TY  - JOUR
UR  - https://archiv.ub.uni-heidelberg.de/volltextserver/22994/
SP  - 1
TI  - Measuring health workers? motivation composition: validation of a scale based on Self-Determination Theory in Burkina Faso
SN  - 1478-4491
A1  - Lohmann, Julia
A1  - Souares, Aurélia
A1  - Tiendrebéogo, Justin
A1  - Houlfort, Nathalie
A1  - Robyn, Paul Jacob
A1  - Somda, Serge M. A.
A1  - De Allegri, Manuela
Y1  - 2017///
AV  - public
ID  - heidok22994
PB  - BioMed Central
IS  - 33
JF  - Human Resources for Health
N2  - 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.
EP  - 12
VL  - 15
CY  - London
ER  -