Conference article

Motivation in self-monitoring processes: Evaluation of Ecological Momentary Storytelling

Katja Lund
Department of Electronic Systems, Aalborg University, Aalborg, Denmark

Lisbeth Kappelgaard
Department of Communication and Psychology, Aalborg University, Aalborg, Denmark

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Published in: Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018

Linköping Electronic Conference Proceedings 151:6, p. 29-37

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Published: 2018-08-24

ISBN: 978-91-7685-213-2

ISSN: 1650-3686 (print), 1650-3740 (online)

Abstract

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.

Keywords

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

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