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The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life
International Journal of Environmental Research and Public Health ( IF 4.614 ) Pub Date : 2021-01-22 , DOI: 10.3390/ijerph18030950
Ilaria Durosini , Lucrezia Savioni , Stefano Triberti , Paolo Guiddi , Gabriella Pravettoni

Psychological interventions are proposed to cancer survivors to support their quality of life against the emotional trauma of cancer and the side effects of treatment. Psychological interventions often require patient engagement and commitment to activities that could be more or less demanding in terms of lifestyle change (e.g., psychotherapy, sports). Analyzing participant motivations (personal aims, expectations, needs) prior to participation is useful to predict their adherence to the intervention as well as final outcomes. Yet, participant motivations may evolve during the intervention because the intervention experience turns out to be meaningful and positively challenging. The present study aimed to obtain a preliminary understanding of the process of motivation change in female cancer survivors who participated in a sport-based intervention to promote quality of life by employing a grounded theory approach. Data analysis took place alongside data collection and according to the procedure of grounded theory (“open coding”, “axial coding”, and “selective coding”) in order to describe the process of motivation change during women’s participation in psychological intervention for quality of life. On 14 women interviewed, 13 reported changing their motivation to participate during the first months of involvement, mostly changing from individualistic to group-related motivations (i.e., from self-care to friendship with other participants and enriching group membership), and from physical to psychological growth (i.e., pursuing not only physical health but also self-fulfillment). The discussion explains the preliminary aspects of the motivation change process and highlights the importance to monitor motivation dynamics within psychological interventions.

中文翻译:

动机之旅:女性癌症幸存者对生活质量进行心理干预的经验的扎实理论研究

建议对癌症幸存者进行心理干预,以支持他们的生活质量,以抵抗癌症的情感创伤和治疗的副作用。心理干预通常要求患者参与并致力于可能对生活方式的改变(例如,心理治疗,运动)有或多或少要求的活动。在参与之前分析参与者的动机(个人目标,期望,需求)有助于预测他们对干预的依从性以及最终结果。但是,由于干预经验证明是有意义的并且具有积极的挑战性,因此在干预过程中参与者的动机可能会发生变化。本研究旨在通过采用扎根的理论方法,对参加基于运动的干预以提高生活质量的女性癌症幸存者获得动机变化过程的初步了解。数据分析与数据收集同时进行,并根据扎根理论的程序(“开放式编码”,“轴向编码”和“选择性编码”)进行,以描述妇女参与心理干预以提高妇女的素质期间的动机变化过程。生活。在接受采访的14位女性中,有13位报告称在参与的最初几个月内,她们的参与动机发生了变化,主要是从个人主义动机转变为与小组相关的动机(即,从自我照顾到与其他参与者的友谊以及丰富的团体成员身份),以及从身体活动变为心理成长(即 不仅要追求身体健康,还要追求自我实现。讨论解释了动机改变过程的初步方面,并强调了在心理干预中监测动机动态的重要性。
更新日期:2021-01-22
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