title: Measuring health workers’ motivation composition: validation of a scale based on Self-Determination Theory in Burkina Faso creator: Lohmann, Julia creator: Souares, Aurélia creator: Tiendrebéogo, Justin creator: Houlfort, Nathalie creator: Robyn, Paul Jacob creator: Somda, Serge M. A. creator: De Allegri, Manuela subject: ddc-610 subject: 610 Medical sciences Medicine description: Background: Although motivation of health workers in low- and middle-income countries (LMICs) has become a topic of increasing interest by policy makers and researchers in recent years, many aspects are not well understood to date. This is partly due to a lack of appropriate measurement instruments. This article presents evidence on the construct validity of a psychometric scale developed to measure motivation composition, i.e., the extent to which motivation of different origin within and outside of a person contributes to their overall work motivation. It is theoretically grounded in Self-Determination Theory (SDT). Methods: We conducted a cross-sectional survey of 1142 nurses in 522 government health facilities in 24 districts of Burkina Faso. We assessed the scale’s validity in a confirmatory factor analysis framework, investigating whether the scale measures what it was intended to measure (content, structural, and convergent/discriminant validity) and whether it does so equally well across health worker subgroups (measurement invariance). Results: Our results show that the scale measures a slightly modified version of the SDT continuum of motivation well. Measurements were overall comparable between subgroups, but results indicate that caution is warranted if a comparison of motivation scores between groups is the focus of analysis. Conclusions: The scale is a valuable addition to the repository of measurement tools for health worker motivation in LMICs. We expect it to prove useful in the quest for a more comprehensive understanding of motivation as well as of the effects and potential side effects of interventions intended to enhance motivation. publisher: BioMed Central date: 2017 type: Article type: info:eu-repo/semantics/article type: NonPeerReviewed format: application/pdf identifier: https://archiv.ub.uni-heidelberg.de/volltextserver/22994/1/12960_2017_Article_208.pdf identifier: DOI: identifier: urn:nbn:de:bsz:16-heidok-229948 identifier: Lohmann, Julia ; Souares, Aurélia ; Tiendrebéogo, Justin ; Houlfort, Nathalie ; Robyn, Paul Jacob ; Somda, Serge M. A. ; De Allegri, Manuela (2017) Measuring health workers’ motivation composition: validation of a scale based on Self-Determination Theory in Burkina Faso. Human Resources for Health, 15 (33). pp. 1-12. ISSN 1478-4491 relation: https://archiv.ub.uni-heidelberg.de/volltextserver/22994/ rights: info:eu-repo/semantics/openAccess rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id) language: eng