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Intrinsic and extrinsic motivation is associated with computer-based auditory training uptake, engagement, and adherence for people with hearing loss.

Henshaw H, McCormack A, Ferguson MA - Front Psychol (2015)

Bottom Line: Participants found the CBAT intervention easy to use, interesting and enjoyable.Perceived post-training benefits included better concentration and attention leading to improved listening.We see this as an important first-step for informing future theory-driven development of effective CBAT interventions.

View Article: PubMed Central - PubMed

Affiliation: Otology and Hearing Group, National Institute for Health Research Nottingham Hearing Biomedical Research Unit, Division of Clinical Neuroscience, School of Medicine, University of Nottingham Nottingham, UK.

ABSTRACT
Hearing aid intervention typically occurs after significant delay, or not at all, resulting in an unmet need for many people with hearing loss. Computer-based auditory training (CBAT) may provide generalized benefits to real-world listening, particularly in adverse listening conditions, and can be conveniently delivered in the home environment. Yet as with any intervention, adherence to CBAT is critical to its success. The main aim of this investigation was to explore motivations for uptake, engagement and adherence with home-delivered CBAT in a randomized controlled trial of adults with mild sensorineural hearing loss (SNHL), with a view to informing future CBAT development. A secondary aim examined perceived benefits of CBAT. Participants (n = 44, 50-74 years olds with mild SNHL who did not have hearing aids) completed a 4-week program of phoneme discrimination CBAT at home. Participants' experiences of CBAT were captured using a post-training questionnaire (n = 44) and two focus groups (n = 5 per group). A mixed-methods approach examined participants' experiences with the intervention, the usability and desirability of the CBAT software, and participants' motivations for CBAT uptake, engagement and adherence. Self-Determination Theory (SDT) was used as a theoretical framework for the interpretation of results. Participants found the CBAT intervention easy to use, interesting and enjoyable. Initial participation in the study was associated with extrinsic motivation (e.g., hearing difficulties). Engagement and adherence with CBAT was influenced by intrinsic (e.g., a desire to achieve higher scores), and extrinsic (e.g., to help others with hearing loss) motivations. Perceived post-training benefits included better concentration and attention leading to improved listening. CBAT also prompted further help-seeking behaviors for some individuals. We see this as an important first-step for informing future theory-driven development of effective CBAT interventions.

No MeSH data available.


Related in: MedlinePlus

The self-determination continuum, Ryan and Deci (2000). Copyright © 2000 by the American Psychological Association. Reproduced with permission. The official citation that should be used in referencing this material is Ryan and Deci (2000). The use of APA information does not imply endorsement by APA.
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Figure 1: The self-determination continuum, Ryan and Deci (2000). Copyright © 2000 by the American Psychological Association. Reproduced with permission. The official citation that should be used in referencing this material is Ryan and Deci (2000). The use of APA information does not imply endorsement by APA.

Mentions: Self-Determination Theory (SDT; Deci and Ryan, 1985) is an approach to motivation that is concerned with supporting people's natural tendencies to behave in effective and healthy ways. SDT distinguishes between different types of motivation based on the different reasons or goals that give rise to an action. The basic distinction is between intrinsic motivation, which refers to doing something because it is inherently interesting or enjoyable, and extrinsic motivation, which refers to doing something because it leads to a separable outcome (Ryan and Deci, 2000). As such, intrinsic motivation is important for completing a task, whereas extrinsic motivation reflects acceptance of the value or utility of a task. This can be conceptualized as a self-determination continuum (Figure 1). SDT emphasizes processes through which a person internalizes health behaviors so that they may be self-determined (Ryan et al., 2008). The theory highlights three basic human psychological needs, which when satisfied yield enhanced motivation and well-being (Ryan and Deci, 2000):


Intrinsic and extrinsic motivation is associated with computer-based auditory training uptake, engagement, and adherence for people with hearing loss.

Henshaw H, McCormack A, Ferguson MA - Front Psychol (2015)

The self-determination continuum, Ryan and Deci (2000). Copyright © 2000 by the American Psychological Association. Reproduced with permission. The official citation that should be used in referencing this material is Ryan and Deci (2000). The use of APA information does not imply endorsement by APA.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4526789&req=5

Figure 1: The self-determination continuum, Ryan and Deci (2000). Copyright © 2000 by the American Psychological Association. Reproduced with permission. The official citation that should be used in referencing this material is Ryan and Deci (2000). The use of APA information does not imply endorsement by APA.
Mentions: Self-Determination Theory (SDT; Deci and Ryan, 1985) is an approach to motivation that is concerned with supporting people's natural tendencies to behave in effective and healthy ways. SDT distinguishes between different types of motivation based on the different reasons or goals that give rise to an action. The basic distinction is between intrinsic motivation, which refers to doing something because it is inherently interesting or enjoyable, and extrinsic motivation, which refers to doing something because it leads to a separable outcome (Ryan and Deci, 2000). As such, intrinsic motivation is important for completing a task, whereas extrinsic motivation reflects acceptance of the value or utility of a task. This can be conceptualized as a self-determination continuum (Figure 1). SDT emphasizes processes through which a person internalizes health behaviors so that they may be self-determined (Ryan et al., 2008). The theory highlights three basic human psychological needs, which when satisfied yield enhanced motivation and well-being (Ryan and Deci, 2000):

Bottom Line: Participants found the CBAT intervention easy to use, interesting and enjoyable.Perceived post-training benefits included better concentration and attention leading to improved listening.We see this as an important first-step for informing future theory-driven development of effective CBAT interventions.

View Article: PubMed Central - PubMed

Affiliation: Otology and Hearing Group, National Institute for Health Research Nottingham Hearing Biomedical Research Unit, Division of Clinical Neuroscience, School of Medicine, University of Nottingham Nottingham, UK.

ABSTRACT
Hearing aid intervention typically occurs after significant delay, or not at all, resulting in an unmet need for many people with hearing loss. Computer-based auditory training (CBAT) may provide generalized benefits to real-world listening, particularly in adverse listening conditions, and can be conveniently delivered in the home environment. Yet as with any intervention, adherence to CBAT is critical to its success. The main aim of this investigation was to explore motivations for uptake, engagement and adherence with home-delivered CBAT in a randomized controlled trial of adults with mild sensorineural hearing loss (SNHL), with a view to informing future CBAT development. A secondary aim examined perceived benefits of CBAT. Participants (n = 44, 50-74 years olds with mild SNHL who did not have hearing aids) completed a 4-week program of phoneme discrimination CBAT at home. Participants' experiences of CBAT were captured using a post-training questionnaire (n = 44) and two focus groups (n = 5 per group). A mixed-methods approach examined participants' experiences with the intervention, the usability and desirability of the CBAT software, and participants' motivations for CBAT uptake, engagement and adherence. Self-Determination Theory (SDT) was used as a theoretical framework for the interpretation of results. Participants found the CBAT intervention easy to use, interesting and enjoyable. Initial participation in the study was associated with extrinsic motivation (e.g., hearing difficulties). Engagement and adherence with CBAT was influenced by intrinsic (e.g., a desire to achieve higher scores), and extrinsic (e.g., to help others with hearing loss) motivations. Perceived post-training benefits included better concentration and attention leading to improved listening. CBAT also prompted further help-seeking behaviors for some individuals. We see this as an important first-step for informing future theory-driven development of effective CBAT interventions.

No MeSH data available.


Related in: MedlinePlus