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The daily dose of health information: A psychological view on the health information seeking process
(2021)
The search for health information is becoming increasingly important in everyday life, as well as socially and scientifically relevant Previous studies have mainly focused on the design and communication of information. However, the view of the seeker as well as individual
differences in skills and abilities has been a neglected topic so far. A psychological perspective on the process of searching for health information would provide important starting points for promoting the general dissemination of relevant information and thus improving health behaviour and health status. Within the present dissertation, the process of seeking health information was thus divided into sequential stages to identify relevant personality traits and skills. Accordignly, three studies are presented that focus on one stage
of the process respectively and empirically test potential crucial traits and skills: Study I investigates possible determinants of an intention for a comprehensive search for health information. Building an intention is considered as the basic step of the search process.
Motivational dispositions and self-regulatory skills were related to each other in a structural equation model and empirically tested based on theoretical investigations. Model fit showed an overall good fit and specific direct and indirect effects from approach and avoidance
motivation on the intention to seek comprehensively could be found, which supports the theoretical assumptions. The results show that as early as the formation of intention, the psychological perspective reveals influential personality traits and skills. Study II deals with the subsequent step, the selection of information sources. The preference for basic characteristics of information sources (i.e., accessibility, expertise, and interaction) is related to health information literacy as a collective term for relevant skills and intelligence as a personality trait. Furthermore, the study considers the influence of possible over- or underestimation of these characteristics. The results show not only a different predictive
contribution of health literacy and intelligence, but also the relevance of subjective and objective measurement.
Finally, Study III deals with the selection and evaluation of the health information previously found. The phenomenon of selective exposure is analysed, as this can be considered problematic in the health context. For this purpose, an experimental design was implemented in which a varying health threat was suggested to the participants. Relevant information was presented and the selective choice of this information was assessed. Health literacy was tested
as a moderator in a function of the induced threat and perceived vulnerability, triggering defence motives on the degree of bias. Findings show the importance of the consideration of the defence motives, which could cause a bias in the form of selective exposure. Furthermore, health literacy even seems to amplify this effect.
Results of the three studies are synthesized, discussed and general conclusions are drawn and implications for further research are determined.
The ability to acquire knowledge helps humans to cope with the demands of the environment. Supporting knowledge acquisition processes is among the main goals of education. Empirical research in educational psychology has identified several processes mediated through that prior knowledge affects learning. However, the majority of studies investigated cognitive mechanisms mediating between prior knowledge and learning and neglected that motivational processes might also mediate the influence. In addition, the impact of successful knowledge acquisition on patients’ health has not been comprehensively studied. This dissertation aims at closing knowledge gaps on these topics with the use of three studies. The first study is a meta-analysis that examined motivation as a mediator of individual differences in knowledge before and after learning. The second study investigated in greater detail the extent to which motivation mediated the influence of prior knowledge on knowledge gains in a sample of university students. The third study is a second-order meta-analysis synthesizing the results of previous meta-analyses on the effects of patient education on several health outcomes. The findings of this dissertation show that (a) motivation mediates individual differences in knowledge before and after learning; (b) interest and academic self-concept stabilize individual differences in knowledge more than academic self-efficacy, intrinsic motivation, and extrinsic motivation; (c) test-oriented instruction closes knowledge gaps between students; (d) students’ motivation can be independent of prior knowledge in high aptitude students; (e) knowledge acquisition affects motivational and health-related outcomes; and (f) evidence on prior knowledge and motivation can help develop effective interventions in patient education. The results of the dissertation provide insights into prerequisites, processes, and outcomes of knowledge acquisition. Future research should address covariates of learning and environmental impacts for a better understanding of knowledge acquisition processes.
The present work explores how theories of motivation can be used to enhance video game research. Currently, Flow-Theory and Self-Determination Theory are the most common approaches in the field of Human-Computer Interaction. The dissertation provides an in-depth look into Motive Disposition Theory and how to utilize it to explain interindividual differences in motivation. Different players have different preferences and make different choices when playing games, and not every player experiences the same outcomes when playing the same game. I provide a short overview of the current state of the research on motivation to play video games. Next, Motive Disposition Theory is applied in the context of digital games in four different research papers, featuring seven studies, totaling 1197 participants. The constructs of explicit and implicit motives are explained in detail while focusing on the two social motives (i.e., affiliation and power). As dependent variables, behaviour, preferences, choices, and experiences are used in different game environments (i.e., Minecraft, League of Legends, and Pokémon). The four papers are followed by a general discussion about the seven studies and Motive Disposition Theory in general. Finally, a short overview is provided about other theories of motivation and how they could be used to further our understanding of the motivation to play digital games in the future. This thesis proposes that 1) Motive Disposition Theory represents a valuable approach to understand individual motivations within the context of digital games; 2) there is a variety of motivational theories that can and should be utilized by researchers in the field of Human-Computer Interaction to broaden the currently one-sided perspective on human motivation; 3) researchers should aim to align their choice of motivational theory with their research goals by choosing the theory that best describes the phenomenon in question and by carefully adjusting each study design to the theoretical assumptions of that theory.
Heterogenität ist Teil des (Schul-)Alltags, was sich in den Lerngruppen widerspiegelt, die Lehrkräfte in der Schule vorfinden. Unterschiedlichen Bedürfnissen auf Seiten der Schüler/-innenschaft soll – und das ist in zahlreichen der Öffentlichkeit zugänglichen Dokumenten, wie Schulgesetzen, Schulordnungen und Standards für die Lehrerbildung festgeschrieben – in Form von Differenzierung begegnet werden. Innerhalb dieser Dissertation wird untersucht, wie Binnendifferenzierung auf Mikroebene in der Schulpraxis implementiert wird. Dabei werden die Einsatzhäufigkeit binnendifferenzierender Maßnahmen und Kontextvariablen von Binnendifferenzierung untersucht. Anhand einer Stichprobe von N = 295 Lehrkräften verschiedener Schulformen, die die Fächer Deutsch und/oder Englisch unterrichten, wurde u.a. gezeigt, dass Binnendifferenzierung allgemein nicht (sehr) häufig eingesetzt wird, dass manche Maßnahmen häufiger Einsatz finden als andere, dass an Gymnasien Binnendifferenzierung nicht so häufig eingesetzt wird, wie an anderen Schulformen und dass die Einsatzhäufigkeit bedingende Kontextfaktoren bspw. kollegiale Zusammenarbeit bei der Unterrichtsplanung und -durchführung, die wahrgenommene Qualität der Lehramtsausbildung hinsichtlich des Umgangs mit Heterogenität und die Bereitschaft zur Implementation von Binnendifferenzierung sind und auch Einstellungen zu Binnendifferenzierung und (Lehrer/-innen)Selbstwirksamkeitserwartungen in Zusammenhang mit dem Maßnahmeneinsatz stehen. Die durchgeführte Post-hoc Analyse zeigte bzgl. Einsatzhäufigkeit weiterhin Zusammenhänge zwischen der Persönlichkeit der Lehrkräfte und der Schulform, an der diese unterrichten. Die Ergebnisse entstammen der Schulpraxis und liefern deshalb praktische Implikationen, wie bspw. Hinweise zur Steigerung der Qualität der Lehramtsausbildung, die neben zukünftigen Forschungsansätzen im Rahmen dieser Arbeit expliziert werden.
In light of an alarming increase of sick leave and early retirement because of mental diseases, the public, political and scientific interest in an effective protection of psychological health within organizational context has been increasing for years. More and more the focus is especially on executives who influence the mental health of their employees by leadership behavior within interactions and by designing work tasks and working pro-cesses. In this regard classical and modern, explicit health-oriented leadership approaches provide valuable insights but also neglect the important influence of leadership situation on health-oriented leadership. This situation reduces the explanatory and predictive potential of available health-oriented leadership concepts.
In article 1 a conceptual framework model called Systemic Salutogenic Interaction Model (SSIM) is developed and justified that is based on findings of evidence-based leadership research but also integrates systemic concepts and key elements of the theory of saluto-genesis. The SSIM distinguishes between two levels: Within the primary system of salutogenic interaction salutogenic leadership and employees behavior for the first time are conceptualized as recipocal influence factors that influence each other (level 1). The organizational context is explicitly taken into account as significant factor outside the primary system that effects the behavior of both interaction partners mediated via cognitive pro-cesses (level 2). Due to this focus on interactions und context factors for the first time leadership situation becomes an explicit component of a health-oriented leadership concept.
First of all, article 2 focusses on the systematic analysis of the relative importance health related leadership aspects. For this purpose the TIMP-inventory was developed that records three distinct core-factors of salutogenic leadership (trust, incident management and pressure) which explain more variance of the Work-SoC construct than established general approaches and health-related leadership concepts.
In article 3 the results of a cross-sectional multilevel analysis indicate that the perceived leadership situation significantly explains variance of salutogenic leadership between teams. For the first time, this shows a significant correlation between specific aspects of leadership situation und salutogenic leadership behavior.
Within the frame of a quasi-experimental study (article 4), for the first time, a correlation is shown between salutogenic target-setting processes on executive’s side and the Work-SoC of team members. These results support an essential effect mechanism that is postulated in the SSIM. Furthermore these findings indicate that the SSIM can profitably be used within the context of salutogenic coachings, underlining its practical benefit.
Taken together the empirical findings of this dissertation support the assumption that the new SSIM approach significantly expands the explanatory und predictive potential of the health-oriented leadership concepts so far available. The results also raise a number of new, interesting questions for future research. Furthermore the SSIM broadens the perspective regarding the strategic orientation of human resource and organizational devel-opment. Especially out of the SSIM important guiding principles and innovative concepts for a target-oriented diagnostic und effective interventions can be derived. Thus this dissertation lays the foundation for a coherent, holistic oriented salutogenic leadership research und practice.
In der Vorrede zur ersten Auflage von Die Welt als Wille und Vorstellung legt Arthur Schopenhauer dem Leser seines Werkes seine Absicht nahe, welche in der Mitteilung eines „einzigen Gedankens“ besteht. Doch dieser mitzuteilende Gedanke wird an keiner Stelle des Werkes explizit und direkt als solchen von Schopenhauer ausgesprochen und genannt. Dies gibt bis heute in der Schopenhauer-Forschung Anlass zu kontroversen Auseinandersetzungen: Wie lautet Schopenhauers „einziger Gedanke“? Wo befindet er sich konkret? Und ist er überhaupt mitteilbar?
Trotz zahlreicher Forschungsarbeiten zur Thematik des „einzigen Gedankens“ wurde bisher der Einfluss der indischen Philosophie, genauer des Oupnek’hat, vernachlässigt, obwohl genauestens nachgewiesen und nachgezeichnet werden kann, mit welchen Quellen sich Schopenhauer zum Zeitpunkt der Entstehung seiner Philosophie intensiv beschäftigt hat. Auch verweist er selbst immer wieder auf bestimmte Stellen aus dem Oupnek’hat und zitiert Passagen an ganz wesentlichen Stellen in seinem Werk.
Um den „einzigen Gedanken“ im Werk Schopenhauers erfassen zu können, reicht es nicht aus, nur vom Hauptwerk selbst auszugehen, sondern es müssen ebenfalls die Jahre und Schriften während der Entstehung seiner Philosophie bis zum Hauptwerk berücksichtigt werden, und damit verbunden auch die Quellen, die Schopenhauer beeinflusst haben, wozu insbesondere das Oupnek’hat samt seinen eigenen Randnotizen gehört.
Ein positiver Zusammenhang von Leistungsmotivation, Flow und Wohlbefinden ist in Einzelpfaden gut belegt. Befunde, welche alle drei Variablen miteinander in Beziehung setzen, stehen in der Bildungsfor-schung noch aus. Ziel dieser Arbeit ist es, den Einfluss einzelner Dimensionen von Leistungsmotivation & Flow auf das subjektive Wohlempfinden von Schüler/innen, unter Berücksichtigung etwaiger Media-tionseffekte durch Flow zu untersuchen. Die Grundlage der Daten bildet der erste Messzeitpunkt einer motivationsbezogenen Interventionsstudie.
Erhoben wurden die Daten im Rahmen einer prospektiven randomisierten Längsschnittstudie im Kon-trollgruppendesign (N=742; 46,2% weibl.), welche mit Schüler/innen von sieben rheinland-pfälzischen Schulen durchgeführt wurde. Leistungsmotivation, Wohlbefinden und Flow wurden mit folgenden In-strumenten erfasst: Petermann & Winkel (2007a&b): Fragebogen zur Leistungsmotivation; Flow-Skala (in Anlehnung an Rheinberg et al., 2003); Flourishing-Skala (in Anlehnung an Diener et al., 2009). Ausge-wertet wurden die Daten mittels Mediatoranalysen per multipler Regression mit SPSS.
Die Ergebnisse multipler Regressionsanalysen konnten sowohl in der Primar-, als auch Sekundarstufe direkte Effekte einzelner Leistungsmotivationsskalen auf das subjektive Wohlbefinden belegen. Zudem wurden in den Jahrgansstufen 2&3,4&5,7&9 der Zusammenhang zwischen Leistungsmotivation und Wohlbefinden durch Flow-Erleben mediiert. In der Jahrgangsstufe 11 konnte kein Mediationseffekt gefunden werden.
Die Ergebnisse bestätigen vorliegende Korrelationsstudien und identifizieren Flow als einen zentralen Mediator zwischen der Leistungsmotivation und dem Wohlbefinden bei Schüler/innen. Die Reflexion dieser Befunde eröffnet großes Potential für die weitere Ausarbeitung und Implementierung Flow-förderlicher Interaktionen in der Schule.
Evidence points to autonomy as having a place next to affiliation, achievement, and power as one of the basic implicit motives; however, there is still some research that needs to be conducted to support this notion.
The research in this dissertation aimed to address this issue. I have specifically focused on two issues that help solidify the foundation of work that has already been conducted on the implicit autonomy motive, and will also be a foundation for future studies. The first issue is measurement. Implicit motives should be measured using causally valid instruments (McClelland, 1980). The second issue addresses the function of motives. Implicit motives orient, select, and energize behavior (McClelland, 1980). If autonomy is an implicit motive, then we need a valid instrument to measure it and we also need to show that it orients, selects, and energizes behavior.
In the following dissertation, I address these two issues in a series of ten studies. Firstly, I present studies that examine the causal validity of the Operant Motive Test (OMT; Kuhl, 2013) for the implicit affiliation and power motives using established methods. Secondly, I developed and empirically tested pictures to specifically assess the implicit autonomy motive and examined their causal validity. Thereafter, I present two studies that investigated the orienting and energizing effects of the implicit autonomy motive. The results of the studies solidified the foundation of the OMT and how it measures nAutonomy. Furthermore, this dissertation demonstrates that nAutonomy fulfills the criteria for two of the main functions of implicit motives. Taken together, the findings of this dissertation provide further support for autonomy as an implicit motive and a foundation for intriguing future studies.
Hypothalamic-pituitary-adrenal (HPA) axis-related genetic variants influence the stress response
(2019)
The physiological stress system includes the hypothalamic-pituitary-adrenal (HPA) axis and the sympathetic-adrenal-medullary system (SAM). Parameters representing these systems such as cortisol, blood pressure or heart rate define the physiological reaction in response to a stressor. The main objective of the studies described in this thesis was to understand the role of the HPA-related genetic factors in these two systems. Genetic factors represent one of the components causing individual variations in physiological stress parameters. Five genes involved in the functioning of the HPA axis regarding stress responses are examined in this thesis. They are: corticotropin-releasing hormone (CRH), the glucocorticoid receptor (GR), the mineralocorticoid receptor (MR), the 5-hydroxytryptamine-transporter-linked polymorphic region (5-HTTLPR) in the serotonin transporter (5-HTT) and the brain-derived neurotrophic factor (BDNF) gene. Two hundred thirty-two healthy participants were genotyped. The influence of genetic factors on physiological parameters, such as post-awakening cortisol and blood pressure was assessed, as well as the influence of genetic factors on stress reactivity in response to a socially evaluated cold pressor test (SeCPT). Three studies tested the HPA-related genes each on three different levels. The first study examined the influences of genotypes and haplotypes of these five genes on physiological as well as psychological stress indicators (Chapter 2). The second study examined the effects of GR variants (genotypes and haplotypes) and promoter methylation level on both the SAM system and the HPA axis stress reactivity (Chapter 3). The third study comprised the characterization of CRH promoter haplotypes in an in-vitro study and the association of the CRH promoter with stress indicators in vivo (Chapter 4).