Assessing Self-Determined Work Motivation in People with Severe Mental Illness: A Factor-Analytic Approach

Fitzgerald, Sandra; Chan, Fong; Deiches, Jon; Umucu, Emre; Hsu, Su-Ting; Lee, Hui‐Ling; Bezyak, Jill; Iwanaga, Kanako

doi:10.1017/jrc.2015.12

Cited by 11 publications

(16 citation statements)

References 38 publications

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“…Articles describing program level outcomes such as Clubhouse costs and did not offer data on the outcomes of interest described above (Daniilidis 2014 ; Fitzgerald 2013; Fitzgerald et al 2015a , b ; Labun et al 2012 ; Lesley and Livingood 2015 ; McKay et al 2007 ; Plotnick and Salzer 2008 ; Pernice-Duca et al 2015 , 2010 ; Tanaka 2013 ; Tanaka et al 2015 ; Tanaka and Davidson 2015 ; Torres Stone et al 2015 ).…”

Section: Appendix A: Articles Excludedmentioning

confidence: 99%

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

McKay

Nugent

Johnsen

et al. 2016

Adm Policy Ment Health

123

101

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The Clubhouse Model has been in existence for over sixty-five years; however, a review that synthesizes the literature on the model is needed. The current study makes use of the existing research to conduct a systematic review of articles providing a comprehensive understanding of what is known about the Clubhouse Model, to identify the best evidence available, as well as areas that would benefit from further study. Findings are summarized and evidence is classified by outcome domains. Fifty-two articles met the selection criteria of Randomized Clinical Trials (RCT’s), quasi-experimental studies, or observational studies for domains of employment (N = 29); quality of life/satisfaction (N = 10); reductions in psychiatric hospitalization(s) (N = 10); social relationships (N = 10); education (N = 3); and health promotion activities (N = 2). RCT results support the efficacy of the Clubhouse Model in promoting employment, reducing hospitalization(s), and improving quality of life. Quasi-experimental and observational studies offer support in education and social domains. The findings from this review indicate that Clubhouses are a promising practice but additional studies using rigorous methods that report the strength of the outcomes are needed to evaluate Clubhouse programs with fidelity to the Clubhouse Model.Electronic supplementary materialThe online version of this article (doi:10.1007/s10488-016-0760-3) contains supplementary material, which is available to authorized users.

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Section: Appendix A: Articles Excludedmentioning

confidence: 99%

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

McKay

Nugent

Johnsen

et al. 2016

Adm Policy Ment Health

123

101

View full text Add to dashboard Cite

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“…The Behavioral Regulation in Work Questionnaire has been validated in a sample of individuals with severe mental illness. It was found to have good factorial validity, and the internal consistency reliability coefficients ranged from acceptable to good (Fitzgerald et al, 2015). The autonomous motivation subscale had a Cronbach's alpha of .75 in the present study.…”

Section: Methodsmentioning

confidence: 48%

“…Autonomous motivation. Autonomous motivation was assessed with the Behavioral Regulation in Work Questionnaire (Fitzgerald et al, 2015). The self-report questionnaire was developed by modifying the Behavioral Regulation in Exercise Questionnaire-2 (Markland & Tobin, 2004) to change the referent from "exercise" to "work" and is the only measure available that assesses autonomy to work.…”

Section: Methodsmentioning

confidence: 99%

“…Tansey et al (2017) showed that within their integrated self-determination model of work motivation (i.e., autonomous motivation, competency, outcome expectancy, and VR engagement), working alliance played the most prominent role in optimizing the stages of change for employment of adults with disabilities either directly or indirectly through other self-determination-and self-efficacy-related variables. A study by Fitzgerald et al (2015) indicated that self-determination components appeared to be interconnected with desire to work and goal persistence in a sample of individuals with severe mental illness. In a study by Kennedy, Goggin, and Nollen (2004), rehabilitation adherence was positively influenced by autonomous motivation and negatively associated with controlled motivation.…”

Section: Postschool Outcomes Remain Poormentioning

confidence: 99%

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Transition Engagement of African American Youth With Disabilities: A Serial Mediation Model

Dutta

Kundu

Iwanaga

et al. 2019

Exceptional Children

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The purpose of this study was to draw from self-determination and self-efficacy theories to evaluate psychological constructs (autonomous motivation, competency, and outcome expectancy) as mediators of the relationship between working alliance and engagement in transition–vocational rehabilitation (VR) services among African American students with disabilities. A serial multiple mediation analysis was computed to evaluate the mediators of transition-VR service engagement in a sample of 88 African American high school students with disabilities. We found that working alliance was positively associated with active engagement in transition-VR services (total effect), whereas the direct effect of working alliance on engagement was not significant after controlling for the effects of autonomous motivation, competency, and outcome expectancy, supporting significant mediation effects. Findings suggest that a strong working alliance between students and rehabilitation counselors and transition specialists can foster autonomous motivation, competency, and outcome expectancy, resulting in higher levels of engagement in transition-VR services.

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“…VR agencies may facilitate engagement by emphasizing collaboration between clients and counselors that is rooted in self-determination principles (Chan et al, 1997; Tansey et al, 2017). Self-determination represents a change from the “shoulds” to “decisions and behaviors” as the best options for helping people with disabilities in achieving rehabilitation and goals (Corrigan et al, 2012; Fitzgerald et al, 2015). Application of self-determination principles may foster greater client engagement, leading to more successful employment outcomes.…”

mentioning

confidence: 99%

Evaluation of Constructs Based on Self-Determination Theory and Self-Efficacy Theory as Predictors of Vocational Rehabilitation Engagement for People With Physical and Sensory Disabilities

Iwanaga

Chan

Tansey

et al. 2020

Rehabilitation Counseling Bulletin

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Although gainful employment is associated with health and well-being, people with chronic illness and disability may be ambivalent about the prospects of working. As a result, those who might benefit from vocational rehabilitation (VR) services do not always fully engage in those services. Limited motivation toward participating may be due to factors related to self-determination and autonomous choice. Rehabilitation counseling researchers are beginning to test Deci and Ryan’s self-determination theory (SDT), along with Bandura’s self-efficacy theory (SET), as a work motivation model in VR. The purpose of the present study was to evaluate SDT and SET constructs as predictors of VR engagement in a sample of VR clients, using hierarchical regression analysis. After controlling for the effects of demographic variables and person–environment (P-E) contextual factors, SDT and SET predictors were found to account for an increase of 40% in the variance explained in VR engagement. Working alliance was the single strongest predictor of VR engagement, followed by job performance self-efficacy and autonomy supportive climate. Interventions to enhance counselor skills to promote working alliance, in addition to vocational training to increase job performance self-efficacy of rehabilitation clients, may strengthen motivation to engage in VR services, leading to better employment outcomes.

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Assessing Self-Determined Work Motivation in People with Severe Mental Illness: A Factor-Analytic Approach

Cited by 11 publications

References 38 publications

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

Transition Engagement of African American Youth With Disabilities: A Serial Mediation Model

Evaluation of Constructs Based on Self-Determination Theory and Self-Efficacy Theory as Predictors of Vocational Rehabilitation Engagement for People With Physical and Sensory Disabilities

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