This presentation is produced in the DigiCare project go-funded by Erasmus+ Capacity Building for Higher Education, CBHE.
This is the fourth of ten learning packages produced in the DigiCare project as support materials for implementing the DigiCare model and supporting teachers with ready-made materials.
The learning packages are designed to be adaptable to the specific needs of each Higher Education Institution (HEI) and healthcare student group. While they provide essential information, they are not exhaustive in their coverage. Active pedagogical tools are incorporated into the packages, which can be employed during theory lessons. Each presentation includes a Notes section below the slides, offering ideas for teachers and recommendations for further reading.
The learning packages can be translated, edited, and supplemented with additional content as desired. The packages can be used as a complete set or individually, based on the specific requirements of users. Each learning package is accompanied by an introductory slides and the final slide provides information about the subsequent package in the series.
Motivating to Life-style Changes. DigiCare Learning Package 4.pptx
1. Motivating to Life-style Changes
DigiCare Learning Package 4
Educating Students for Digitalized Health Care and Coaching of their Patients.
DigiCare project
This presentation is produced in the DigiCare project go-funded by Erasmus+ Capacity Building for Higher Education, CBHE.
“The European Commission’s support for the production of this publication does not constitute an endorsement of the contents, which reflect the
views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.”
2. • This is the 4th presentation of the complete DigiCare Learning Package,
which can also be used as an independent presentation. (All Learning
Packages in the slide 3)
• We recommend to present this 4th learning package by utilizing active
teaching methods, e.g., interactive lecture, flipped learning, individual and
small group discussions (See the ideas we’ve included in the slide notes).
• To get the most out of this package, please read the ideas and suggestions
for further reading material (See the slide notes).
• References and additional information can be found in the end of the
presentation and in the reference slide.
• You may translate any DigiCare presentation into your own teaching
language.
• The images used in the presentations are all licensed under a Creative
Commons license, which allows them to be freely distributed without editing.
Introduction to the DigiCare Model presentation
The DigiCare consortium: Tampere University of Applied Sciences (TAMK, Finland), Escola Superior de Enfermagem de Coimbra (ESEnfC, Portugal),
Vietnam: Hanoi Medical University (HMU), Nam Dinh University of Nursing (NDUN),
Bangladesh: Khulna City Medical College & Hospital (KCMCH), City Medical College & Hospital (CiMCH), and Universal Medical College & Hospital (UMCH).
Example of slide notes.
3. 2. DigiCare
Model
3. Professional
Communication
4. Motivating to
Life-style
Changes
5. Positive
Health
6. Self-
management
7. Coaching
8. 5A’s
Coaching Model
9. GROW
Coaching Model
10. Integrating
Digital Tools
into Coaching
1. Introduction to DigiCare Learning Packages
DigiCare
Learning
Packages
5. Learning Package
content
Learning goals
Students….
Preliminary tasks
Pedagogical
methods
Resources &
Materials
Duration
(min)
Additional tasks for
student’s own
development
Pre-
class
Class
4. Motivating to
Life-Style Changes
Know general
principles of how to
motivate patients for
life change.
Interactive lecture Power Point
presentation no:
4.
30
min
Learning Package 4. Motivating to Life-Style Changes
• It is recommended to use e.g., Interactive lecturing when
utilizing this Learning Package or other preferable active
learning methods.
• You can read more about Interactive lecturing in the online
publication: DigiCare Model – Digitalized Healthcare and
Coaching of Patients in an Asian Context. A guide for teachers
and students
Read more about Interactive Lecturing:
• BU. (n.d.). Boston University. Center for Teaching &
Learning. Interactive Lecturing.
https://www.bu.edu/ctl/guides/interactive-lecturing/
• Richardson, B., & Griffin, D. (2021) 10 Activities to Make
Lectures Interactive. BYU. Brigham Young University.
Teach Anywhere. https://teachanywhere.byu.edu/10-
activities-to-make-lectures-interactive
• Starting point. (n.d.). What is Interactive Lecture?
https://serc.carleton.edu/introgeo/interactive/whatis.html
6. Motivating to Life-Style
Changes
Learning Package 4
Educating Students for Digitalized Health Care and
Coaching of their Patients.
DigiCare project
This presentation is produced in the DigiCare project go-funded by Erasmus+ Capacity Building for Higher Education, CBHE.
“The European Commission’s support for the production of this publication does not constitute an endorsement of the contents, which reflect the
views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.”
9. Types of Motivation (1/2)
Amotivation
• Nonintentional, non-valuing,
incompetence, lack of Control (2, 3)
Intrinsic motivation
• The reasons for the behaviour come
from within the person
• Interest, enjoyment or satisfaction
• Self-efficacy and challenges (2, 3)
DigiCare Team. 2023 9
10. Types of Motivation (2/2)
Extrinsic Motivation
• Autonomous
o Congruence, awareness, synthesis with self
o Personal importance, conscious valuing
• Controlled
o Self-control, ego involvement, internal rewards and
punishments
o Compliance, external rewards and punishment (2, 3)
This Photo by Unknown Author is licensed under CC BY-
SA
DigiCare Team. 2023 10
11. Patient – Professional Interaction and
Motivation
Motivating factors:
1. Autonomy
•Patient experiences psychological freedom and choice (3, 4)
•Health care provider is open, curious and has positive attitude
towards the patient’s preferences, viewpoints and values (5)
•Giving choice, justifying the request, validating the resistance to
change, and supporting patient’s initiative (6), giving positive
feedback (3).
DigiCare Team. 2023
| 11
12. Patient – Professional Interaction and
Motivation
2. Competence
•Confidence in one’s ability to perform well (3, 4)
3. Relatedness
•Feeling of connection and mutual care (3, 4)
DigiCare Team. 2023
| 12
13. Patient – Professional Interaction and
Motivation
De-motivating actions
DigiCare Team. 2023
| 13
14. How motivation can
be maintained
digitally
• Competence: functions help patients to monitor, record
and understand data and plan behaviors
• Autonomy: trends can help with behavioral changes
• Connectivity: possibility to be in contact with health care
professionals with concerns, the bidirectional messaging
functions
• A patient-friendly app implies a match between the app
and the patient’s real world and icons and wording need
to speak the users’ languages and concepts.
• Automatic uploading of results to applications
• Voice recognition
• Alert notifications
• Giving the patient feedback to promote user interaction
Example of a study on an
app to support diabetes
care (10)
DigiCare Team. 2023 14
15. References
1. Cambridge Dictionary
https://dictionary.cambridge.org/dictionary/english/motivation
2. Ryan R. M., Deci E. L. 2000. Self-determination theory and the facilitation of intrinsic
motivation, social development, and well-being. Am Psychol. 55:68–78
3. Ryan, R. M, Deci, E. L, 2017. Self-Determination Theory. Basic Psychological Needs in
Motivation, Development, and Wellness. Guilford Press, New York.
4. Vansteenkiste, M., Ryan, R., 2013. On psychological growth and vulnerability: basic
psychological need satisfaction and need frustration as a unifying principle. J.
Psychother. Integr. 3, 263–280.
5. Williams, G., McGregor, H., King, D., Nelson, C., Glasgow, R., 2005. Variation in
perceived competence, glycemic control, and patient satisfaction: relationship to
autonomy support from physicians. Patient Educ. Couns. 57, 39–45.
DigiCare Team. 2023
| 15
16. References
6. Kayser, J. W., Cossette, S., Alderson, M., 2013. Autonomy-supportive intervention:
an evolutionary concept analysis. J. Adv. Nurs. 70 (6), 1254–1266.
doi:http://dx.doi.org/10.1111/jan.12292.
7. Ng, J. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J.
L., Williams, G. C. 2012. Self-determination theory applied to health contexts: a
meta-analysis. Perspect. Psychol. Sci. 7 (4), 325–340.
doi:http://dx.doi.org/10.1177/1745691612447309.
8. Grolnick,W.S.,Raftery-Helmer, J.N., Marbell,K.N., Flamm,E.S., Cardemil,E.V.,
Sanchez, M. 2014. Parental provision of structure: implementation and correlates
in three domains. Merrill. Q. 60 (3), 355–384.
doi:http://dx.doi.org/10.1353/mpq.2014.0016
9. Fu, H. N. C., Wyman, J. F., Peden-McAlpine, C. J., Draucker, C. B., Schleyer,
T.,Terrence J. A. 2023. App Design Features Important for Diabetes Self-
Management as Determined by the Self-Determination Theory on Motivation:
Content Analysis of Survey Responses From Adults Requiring Insulin Therapy.”
JMIR diabetes 8.: e38592–e38592. doi:10.2196/38592.
DigiCare Team. 2023
| 16
17. 2. DigiCare
Model
3. Professional
Communication
4. Motivating to
Life-style
Changes
5. Positive
Health
6. Self-
management
7. Coaching
8. 5A’s
Coaching Model
9. GROW
Coaching Model
10. Integrating
Digital Tools
into Coaching
1. Introduction to DigiCare Learning Packages
DigiCare
Learning
Packages
Thank you for your
attention.
The next DigiCare
Learning Package is
5. Positive Health
Editor's Notes
Ideas for teachers or presenters
Please, note that the first 5 slides are for the teachers’ information prior to using this Learning Package and implementing this into the course or curriculum.
Ideas for the teacher/presenter:
Ask students what is motivation?
Is there any other word that can be used instead of motivation?/What are the related concepts?
Definition by Cambrige Dictionary (1):
enthusiasm for doing something
the need or reason for doing something
willingness to do something, or something that causes such willingness
Ask students why motivation is important?
- Motivation is highly valued because it get things done.
It is a primary concern for those in the roles of managers, teachers, trustees, religious leaders, coaches, health care providers and parents who try to others to take action.
Some reasons why motivation is important:
1. Drives goal-setting: Motivation is the driving force behind goal-setting, providing the energy and direction needed to achieve success. Without motivation, individuals may struggle to identify and pursue their goals.
2. Provides energy and focus: Motivation provides the energy and focus needed to stay committed to a goal, even when faced with obstacles or setbacks. This can help individuals stay on track and maintain momentum towards their desired outcomes.
3. Improves performance: Motivated individuals are more likely to perform at a higher level than those who lack motivation. This is because motivation provides the drive and focus needed to stay engaged and invested in one's work.
4. Enhances well-being: Motivation can also enhance well-being by providing individuals with a sense of purpose, accomplishment, and meaning. This can lead to increased happiness and a more positive outlook on life.
5. Boosts creativity: Motivation can also boost creativity by inspiring individuals to think outside the box and explore new ideas and approaches.
Overall, motivation is important because it provides the drive, focus, and energy needed to achieve success and reach our goals. Whether it's in our personal or professional lives, motivation can help us stay committed, improve performance, enhance well-being, and boost creativity.
Ideas for the teacher/presenter:
Amotivation refers to not being motivated to engage in an activity
people either do not work at all or work without with no purpose - they just act Not changing your lifestyle or passively implementing it (2, 3)
Intrinsic motivation is an inherent human characteristic that can either flourish or wither away depending on social circumstances.
Experiences of self-efficacy and an appropriate level of challenge are related to competence and promote intrinsic motivation, as well as experiences of autonomy. (3)
Lifestyle behaviours are enjoyable or inherently satisfying to do Cooking new and healthy dishes is satisfying and fun (2)
Ideas for the teacher/presenter:
Students can give examples of the following, some examples in brackets.
Extrinsic Motivation: the continuum between amotivation and intrinsic motivation, varying in the extent to which their regulation is autonomous.
Autonomous the reasons for the behaviour come from within the person.
Lifestyle behaviors are in harmony with other personal values and goals ( E.g. Eat fewer sweets to avoid a note from a nutritionist.)
Lifestyle changes are personally important or valued ( Exercising because you feel you should and feel guilty if you don’t.)
Controlled the reasons for the behaviour come from outside the person.
Lifestyle change aims at avoiding guilt or enhancing self-worth ( Maintaining physical fitness is an important personal goal.)
Lifestyle behavior change is to avoid punishment or gain a reward ( Healthy eating is in line with the goals of a physically active lifestyle.) (2)
Ideas for the teacher/presenter:
- The quality of patient-professional interaction affects patients' motivation for self-care and management of their chronic disease. (3)
- According to self-determination theory, motivational factors and relationship styles include:
1. Autonomy
2. Competence
3. Relatedness
Ideas for the teacher/presenter:
- Events in which the patient experiences a sense of autonomy and competence will enhance intrinsic motivation and both (sense of autonomy and competence ) are needed to maintain intrinsic motivation.(3)
Ideas for the teacher/presenter:
Ask students what would de-motivate patients?
- controlling behavior (HCP’s agenda and priorities become goals for care, patient’s perspective is ignored, put pressure on patients to act, there is only one way of thinking) (3, 7)
making requests in a strong and demanding way(6, 7)
excessive monitoring of the patient's behaviour and progress(6, 7)
highlighting mistakes(6, 7)
exploiting feelings of shame and guilt when goals are not met (6, 7)
- act in a rather chaotic way
not sufficiently responsive to patients’ expressed needs or emotions
fail to express expectations / expectations not clear
fail to convey confidence in patients’ abilities
giving no or an in-appropriate feedback (8)
Example of a study how adults with diabetes requiring insulin perceive diabetes apps based on Self-Determination Theory (SDT) on motivation (10).