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1- Department of Environmental Health Engineering, School of Health, Kashan University of Medical Sciences, Kashan, Iran
2- Department of Anesthesiology, School of Allied Medical Sciences, Kashan University of Medical Sciences, Kashan, Iran ,f_mirhoseiny@yahoo.com
3- Department of Medical Education, Social Determinants of Health Research Center & Education Development Center (EDC), Zanjan University of Medical Sciences, Zanjan, Iran.
4- Department of Biostatistics and Epidemiology, School of Health, Kashan University of Medical Sciences, Kashan, Iran
2- Department of Anesthesiology, School of Allied Medical Sciences, Kashan University of Medical Sciences, Kashan, Iran ,
3- Department of Medical Education, Social Determinants of Health Research Center & Education Development Center (EDC), Zanjan University of Medical Sciences, Zanjan, Iran.
4- Department of Biostatistics and Epidemiology, School of Health, Kashan University of Medical Sciences, Kashan, Iran
Abstract: (5 Views)
Background & Objective: Motivation is essential for learning, but sustaining it over time requires active self-regulation. This study aimed to develop and psychometrically evaluate a 33-item adaptation of a motivational self-regulation instrument for health students. Confirmatory factor analysis (CFA) was conducted to determine whether the original seven-factor structure was retained in this population.
Materials & Methods: This psychometric study was conducted between 2018 and 2022 among 174 health students at Kashan University of Medical Sciences. All eligible students were invited to participate voluntarily. The instrument was adapted from the questionnaire developed by Norouzi et al. (2011). Item modifications were informed by a qualitative phase involving 10 experts and cognitive interviews with six students. Reliability was assessed using Cronbach's alpha, and structural validity was evaluated through confirmatory factor analysis.
Results: The Content Validity Index (CVI) was 0.98. The instrument demonstrated excellent internal consistency (Cronbach's α = 0.939; ICC = 0.993). Confirmatory factor analysis showed an acceptable model fit (χ² = 840.95, df = 443, RMSEA = 0.069, SRMR = 0.071, CFI = 0.96, NFI = 0.92). Age was significantly associated with progressive situational awareness, proactive situational awareness, and value adjustment strategies (p < 0.05).
Conclusion: The 33-item instrument demonstrated acceptable validity and reliability for assessing motivational self-regulation strategies among health students and can be used in future health education research.
Materials & Methods: This psychometric study was conducted between 2018 and 2022 among 174 health students at Kashan University of Medical Sciences. All eligible students were invited to participate voluntarily. The instrument was adapted from the questionnaire developed by Norouzi et al. (2011). Item modifications were informed by a qualitative phase involving 10 experts and cognitive interviews with six students. Reliability was assessed using Cronbach's alpha, and structural validity was evaluated through confirmatory factor analysis.
Results: The Content Validity Index (CVI) was 0.98. The instrument demonstrated excellent internal consistency (Cronbach's α = 0.939; ICC = 0.993). Confirmatory factor analysis showed an acceptable model fit (χ² = 840.95, df = 443, RMSEA = 0.069, SRMR = 0.071, CFI = 0.96, NFI = 0.92). Age was significantly associated with progressive situational awareness, proactive situational awareness, and value adjustment strategies (p < 0.05).
Conclusion: The 33-item instrument demonstrated acceptable validity and reliability for assessing motivational self-regulation strategies among health students and can be used in future health education research.
Keywords: motivation, psychometrics, questionnaires, students, health occupations, factor analysis, statistical
Article Type : Orginal Research |
Subject:
Medical Education
Received: 2025/12/30 | Accepted: 2026/07/4
Received: 2025/12/30 | Accepted: 2026/07/4
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