The effects of a monetary reward and self-monitoring on reducing interdialytic weight gain (IWG) were compared for 6 hemodialysis patients in an outpatient setting. A single-subject experimental design (A-B-BC-B-BC) was used to examine each variable individually and in combination, with alternating phases to control for possible sequencing effects. Monetary reward (50 cents - $3) was administered in a titrated manner according to standardized criteria, ranging from 3 % and 4% of patients' dry weight on weekdays and weekends, respectively, to 3.5% and 4.5% for weekdays and weekends. Self-monitoring involved recording daily fluid and diet intake. Results indicated that by the end of the treatment program, the 6 participants averaged a 14% reduction in weekday IWG and a 15.45% reduction in weekend IWG; however, due to significant variability, it cannot be concluded that the reductions are treatment effects. Four out of 6 participants reduced their average IWG for both weekends and weekdays by .75 kg (1.65 lb.). The average weekend reduction for these 4 participants was .85 kg (1.87 lbs.) while the average weekday reduction was .65 kg (1.43 lb.). All 6 participants showed reductions in weekday IWG that averaged .53 kg (1.17 lb.). However, only 2 participants demonstrated IWG reductions that could be attributable to either of the 2 treatment variables. The standardized dry weight criterion for assessing fluid adherence may have posed excessively stringent demands on participants, as only 1 of the 6 participants actually met the criterion. Future research should address the role of nonspecific treatment factors, as well as patient characteristics and responsivity to particular treatment components in an effort to identify those factors responsible for behavior change in this population.

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Monetära belöningssystem är vanligt förekommande inom organisationer och implementeras vanligtvis för att öka motivationen hos medarbetare för att kunna påverka deras prestation, dock kan det finnas andra effekter som det inte tas någon hänsyn till. Syftet med studien är att skapa kunskap och en djupare förståelse om effekter av monetära belöningssystem i arbetslivet och hur monetära belöningssystem påverkar prestationen. Den teoretiska referensramen komponerades av tidigare studier på monetära belöningssystem och olika motivationsteorier, såsom Maslows behovshierarki och Vrooms förväntansteori. För att samla in data har semistrukturerade intervjuer utförts med åtta informanter. Valet av informanter gjordes med vissa kriterier där kriterierna var att informanten skulle arbeta vid en arbetsplats där de hade ett monetärt belöningssystem som antingen baserades på individen eller gruppen prestation eller både individen och gruppen prestation. Studiens resultat visar att uppfattningen av det monetära belöningssystemet påverkas främst av hur trygg personen känner sig ekonomiskt. Det visar att det finns positiva effekter i form av ökad motivation, men att det även finns negativa effekter i form av minskad motivation i vissa fall. Studien visar även att det monetära belöningssystemet i vissa fall även kan bidra till stress, oro, rädsla för att misslyckas och försämrad kvalité i arbetsuppgifter som inte innefattas av det monetära belöningssystemet. I vissa fall visar resultatet även att samarbetet och kommunikationen blir lidande vid användning av ett belöningssystem som är baserat på individens prestation, medan i andra fall så påverkas inte samarbetet och kommunikationen av belöningssystemet som är baserat på individens prestation. Vi har kommit fram till att monetära belöningssystem har både positiva och negativa effekter och påverkar prestationen båda positivt och negativt och att det främst beror på hur ekonomiskt trygg personen känner sig. Organisationer behöver ta hänsyn till detta vid implementeringen av ett monetärt belöningssystem så att belöningssystemet kongruerar med organisationens intresse. / Monetary reward systems are common in organisations and are usually implemented to increase motivation amongst the employed. The goal is to have an impact on the performance, but there may be other effects that are not considered. The purpose of the study is to create knowledge and a deeper understanding of the effects of monetary reward systems in the working life and how monetary reward systems affect the performance. The theoretical frame of reference was composed of previous studies on monetary reward systems and various motivational theories, such as Maslow's hierarchy of needs and Vroom's expectancy theory. In order to collect data, semi-structured interviews have been conducted with eight informants. The selection was based on a few criteria where the criteria were that the informant would work at a workplace where they had a monetary reward system that either was based on the individual or group performances or both the individual and the group performances. The study's results show that the perception of the monetary reward system is affected primarily by how financially secure the person feels. It shows that there are positive effects like increased motivation, but that there are also negative effects in terms of reduced motivation in some cases. The study also shows that in some cases the monetary reward system also contributes to stress, concern, fear of failure and a deterioration in the quality of tasks that are not included in the monetary reward system. In some cases, the result also shows that the cooperation and communication suffer when using a reward system that targets the individual's performance, while in other cases the cooperation and communication of the reward system that is based on the individual's performance is not affected. We have concluded that monetary reward systems have both positive and negative effects and affect both performances positively and negatively and that it depends primarily on how financially secure the person feels. Organizations need to take this into account when implementing a monetary reward system, so that the reward system correspond with the organisation's interest

Fastighetsmäklarbranschen kantas av hög personalomsättning, vilket kan ses som en signal på en stressig arbetsmiljö. Dessutom har branschen ett utpräglat system där prestationsbaserad lön i form av provision förekommer i stor utsträckning. Enligt tidigare forskning är stress en indikator på en ohälsosam arbetshälsa, vilken i sin tur påverkar motivationen att prestera. Med denna utgångspunkt sågs behovet att utforska fastighetsmäklarnas arbetssituation vilket ledde till studiens syfte: att bidra med kunskap om hur fastighetsmäklare i Sverige upplever sin arbetshälsa utifrån lön, belöning och motivation, samt att undersöka vilken betydelse dessa faktorer har för prestationen. En kvantitativ metod med tvärsnittsdesign användes. Datainsamlingen genomfördes genom en webbenkät som utformats delvis med hjälp av Effort Reward Imbalance-modellen (ERI-modellen), samt beprövade mätinstrument för att mäta motivation. Den teoretiska utgångspunkten i studien var att olika typer av lön och belöning, samt inre och yttre motivation kan påverka medarbetares mående både positivt och negativt. ERI-modellen kan mäta stress i arbetssituationen genom att identifiera om det föreligger en obalans mellan en individs ansträngning och belöning, samt om överengagemang föreligger.  Studiens resultatkapitel påvisar att fastighetsmäklare är en stressad yrkesgrupp. Genom att analysera den sammanställda datainsamlingen med hjälp av studiens teoretiska referensram landade diskussionen i ett antal slutsatser. En slutsats var att minoriteten av fastighetsmäklarna upplever en negativ obalans i kombination med högt överengagemang, samt att de löper stor risk för negativ arbetshälsa. Studiens resultat visade även att typ av löneform inte har påverkan på stressnivån. Vidare drogs slutsatsen att ickemonetär belöning har störst positiv betydelse för stressnivån bland de som har provisionslön. Ytterligare en slutsats var att mäklare generellt drivs mer av inre motivation än yttre motivation, vilket är positivt då inre motivation bidrar till bättre arbetshälsa. Slutligen konstaterades att mäklare är motiverade och kan prestera väl trots den stressiga arbetssituationen. / The real estate industry has a high level of staff turnover, which can be a sign of a stressful environment at work. In addition, the industry has a distinct system where performance based remuneration in the form of commission occurs to a large extent. According to previous research, stress is an indicator of poor work health, which in turn affects the motivation to perform. Considering this, the purpose of this study was to examine how real estate agents in Sweden experience their occupational health based on salary, reward and motivation, and to examine what significance these factors have for their performance. A quantitative method with cross-sectional design was used. The collection of data was carried out through a web survey which was partially designed by using the Effort Reward Imbalance model (ERI-model), as well as evidence-based tools for measuring motivation. The theoretical starting point of the study was that different types of salary and rewards, as well as intrinsic and extrinsic motivation can affect employees' well-being both positively and negatively. The ERI-model can measure stress in the work situation by identifying whether there is an imbalance between a person’s effort and reward, and whether overcommitment occurs. The results of the empirical data showed that real estate agents are a group that suffers from work-related stress. By analyzing the compiled data collection, using the theoretical framework of the study, the discussion resulted in several conclusions. One of the conclusions was that a minority of the real estate agents experience a negative imbalance in combination with a high level of overcommitment. Consequently, they run a high risk of negative work health. The results of the study also showed that the type of salary does not influence the stress level. Moreover, it was concluded that non-monetary rewards are the most important factor to reduce stress among those who have commission pay. Another conclusion was that real estate agents are generally more driven by intrinsic motivation than extrinsic motivation, which is positive because intrinsic motivation contributes to better work health. Finally, it was found that real estate agents are highly motivated and can perform well despite their stressful work environment