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Validating the self-determination theory as a work motivation model for Clubhouse members with severe and persistent mental illness.

机译：验证自我决定理论是患有严重和持续性精神疾病的俱乐部会员的工作动机模型。

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摘要

Many vocational service providers perceive persons with severe and persistent mental illness (SPMI) to be low on work motivation, yet motivation has been considered to be the most important factor that contribute to a successful employment outcome. Moreover, there is a general lack of understanding in the field of psychiatric vocational rehabilitation about the social and psychological processes that interact to drive volitional behavior.;Self-determination theory (SDT) is a useful framework from which to discern the host of social factors and the subsequent cognitive processes that influence motivation and is the central motivational framework utilized in this study from which an expanded work motivation model was developed which includes: (1) demographic covariates and disabilities related factors (e.g., age, gender, ethnicity, educational attainment, functional disability, secondary health conditions); (2) contextual factors (e.g., cultural orientation, perceived workplace stigma), and (3) the central SDT constructs (e.g., autonomy support, relatedness, vocational self efficacy, autonomous motivation). The contributions of each of the personal, contextual, and SDT factors on the outcome variables (e.g., perceived benefits of vocational program, vocational engagement, stages of change in employment readiness), were examined through a hierarchical regression analysis. The study found that overall, the expanded work motivation model based on SDT accounted for over 51% of the variance in perceived benefits of vocational program, 57% of the variance in vocational engagement, and 43% of the variance in stages of change related to employment readiness for persons with SPMI who are participating in the Clubhouse psychosocial rehabilitation program. This study contributes new knowledge about the utility of SDT to examine work motivation factors for persons with SPMI who are traditionally considered "amotivated" to work. Implications for vocational rehabilitation counseling practice to consider autonomy supportive choices for vocational engagement, enhancing relatedness and vocational self-efficacy among the Clubhouse members participating in vocational rehabilitation and the important consideration to cultural orientation (e.g., interdependent self-construal, independent self-construal) for ethnically diverse Clubhouse populations, are indicated. However the lack of members actually working for pay and the high number of members receiving both cash and non-cash public support benefits (e.g., SSI, SSDI), are inherent limitations of this study and should be considered for future research.
机译：许多职业服务提供者认为患有严重和持续性精神疾病（SPMI）的人工作动机低，但是动机被认为是促进成功就业成果的最重要因素。此外，在精神病学职业康复领域，人们对相互作用和驱动意志行为的社会和心理过程普遍缺乏了解。自决理论（SDT）是一个有用的框架，可以用来识别众多社会因素以及随后的影响动机的认知过程，该认知过程是本研究中使用的主要动机框架，由此形成了扩展的工作动机模型，该模型包括：（1）人口统计学变量和与残疾相关的因素（例如年龄，性别，种族，受教育程度） ，功能障碍，继发性健康状况）； （2）情境因素（例如文化取向，工作场所的耻辱感），以及（3）中央SDT构造（例如自主支持，相关性，职业自我效能感，自主动机）。通过分层回归分析检查了每个个人，背景和SDT因素对结果变量的贡献（例如，职业计划的感知收益，职业参与程度，就业准备状态的变化阶段）。研究发现，总体而言，基于SDT的扩展工作动机模型占职业计划感知收益方差的51％以上，职业参与方差的57％和与变革相关的变化阶段方差的43％参加Clubhouse心理社会康复计划的SPMI患者的就业准备。这项研究为SDT的效用提供了新的知识，以检查传统上被认为“有工作动机”的SPMI患者的工作动机因素。对职业康复咨询实践的考虑，以考虑自主参与职业参与，增强参与职业康复的会所成员之间的联系和职业自我效能的选择，以及对文化取向的重要考虑（例如，相互依存的自我建构，独立的自我建构）指出了针对不同种族的会所人群。但是，缺乏实际为付费而工作的会员，以及同时获得现金和非现金公共支持福利（例如SSI，SSDI）的会员人数众多，是本研究的固有局限性，应在以后的研究中加以考虑。

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  • 作者

    Fitzgerald, Sandra D.;

  • 作者单位

    The University of Wisconsin - Madison.;

  • 授予单位 The University of Wisconsin - Madison.;
  • 学科 Health Sciences Mental Health.;Psychology Clinical.;Psychology General.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 169 p.
  • 总页数 169
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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