relationship of SDT constructs with IPE outcomes using multiple linear regression.Results Our data supported the three-factor structure (autonomy, competence, and relatedness) of BPNS-IPE, meeting the required model fit. Autonomy predicted team effectiveness (F=51.290, p<.05, R2=.580); competence predicted behavioral engagement (F=55.181, p<.05, R2=.598); while relatedness predicted significantly four IPE outcomes: behavioral engagement (F=55.181, p<.01, R2=.598), team effectiveness (F=51.290, p<.01, R2=.580), collective dedication (F=49.858, p<.01, R2=.573), goal achievement (F=68.713, p<.01, R2=.649).Conclusions The SDT motivational framework can be adapted and applied in the IPE context to understand and enhance student motivation in medical education. Potential studies with the use of the scale are provided to guide researchers.
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spelling doaj.art-0261466fc7a94f41ad74bf56e4dc03992023-11-27T16:01:59ZengTaylor & Francis GroupMedical Education Online1087-29812023-12-0128110.1080/10872981.2023.2178873Applying motivational framework in medical education: a self-determination theory perspectivesFraide A. Ganotice0Karen M. K. Chan1Siu Ling Chan2Sarah so Ching Chan3Kelvin Kai Hin Fan4May P. S. Lam5Rebecca Ka Wai Liu6Gloria H. Y. Wong7Grace Wai Yee Yuen8Jacqueline K. Yuen9Susanna Siu Sze Yeung10Ma Jenina N. Nalipay11Francis Hang Sang Tsoi12George L. Tipoe13Bau Institute of Medical and Health Sciences Education, the University of Hong Kong, Hong Kong SAR, ChinaDivision of Speech and Hearing Sciences, the University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, the University of Hong Kong, Hong Kong SAR, ChinaBau Institute of Medical and Health Sciences Education, the University of Hong Kong, Hong Kong SAR, ChinaBau Institute of Medical and Health Sciences Education, the University of Hong Kong, Hong Kong SAR, ChinaDepartment of Pharmacology and Pharmacy, the University of Hong Kong, Hong Kong SAR, ChinaBau Institute of Medical and Health Sciences Education, the University of Hong Kong, Hong Kong SAR, ChinaDepartment of Social Work and Social Administration, the University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, the University of Hong Kong, Hong Kong SAR, ChinaDepartment of Medicine and Therapeutics, the Chinese University of Hong Kong, Hong Kong SAR, ChinaDepartment of Psychology, the Education University of Hong Kong, Hong Kong SAR, ChinaDepartment of Curriculum and Instruction, The Chinese University of Hong Kong, Hong Kong SAR, ChinaBau Institute of Medical and Health Sciences Education, the University of Hong Kong, Hong Kong SAR, ChinaBau Institute of Medical and Health Sciences Education, the University of Hong Kong, Hong Kong SAR, ChinaABSTRACTBackground The application of self-determination theory in explaining student achievement has been well-established in various contexts. However, its application to medical education, particularly in interprofessional education (IPE) remains underexplored. Understanding how students’ motivation plays a role in students’ engagement and achievement is essential to optimize efforts to improve learning and instruction.Objective This two-stage study aims to contextualize the SDT framework to IPE through the adaptation of the Basic Psychological Need Satisfaction to IPE (Study 1) and to demonstrate how SDT can be applied in IPE by examining a model of SDT constructs (Study 2) in predicting outcomes (behavioral engagement, team effectiveness, collective dedication, goal achievement).Design In Study 1 (n=996), we adapted and validated BPNS-IPE using confirmatory factor analysis and multiple linear regression using data from 996 IPE students (Chinese Medicine, Medicine, Nursing, and Pharmacy). In Study 2 (n=271), we implemented an IPE program where we integrated SDT approaches and examined the relationship of SDT constructs with IPE outcomes using multiple linear regression.Results Our data supported the three-factor structure (autonomy, competence, and relatedness) of BPNS-IPE, meeting the required model fit. Autonomy predicted team effectiveness (F=51.290, p<.05, R2=.580); competence predicted behavioral engagement (F=55.181, p<.05, R2=.598); while relatedness predicted significantly four IPE outcomes: behavioral engagement (F=55.181, p<.01, R2=.598), team effectiveness (F=51.290, p<.01, R2=.580), collective dedication (F=49.858, p<.01, R2=.573), goal achievement (F=68.713, p<.01, R2=.649).Conclusions The SDT motivational framework can be adapted and applied in the IPE context to understand and enhance student motivation in medical education. Potential studies with the use of the scale are provided to guide researchers.https://www.tandfonline.com/doi/10.1080/10872981.2023.2178873self-determination theoryinterprofessional educationscale applicationconstruct validitymedical education
spellingShingle Fraide A. Ganotice
Karen M. K. Chan
Siu Ling Chan
Sarah so Ching Chan
Kelvin Kai Hin Fan
May P. S. Lam
Rebecca Ka Wai Liu
Gloria H. Y. Wong
Grace Wai Yee Yuen
Jacqueline K. Yuen
Susanna Siu Sze Yeung
Ma Jenina N. Nalipay
Francis Hang Sang Tsoi
George L. Tipoe
Applying motivational framework in medical education: a self-determination theory perspectives
Medical Education Online
self-determination theory
interprofessional education
scale application
construct validity
medical education
title Applying motivational framework in medical education: a self-determination theory perspectives
title_full Applying motivational framework in medical education: a self-determination theory perspectives
title_fullStr Applying motivational framework in medical education: a self-determination theory perspectives
title_full_unstemmed Applying motivational framework in medical education: a self-determination theory perspectives
title_short Applying motivational framework in medical education: a self-determination theory perspectives
title_sort applying motivational framework in medical education a self determination theory perspectives
topic self-determination theory
interprofessional education
scale application
construct validity
medical education
url https://www.tandfonline.com/doi/10.1080/10872981.2023.2178873
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