Motivational influences on health, well-being, and lifestylevalidation of the spanish version of the treatment self-regulation questionnaire in four health domains

  1. Macarena De los Santos Roig 1
  2. Claudia Fusinato Ponce 1
  3. Manuel Fernández Alcántara 2
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

  2. 2 Universitat d'Alacant
    info

    Universitat d'Alacant

    Alicante, España

    ROR https://ror.org/05t8bcz72

Revista:
EJIHPE: European Journal of Investigation in Health, Psychology and Education

ISSN: 2174-8144,  2254-9625

Año de publicación: 2023

Volumen: 13

Número: 11

Páginas: 2328-2341

Tipo: Artículo

DOI: 10.3390/EJIHPE13110164 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: EJIHPE: European Journal of Investigation in Health, Psychology and Education

Resumen

Background: Motivation is a central concept in self-determination theory (SDT). The Treatment Self-Regulation Questionnaire (TSRQ), which assesses motivation (autonomous, controlled, etc.), has been widely used. However, less is known about its applicability to samples such as college students, who may be at risk of having unhealthy behavior in many areas (including smoking, poor dietary habits, alcohol, or tobacco consumption). As this population is transitioning to adulthood, research is needed to understand motivation and changing health patterns. In addition, the lack of instruments for this population in Spain has made the measurement validation process a priority. The purpose of this psychometric study was to adapt the TSRQ to Spanish college students and to examine its structural and validity across four health domains. Methods: Two samples of Spanish college students (n = 347 and n = 244) agreed to participate in the study. Participants completed a booklet containing measures of motivation, well-being, general health, anxiety, depression, and lifestyle. Results: CFA supported a five-dimensional structure in each domain. Reliability values were also adequate for each questionnaire. Regarding other sources of validity, statistically significant relationships between self-determination, health, and well-being were clearly confirmed, and autonomy was a significant predictor of lifestyle. Conclusions: The Spanish version of the TSRQ showed adequate psychometric properties (dimensionality and internal structure, reliability, and validity evidence regarding its relationships with other constructs) in college students. The Spanish TSRQ will provide future research aimed to understand the motivational role in college students’ health behavior and well-being

Referencias bibliográficas

  • Alonso, J.; Regidor, E.; Barrio, G.; Prieto, L.; Rodríguez, C.; De La Fuente De Hoz, L. Valores poblacionales de referencia de la versión española del Cuestionario de Salud SF-36 [Reference population values for the Spanish version of the SF-36 Health Survey]. Med. Clínica 1998, 111, 410–416.
  • Bentler, P.M. Comparative fit indexes in structural models. Psychol. Bull. 1990, 107, 238–246.
  • Blackburn, R.; Renwick, S.J.; Donnelly, J.P.; Logan, C. Big five or big two? Superordinate factors in the NEO five factor inventory and the antisocial personality questionnaire. Personal. Individ. Differ. 2004, 37, 957–970.
  • Brown, K.W.; Ryan, R.M. A self-determination theory perspective on fostering healthy self-regulation from within and without. In Positive Psychology in Practice: Promoting Human Flourishing in Work, Health, Education, and Everyday Life; Joseph, S., Linley, P., Eds.; John Wiley & Sons: Toronto, Canada, 2015; pp. 139–157.
  • De las Cuevas-Castresana, C.; García-Estrada Pérez, A.; González de Rivera, J.L. Hospital Anxiety and Depression Scale y Psicopatología Afectiva [The Hospital Anxiety and Depression Scale and Affective Psychopathology]. An. Psiquiatr. 1995, 11, 126–130.
  • Díaz, D.; Rodríguez-Carvajal, R.; Blanco, A.; Moreno-Jiménez, B.; Gallardo, I.; Valle, C.; Van Dierendonck, D. Adaptación española de las escalas de bienestar psicológico de Ryff. Psicothema 2006, 18, 572–577.
  • Dwyer, L.A.; Bolger, N.; Laurenceau, J.P.; Patrick, H.; Oh, A.Y.; Nebeling, L.C.; Hennessy, E. Autonomous motivation and fruit/vegetable intake in parent–adolescent dyads. Am. J. Prev. Med. 2017, 52, 863–871.
  • Férriz, R.; Sicilia, A.; Lirola, M.J. Cuestionario de la motivación para adoptar un estilo de vida saludable: Adaptación del Treatment Self-Regulation Questionnaire [Questionnaire on motivation to adopt a healthy lifestyle: Adaptation of the Treatment Self-Regulation Questionnaire]. Behav. Psychol. 2017, 25, 79–97.
  • Graham, D.J.; Pelletier, J.E.; Neumark-Sztainer, D.; Lust, K.; Laska, M.N. Perceived social-ecological factors associated with fruit and vegetable purchasing, preparation, and consumption among young adults. J. Acad. Nutr. Diet. 2013, 113, 1366–1374.
  • Grajcevci, A.; Shala, A. Exploring achievement goals tendencies in students: The link between achievement goals and types of motivation. J. Educ. Cult. Soc. 2021, 12, 265–282.
  • Hagger, M.S.; Hardcastle, S.J.; Chater, A.; Mallett, C.; Pal, S.; Chatzisarantis, N.L.D. Autonomous and controlled motivational regulations for multiple health-related behaviors: Between-and within-participants analyses. Health Psychol. Behav. Med. Open Access J. 2014, 2, 565–601.
  • Hambleton, R.K.; de Jong, J.H.A.L. Advances in translating and adapting educational and psychological tests. Lang. Test. 2003, 20, 127–134.
  • Hu, L.T.; Bentler, P.M. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct. Equ. Model. A Multidiscip. J. 1999, 6, 1–55.
  • Ingledew, D.K.; Ferguson, E. Personality and riskier sexual behaviour: Motivational mediators. Psychol. Health 2007, 22, 291–315.
  • Jerkovi´c, D.; Rihtari´c, M.L.; Kranželi´c, V. The Moderating Role of Control Causality Orientation in the Relationship between Basic Psychological Needs and Cannabis Consumption. Croat. Rev. Rehabil. Res. 2017, 53, 219–230.
  • Levesque, C.S.; Williams, G.C.; Elliot, D.; Pickering, M.; Bodenhamer, B.; Finley, P.J. Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Educ. Res. 2007, 22, 691–702.
  • Lloret-Segura, S.; Ferreres-Traver, A.; Hernández-Baeza, A.; Tomás-Marco, I. El análisis factorial exploratorio de los ítems: Una guía práctica, revisada y actualizada. Anales Psicol. Ann. Psychol. 2014, 30, 1151–1169.
  • MacCallum, R.C.; Austin, J.T. Applications of structural equation modeling in psychological research. Annu. Rev. Psychol. 2000, 51, 201–226.
  • Maillet, M.A.; Grouzet, F.M. Understanding changes in eating behavior during the transition to university from a selfdetermination theory perspective: A systematic review. J. Am. Coll. Health 2023, 71, 422–439.
  • Marzinko, I. The Moderating Role of Autonomous Motivation on the Relationship between Subjective Well-Being and Physical Health. PLoS ONE 2015, 10, e126399.
  • Mayoral Cortés, J.M.; Aragonés Sanz, N.; Godoy, P.; Sierra Moros, M.J.; Cano Portero, R.; González Moran, F.; Pousa Ortega, Á. Las enfermedades crónicas como prioridad de la vigilancia de la salud pública en España. Gac. Sanit. 2016, 30, 154–157.
  • Milyavskaya, M.; Koestner, R. Psychological needs, motivation, and well-being: A test of self-determination theory across multiple domains. Personal. Individ. Differ. 2011, 50, 387–391.
  • Muthén, L.K.; Muthén, B.O. Mplus User’s Guide; Seventh, Ed.; Muthen & Muthen: Los Angeles, CA, USA, 2012.
  • Ng, J.Y.; Ntoumanis, N.; Thøgersen-Ntoumani, C.; Deci, E.L.; Ryan, R.M.; Duda, J.L.; Williams, G.C. Self-determination theory applied to health contexts: A meta-analysis. Perspect. Psychol. Sci. 2012, 7, 325–340.
  • Ntoumanis, N.; Ng, J.Y.; Prestwich, A.; Quested, E.; Hancox, J.E.; Thøgersen-Ntoumani, C.; Deci, E.L.; Ryan, R.M.; Lonsdale, C.; Williams, G.C. A meta-analysis of self-determination theory-informed intervention studies in the health domain: Effects on motivation, health behavior, physical, and psychological health. Health Psychol. Rev. 2021, 15, 214–244.
  • Olesen, M.H.; Thomsen, D.K.; O’Toole, M.S. Subjective well-being: Above neuroticism and extraversion, autonomy motivation matters. Personal. Individ. Differ. 2015, 77, 45–49.
  • Owen, K.B.; Smith, J.; Lubans, D.R.; Ng, J.Y.; Lonsdale, C. Self-determined motivation and physical activity in children and adolescents: A systematic review and meta-analysis. Prev. Med. 2014, 67, 270–279.
  • Richards, D.K.; Morera, O.F.; Field, C.A. The psychometric properties of a version of the Treatment Self-Regulation Questionnaire for assessing motivations for responsible drinking. J. Am. Coll. Health 2021, 69, 742–749.
  • Richards, D.K.; Pearson, M.R.; Field, C.A. Further validation of the Treatment Self-Regulation Questionnaire for assessing motivations for responsible drinking: A test of self-determination theory. Exp. Clin. Psychopharmacol. 2021, 29, 679.
  • Rivas, C.; Garcia Mas, A.; Romero Carrasco, A.E.; Pérez-Llantada, M.D.C.; López de la Llave, A.; Pourtau, M.; Irene, M.; González, J.; Alexandre, G.M. Bienestar psicológico, salud general, autonomía percibida y lesiones en futbolistas. Rev. Psicol. Deporte 2012, 21, 365–371.
  • Ryan, R.M.; Connell, J.P. Perceived Locus of Causality and Internalization: Examining Reasons for Acting in Two Domains. J. Personal. Soc. Psychol. 1989, 57, 749–761.
  • Ryan, R.M.; Deci, E.L. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am. Psychol. 2000, 55, 68–78.
  • Ryan, R.M.; Deci, E.L. Self-Determination Theory Basic Psychological Needs in Motivation, Development, and Wellness; Guilford Press: New York, NY, USA, 2017.
  • Ryan, R.M.; Plant, R.W.; O’Malley, S. Initial motivations for alcohol treatment: Relations with patient characteristics, treatment involvement, and dropout. Addict. Behav. 1995, 20, 279–297.
  • Ryff, C. Beyond Ponce de Leon and life satisfaction: New directions in quest of successful aging. Int. J. Behav. Dev. 1989, 12, 35–55.
  • Salazar-Torres, I.; Arrivillaga-Quintero, M. El consumo de alcohol, tabaco y otras drogas como parte del estilo de vida de jóvenes universitarios [Consumption of alcohol, tobacco and other drugs as part of the lifestyle of young university students]. Rev. Colomb. Psicol. 2004, 13, 74–89.
  • Sánchez-Cánovas, J. El bienestar psicológico subjetivo. Escalas de evaluación [Subjective psychological well-being. Assessment scales]. Boletín Psicol. 1995, 43, 25–51.
  • Scarborough, P.; Bhatnagar, P.; Wickramasinghe, K.K.; Allender, S.; Foster, C.; Rayner, M. The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: An update to 2006–2007 NHS costs. J. Public Health 2011, 33, 527–535.
  • Sheehan, R.B.; Herring, M.P.; Campbell, M.J. Associations Between Motivation and Mental Health in Sport: A Test of the Hierarchical Model of Intrinsic and Extrinsic Motivation. Front. Psychol. 2018, 9, 707.
  • Sheeran, P.; Wright, C.E.; Avishai, A.; Villegas, M.E.; Lindemans, J.W.; Klein, W.M.; Rothman, A.J.; Miles, E.; Ntoumanis, N. Self-determination theory interventions for health behavior change: Meta-analysis and meta-analytic structural equation modeling of randomized controlled trials. J. Consult. Clin. Psychol. 2020, 88, 726.
  • Sheldon, K.M.; Osin, E.N.; Gordeeva, T.O.; Suchkov, D.D.; Sychev, O.A. Evaluating the dimensionality of self-determination theory’s relative autonomy continuum. Personal. Soc. Psychol. Bull. 2017, 43, 1215–1238.
  • Teixeira, P.J.; Carraça, E.V.; Markland, D.; Silva, M.N.; Ryan, R.M. Exercise, physical activity, and self-determination theory: A systematic review. Int. J. Behav. Nutr. Phys. Act. 2012, 9, 78.
  • Telama, R.; Yang, X.; Leskinen, E.; Kankaanpää, A.; Hirvensalo, M.; Tammelin, T.; Viikari, J.S.A.; Raitakari, O.T. Tracking of physical activity from early childhood through youth into adulthood. Med. Sci. Sport. Exerc. 2014, 46, 955–962.
  • Tkácová, H.; Pavlíková, M.; Stranovská, E.; Králik, R. Individual (Non) Resilience of University Students to Digital Media Manipulation after COVID-19 (Case Study of Slovak Initiatives). Int. J. Environ. Res. Public Health 2023, 20, 1605.
  • Vera-Villarroel, P.; Silva, J.; Celis-Atenas, K.; Pavez, P. Evaluación del cuestionario SF-12: Verificación de la utilidad de la escala salud mental. Rev. Médica Chile 2014, 142, 1275–1283.
  • Ware, J.J.; Kosinski, M.; Keller, S.D. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Med. Care 1996, 34, 220–233.
  • Williams, G.C.; Gagné, M.; Ryan, R.M.; Deci, E.L. Supporting autonomy to motivate smoking cessation: A test of self-determination theory. Health Psychol. 2002, 21, 40–50.
  • Williams, G.C.; Grow, V.M.; Freedman, Z.R.; Ryan, R.M.; Deci, E.L. Motivational predictors of weight loss and weight-loss maintenance. J. Personal. Soc. Psychol. 1996, 70, 115.
  • Zigmond, A.S.; Snaith, R.P. The hospital anxiety and depression scale. Acta Psychiatr. Scand. 1983, 67, 361–370.
  • Zycinska, J.; Januszek, M.; Jurczyk, M.; Syska-Sumi ´nska, J. How to measure motivation to change risk behaviours in the self- ˙ determination perspective? The Polish adaptation of the Treatment Self-Regulation Questionnaire (TSRQ) among patients with chronic diseases. Pol. Psychol. Bull. 2012, 4, 261–271.
Fuente de los datos: Dialnet