Conference article

Patient-involved treatment, such as self-monitoring, is a central ambition in health care in Scandinavia. Norway, Sweden, England and the Netherlands have enacted legislation on the patient’s right to involvement [1]. In Denmark, patient involvement is formulated as one of the ten national health goals [2]. Patient-governed treatment is politically articulated as a way to individual empowerment [3]. Nevertheless, doctors and nurses find that many patients express reluctance and a lack of motivation [4]. In line with the political discourse and with an ambition to uncover work-related stressors the authors developed the self-monitoring method Ecological Momentary Storytelling. The purpose of the article is to present test participants’ articulated experiences with using the method. Through a grounded theory based analysis of follow-up dialogues with the participants, the findings emphasize how motivation is not solely anchored inside the individual as a personal desire to master a situation or be empowered. Matters such as complex life situations, inability to handle technology and problems understanding questions posed are to a large extend externally anchored and articulated as hindrances for motivation.

Occupational Stress, Ecological Momentary Assessments, Telemedicine, Sense of Coherence, Grounded Theory, Hearing Loss, Motivation, Methodological Study