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<p>In spite of numerous benefits that are suggested for consumers’ utilizing integrated personal health record (PHR) systems, research has shown that these systems are not yet popular or well known to consumers. Therefore, research is needed to understand what would rise adoption rates for these systems. Hence, the main objective of this dissertation is to develop and empirically validate a theoretical model for explaining consumers’ intention to use integrated PHR systems.</p> <p>In developing the theoretical model of this dissertation, theories of information systems adoption were integrated with Self-Determination Theory (SDT), which is a well established theory from the Psychology literature that explains the mechanism through which individuals become more self-determined, i.e., motivated to take more active (rather than passive) roles in undertaking different behaviours. Taking such an active role by consumers, in the context of personal health management, is suggested to be necessary for realizing the full benefits of integrated PHR systems.</p> <p>The proposed theoretical model was validated using the PLS approach to structural equation modeling, on data collected from a cross-sectional survey involving 159 participants with no prior experience in using PHR systems. A stratified random sampling was employed to draw a representative sample of the Canadian population. The results show that consumers with higher levels of self-determination in managing their health are more likely to adopt integrated PHR systems since they have more positive perceptions regarding the use of such systems. Further, such self-determination is fueled by autonomy support from consumers’ physicians as well as consumers’ personality trait of autonomy orientation.</p> <p>This study advances the theoretical understanding of integrated PHR system adoption, and it contributes to practice by providing insightful implications for designing, promotion, and facilitating the use of integrated PHR systems among consumers.</p> / Doctor of Philosophy (PhD)

Many researchers have highlighted the need for students to have a willingness to communicate (WTC) in second and foreign language classrooms. WTC is important because it is believed that WTC leads to eventual communication both inside and outside the classroom. Previous research into WTC has centered mainly on the use of structural models and trait, self-reported measurements of WTC, but recent research has shown that WTC is also heavily dependent on the situation. However, very few studies recognize this and have, thus, not employed situational measurements of WTC. After a thorough review of WTC literature, 13 pertinent constructs were modified to reflect the situation in the foreign language classroom. These were related to constructs of the classroom, beliefs about communication; self-determined motivation; self-perceived competence; communication anxiety and willingness to communicate. A preliminary study employing exploratory factor analysis and Rasch analysis, followed by a main study conducted with and confirmatory factor analysis and Rasch analysis were undertaken with first- and second-year Japanese university students. The factor analysis was used to investigate the underlying structures of the factors and the Rasch analysis was used to determine fit, category functioning and dimensionality. Nine reliable and unidimensional factors were brought forward from the main study, which were Classroom Efficacy Factor and Classroom Affective Factor as the two classroom factors; Intrinsic Motivation for Communication, Introjected Regulation for Communication and External Regulation for Communication as the three self-determined motivation constructs, and finally, Self-Perceived Competence, Communicative Anxiety and Willingness to Communicate split in two subconstructs of pair/work and whole class activities. The second half the study was the formulation of a structural equation model using the above constructs to predict situational WTC. The model also included an often under-utilized resource, the teacher, who assessed the learners’ actual communication to identify if WTC leads to language use. All the fit indices in the final model (N = 376) were good, and the model included three additional paths. The model indicated that classroom constructs led to motivation and self-perceived competence, which predicted confidence. Motivation led directly to WTC and indirectly to WTC through confidence. Lastly, WTC predicted actual communication. The constructs in this study can be applied in other studies of situational WTC. This study helps to both expand our understanding of constructs affecting situational WTC and actual communication, and provides more validity to the construct of situational WTC. It also reaffirms the importance of what happens in the classroom, which is main arena for communication in the EFL setting. / Language Arts

Syftet med studien var att undersöka vad arbetssökande upplever motiverar dem till egen försörjning genom arbetstagande med utgångspunkt i jobbstimulansen och andra metoder inspirerade av motivationsteorierna Self-Efficacy Theory och Self-Determination Theory. Inspiration till studien uppkom ur ett intresse för- och ifrågasättande av reformen som beskrivs i 4 kap. 1b § Socialtjänstlagen (2001:453), även kallad jobbstimulansen, vars införande bland annat syftade till att göra det lönsamt för arbetssökande biståndstagare att ta ett arbete, men som kan anses fått andra negativa effekter (Socialstyrelsen 2016). Jobbstimulansen är fortsatt en del av socialtjänstens arbete utan tydliga belägg för att modellen faktiskt gör det den ska; motivera individer ut i arbete. Detta föranledde studiens övergripande frågeställning: Vad upplever arbetssökande motiverar dem till egen försörjning genom arbetstagande?  För att besvara syftet och dess frågeställningar genomfördes en vinjettstudie med inomgruppsdesign där respondenterna var eller har varit arbetssökande. Studiens resultat indikerar att inre motivationsincitament upplevs mer motiverande än yttre ekonomiska incitament vilket således står i kontrast till nuvarande lagstiftad metod. Vidare belyser studien att det finns andra metoder som kan fungera bättre än jobbstimulansen samt vilka teoretiska grunder detta kan baseras på. Trots att studien kan anses vara experimentell och bitvis fiktiv då vi endast mäter grad av upplevd motivation och inte faktisk motivation kan resultatet anses vara intressant då den motsätter sig nuvarande metod samt påbörjar ett utforskande av motivationsarbete inom socialtjänsten. / The aim of the study was to examine what unemployed job seekers experiences create motivation toward self-sufficiency trough employment in relation to the current statutory method jobbstimulansen (the Job Stimulus) and other methods inspired by motivational theories such as the Self-Efficacy Theory and the Self-Determination Theory. Inspiration for the study arose from an interest in- and a questioning of the reform described in 4. Ch. 1b § of Socialtjänstlagen (2001:453), known as the Job Stimulus. The insertion of which aimed, among other things, at making it profitable for job seekers to take a job can be considered to have had other negative effects (Socialstyrelsen 2016). The Job Stimulus is still part of the Social Services' work without clear evidence that the model does what it is supposed to; motivate individuals into work. This led to the study's overarching question: What do job seekers feel motivates them toward self- sufficiency through employment? To answer the purpose and its questions we made a vignette study where the respondents currently are or have been unemployed. The result of the study indicates that internal motivational incentives are perceived as more motivating than external financial incentives, which thus contrasts with the current statutory method. Furthermore, the study illuminates alternative methods that may prove more effective than the Job Stimulus, along with the theoretical underpinnings supporting these approaches. Although the study may be considered a bit experimental and partially fictitious as we only measure the perceived degree of motivation and not actual motivation, the result can be considered interesting as it opposes the current method and begins an exploration of motivational work within the Social Services.

This study uses the Self Determination Theory (SDT) to describe and analyse what motivates pilots whilst having limited control over working hours. Pilots work in a challenging environment with variable working hours and high operational demands. This affects the pilots autonomous, intrinsic, extrinsic and controlled motivation. The study uses a qualitative approach interviewing eight Swedish pilots working at different airlines. This study describes and analyses the sense of autonomy, sense of competence and sense of relatedness, and how autonomous motivation, intrinsic motivation, extrinsic motivation, and controlled motivation affects pilots´ motivation. This study finds that pilots value the sense of autonomy that comes from empowerment to take decisions within the strict framework of rules they operate in. The pilots feel a strong sense of competence from training programs and knowledge transfer colleagues, and relatedness to colleagues through a sense of being cared for, all these seems to promote autonomous and intrinsic motivation. Further, intrinsic motivation arises from a passion for flying and executing leadership. Extrinsic motivation arises from salary, and fear of punishment. The pilots lack of ability to control their working hours leads to controlled motivation and stress. The findings of this study could be used to improve pilot welfare and motivation. By understanding and addressing pilot motivation airlines can develop strategies to support its workforce more effectively.