The role of intrinsic motivation in a group of low vision patients participating in a self-management program to enhance self-efficancy and quality of life

Abstract

Background & Hypothesis: Self-management programs were previously found to decrease health problems, enhance quality of life and increase independence. However, there is no evidence in the literature that examined the influence of the participants’ intrinsic motivation on the outcomes of such programs. This study examined the role of intrinsic motivation in the pilot ‘Singapore Low Vision Self-Management Program’ (SLVSMP) to enhance self-efficacy and quality of life of the program participants. Methods: Nine patients with visual acuity 6/24 or worse were included in the pilot study and undertook the self-management program. There were 5 male and 4 female participants, aged 50 to 74 years (Mean = 63, SD = 9.24). Self-efficacy was evaluated using the General Self-Efficacy Scale (GSS) and Quality of life was assessed through the Low Vision Quality of Life Questionnaire (LVQoL). GSS and the LVQoL were administered once prior to the commencement of the intervention and again at the end of the last session of the intervention program. The intrinsic motivation inventory was administered once at the last session of the intervention program. Results: A positive association was observed for the female participants’ perceived choice and perceived competence, 2 underlying dimensions of the intrinsic motivation inventory. In addition, a positive correlation was observed between the younger participants’ perceived competence and the change in their quality of life. Discussion & Conclusion: The SLVSMP is a feasible program to carry out in small groups of approximately 10 participants. The findings provide some support for consideration of participants’ intrinsic motivation in the development of effective self-management programs.