How medical students' perceptions of instructor autonomy-support mediate their motivation and psychological well-being.

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Title: How medical students' perceptions of instructor autonomy-support mediate their motivation and psychological well-being.
Authors: Neufeld, Adam1 adam.neufeld@usask.ca, Malin, Greg2
Source: Medical Teacher. Jun2020, Vol. 42 Issue 6, p650-656. 7p.
Subject Terms: *Autonomy (Psychology), *Educators, *Psychology of medical students, *Motivation (Psychology), *School environment, *Students, *Student attitudes, *Occupational roles, Age distribution, Professions, Questionnaires, Satisfaction, Sex distribution, Multiple regression analysis, Social support, Well-being, Descriptive statistics
Geographic Terms: Canada
Abstract: Purpose: Medical student well-being is an increasing concern in medical education. Understanding the role instructors and programs have in supporting well-being is an important puzzle piece. This study explores the relationship between medical students' perceptions of instructor autonomy-support, motivation, and well-being. Using self-determination theory, we aim to provide a practical framework through which medical instructors can support student autonomy and well-being in the learning environment. Materials and methods: Students from the University of Saskatchewan completed a survey measuring perceptions of the learning climate (LC) (instructor autonomy-support), satisfaction/frustration of basic motivational needs (autonomy, competence, relatedness), and psychological well-being. Multiple linear regression was used to determine whether age, gender, and year of study affected students' well-being, before a mediation model was tested to assess the direct effect of the LC and indirect effects of students' basic need fulfillment on their well-being. Results: The response rate was 183/400 (46%). Higher ratings of autonomy-support significantly predicted better student well-being. This was mediated completely by students' feelings of basic need fulfillment. Relatedness satisfaction contributed most to ratings of instructor autonomy-support. Conclusions: Cultivating autonomy-support for medical students is critical to their well-being. Learning environments that optimize autonomy-support will also support students' feelings of relatedness and competence. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: How medical students' perceptions of instructor autonomy-support mediate their motivation and psychological well-being.
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  Data: Purpose: Medical student well-being is an increasing concern in medical education. Understanding the role instructors and programs have in supporting well-being is an important puzzle piece. This study explores the relationship between medical students' perceptions of instructor autonomy-support, motivation, and well-being. Using self-determination theory, we aim to provide a practical framework through which medical instructors can support student autonomy and well-being in the learning environment. Materials and methods: Students from the University of Saskatchewan completed a survey measuring perceptions of the learning climate (LC) (instructor autonomy-support), satisfaction/frustration of basic motivational needs (autonomy, competence, relatedness), and psychological well-being. Multiple linear regression was used to determine whether age, gender, and year of study affected students' well-being, before a mediation model was tested to assess the direct effect of the LC and indirect effects of students' basic need fulfillment on their well-being. Results: The response rate was 183/400 (46%). Higher ratings of autonomy-support significantly predicted better student well-being. This was mediated completely by students' feelings of basic need fulfillment. Relatedness satisfaction contributed most to ratings of instructor autonomy-support. Conclusions: Cultivating autonomy-support for medical students is critical to their well-being. Learning environments that optimize autonomy-support will also support students' feelings of relatedness and competence. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1080/0142159X.2020.1726308
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 650
    Subjects:
      – SubjectFull: Autonomy (Psychology)
        Type: general
      – SubjectFull: Educators
        Type: general
      – SubjectFull: Psychology of medical students
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: School environment
        Type: general
      – SubjectFull: Students
        Type: general
      – SubjectFull: Student attitudes
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Professions
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Satisfaction
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Canada
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      – TitleFull: How medical students' perceptions of instructor autonomy-support mediate their motivation and psychological well-being.
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              Text: Jun2020
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              Y: 2020
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