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Self-determined motivation and associated factors among health professions students in distance learning: a cross-sectional study in Morocco

Korean Journal of Medical Education 2023;35(1):33-43.
Published online: February 28, 2023

1Laboratory of Sciences and Technologies of Information and Education, Hassan II University of Casablanca, Casablanca, Morocco

2Laboratory of Physical Chemistry of Materials, Faculty of Sciences Ben M’Sik, Hassan II University of Casablanca, Casablanca, Morocco

3Medical Biology, Human and Experimental Pathology and Environment, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat, Morocco

4High Institute of Nursing Professions and Health Techniques, Guelmim, Morocco

Corresponding Author: Aziz NACIRI (https://orcid.org/0000-0001-7318-6633), Laboratory of Sciences and Technologies of Information and Education, Faculty of Sciences Ben M’Sik, Hassan II University of Casablanca, B.P 5366 Maarif, Casablanca, Morocco, Tel: +212.670743628, Fax: +212.522704675, email: aziz.ncr@gmail.com
• Received: December 9, 2022   • Revised: January 6, 2023   • Accepted: January 6, 2023

© The Korean Society of Medical Education

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Heutagogy: A Comprehensive Review of Self-Determined Learning in Contemporary Education
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  • Autonomous motivation and its change among primary healthcare workers in shandong province: A survey based on self-determination theory
    ZHAO Shi-chao, HE Jing, LI Zhi-ying, CHANG Hui-chen, WANG Ying
    Chinese General Practice Journal.2025; 2(4): 100086.     CrossRef

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Self-determined motivation and associated factors among health professions students in distance learning: a cross-sectional study in Morocco
Korean J Med Educ. 2023;35(1):33-43.   Published online February 28, 2023
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Self-determined motivation and associated factors among health professions students in distance learning: a cross-sectional study in Morocco
Korean J Med Educ. 2023;35(1):33-43.   Published online February 28, 2023
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Self-determined motivation and associated factors among health professions students in distance learning: a cross-sectional study in Morocco
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Fig. 1 The Self-determination Continuum Based on Ryan and Deci [3] From Ryan RM et al. Contemp Educ Psychol. 2000;25(1):54–67 [3], with permission from Elsevier.
Self-determined motivation and associated factors among health professions students in distance learning: a cross-sectional study in Morocco

Fields and Specialties of ISPITS Students Participating in the Study

Study fields Specialty
Nursing care Generalist nurse
Nurse in anesthesia-resuscitation
Nurse in emergency and intensive care
Community health nurse
Midwife Midwife
Health techniques Laboratory technician
Radiology technician
Reeducation and rehabilitation Ortho-prosthesis
Kinesitherapy
Medical-social assistance Social worker
Health sciences education Master’s degree in nursing and health techniques pedagogy

ISPITS: Higher Institute of Nursing Professions and Health Techniques.

Participants’ Characteristics, Experiences, and Engagements Based on Their Self-determined Motivation in Distance Learning (N=1,061)

Characteristic No. (%) Low self-determined High self-determined p-value
Age (yr) 20.2±1.3 0.470
 <21 902 (85) 392 (43.5) 510 (56.5)
 >21 159 (15) 74 (46.5) 85 (53.5)
Gender 0.210
 Female 725 (68.3) 309 (42.6) 416 (57.4)
 Male 336 (31.7) 157 (46.7) 179 (53.3)
Ethnicity 0.010
 Moroccan 1,035 (97.5) 461 (44.5) 574 (55.5)
 Other 26 (2.5) 5 (19.2) 21 (80.8)
Marital status 0.153
 Single 1,025 (96.6) 446 (43.5) 579 (56.5)
 Married 32 (3) 19 (59.4) 13 (40.6)
 Divorced 4 (0.4) 1 (25) 3 (75)
Higher education institute 0.039
 Ispits Marrakech 375 (35.3) 181 (48.3) 194 (51.7)
 Ispits Guelmim 254 (23.9) 95 (37.4) 159 (62.6)
 Ispits Laayoune 406 (38.3) 176 (43.3) 230 (56.7)
 Ispits Agadir 26 (2.5) 14 (53.8) 12 (46.2)
Discipline 0.121
 Generalist nurse 577 (54.4) 260 (45.1) 317 (54.9)
 Nurse in anesthesia-resuscitation 106 (10) 39 (36.8) 67 (63.2)
 Emergency and critical care nurse 66 (6.2) 23 (34.8) 43 (65.2)
 Community health nurse 30 (2.8) 10 (33.3) 20 (66.7)
 Midwife 41 (3.9) 20 (48.8) 21 (51.2)
 Laboratory technician 53 (5.0) 20 (37.7) 33 (62.3)
 Radiology technician 100 (9.4) 55 (55.0) 45 (45.0)
 Ortho-prosthesis 30 (2.8) 14 (46.7) 16 (53.3)
 Kinesitherapy 14 (1.3) 6 (42.9) 8 (57.1)
 Social worker 18 (1.7) 5 (27.8) 13 (72.2)
 Nursing and health technique pedagogy 26 (2.5) 14 (53.8) 12 (46.3)
Educational level <0.001
 Bachelor’ degree: 1st year 505 (47.6) 193 (38.2) 312 (61.8)
 Bachelor’ degree: 2nd year 238 (22.4) 101 (42.4) 137 (57.6)
 Bachelor’ degree: 3rd year 292 (27.5) 158 (54.1) 134 (45.9)
 Master’s degree: 2nd year 26 (2.5) 14 (53.8) 12 (46.2)
Platform or application used 0.622
 Google Classroom 254 (23.9) 110 (43.3) 144 (56.7)
 Zoom Cloud Meeting 52 (4.9) 25 (48.1) 27 (51.9)
 Google Meet 66 (6.2) 29 (43.9) 37 (56.1)
 WhatsApp Messenger 591 (55.7) 267 (45.2) 324 (54.8)
 Edmodo and Whatsapp Messenger 63 (5.9) 23 (36.5) 40 (63.5)
 Zoom Cloud Meeting and Whatsapp Messenger 35 (3.3) 12 (34.3) 23 (65.7)
Choice of gadget/device 0.807
 Laptop 300 (28.3) 128 (42.7) 172 (57.3)
 Computer 18 (1.7) 9 (50) 9 (50)
 Mobile 736 (69.4) 325 (44.2) 411 (55.8)
 Tablet 7 (0.7) 4 (57.1) 3 (42.9)
Internet quality 0.193
 Excellent 60 (5.7) 25 (41.7) 35 (58.3)
 Good 603 (56.8) 252 (41.8) 351 (58.2)
 Bad 398 (37.5) 189 (47.5) 209 (52.5)
Location of distance learning courses 0.708
 Home 954 (89.9) 415 (43.5) 539 (56.5)
 University campus 34 (3.2) 16 (47.1) 18 (52.9)
 Friends’ houses 62 (5.8) 31 (50.0) 31 (50.0)
 Leisure center 11 (1.0) 4 (36.4) 7 (63.6)
Distance learning environment <0.001
 Slightly appropriate 300 (28.3) 116 (38.7) 184 (61.3)
 Appropriate 419 (39.5) 161 (38.4) 258 (61.6)
 Inappropriate 342 (32.2) 189 (55.3) 153 (44.7)
No. of distance learning courses attended during the survey 0.986
 1 354 (33.4) 154 (43.5) 200 (56.5)
 2–3 295 (27.8) 129 (43.7) 166 (56.3)
 4–5 121 (11.4) 55 (45.5) 66 (54.4)
 >6 291 (27.4) 128 (44.0) 163 (56.0)
Student engagement during distance learning <0.001
 High engagement 623 (58.7) 199 (31.9) 424 (68.1)
 Low engagement 438 (41.3) 267 (61) 171 (39)

Data are presented as mean±standard deviation or number (%).

Ispits: High Institute of Nursing Professions and Health Techniques.

Factors Associated with Students’ Self-determined Motivation during Distance Learning Using Univariate Analysis (N=1,061)

Variable OR (95% CI) p-value
Age (yr)
 <21 1.13 (0.81–1.59) 0.470
 >21 Ref
Gender
 Male 0.85 (0.65–1.10) 0.210
 Female Ref
Ethnicity
 Moroccan 0.30 (0.11–0.79) 0.015*
 Other Ref
Marital status
 Single 0.43 (0.04–4.17) 0.469
 Married 0.20 (0.02–2.44) 0.222
 Divorced Ref
Higher education institute
 Ispits Marrakech 1.250 (0.56–2.77) 0.583
 Ispits Guelmim 1.953 (0.87–4.40) 0.106
 Ispits Laayoune 1.525 (0.69–3.38) 0.299
 Ispits Agadir Ref
Discipline
 Generalist nurse 1.422 (0.65–3.13) 0.381
 Nurse in anesthesia-resuscitation 2.004 (0.84–4.77) 0.116
 Emergency and critical care nurse 2.181 (0.87–5.49) 0.098
 Community health nurse 2.333 (0.79–6.88) 0.125
 Midwife 1.225 (0.46–3.28) 0.686
 Laboratory technician 1.925 (0.74–4.98) 0.177
 Radiology technician 0.955 (0.40–2.27) 0.916
 Ortho-prosthetist 1.333 (0.46–3.82) 0.592
 Physiotherapist 1.556 (0.42–5.76) 0.508
 Social worker 3.033 (0.84–10.99) 0.091
 Nursing and health technique pedagogy Ref
Educational level
 Bachelor’ degree: 1st year 1.886 (0.85–4.16) 0.116
 Bachelor’ degree: 2nd year 1.583 (0.70–3.57) 0.268
 Bachelor’ degree: 3rd year 0.989 (0.44–2.21) 0.979
 Master’s degree: 2nd year Ref
Platform or application used
 Google Classroom 0.683 (0.33–1.43) 0.313
 Zoom Cloud Meeting 0.563 (0.23–1.36) 0.204
 Google Meet 0.666 (0.28–1.56) 0.348
 Whatsapp Messenger 0.633 (0.31–1.30) 0.211
 Edmodo and Whatsapp Messenger 0.907 (0.38–2.16) 0.826
 Zoom Cloud Meeting and Whatsapp Messenger Ref
Choice of gadget/device
 Laptop 1.792 (0.39–8.15) 0.450
 Computer 1.333 (0.23–7.74) 0.749
 Mobile 1.686 (0.37–7.59) 0.496
 Tablet Ref
Internet quality
 Excellent 1.266 (0.73–2.19) 0.400
 Good 1.260 (0.98–1.62) 0.076
 Bad Ref
Site of distance learning courses
 Home 0.742 (0.22–2.55) 0.636
 University campus 0.643 (0.16–2.61) 0.536
 Friends’ houses 0.571 (0.15–2.15) 0.408
 Leisure center Ref
Distance learning environment
 Slightly appropriate 1.959 (1.43–2.69) <0.001**
 Appropriate 1.980 (1.48–2.65) <0.001**
 Inappropriate Ref
No. of distance learning courses attended during the survey
 1 1.020 (0.76–1.40) 0.902
 2–3 1.011 (0.73–1.40) 0.950
 4–5 0.942 (0.61–1.44) 0.785
 >6 Ref
Student engagement during distance learning
 High engagement 3.327 (2.58–4.29) <0.001**
 Low engagement Ref

OR: Odds ratio, CI: Confidence interval, Ref: Reference, Ispits: High Institute of Nursing Professions and Health Techniques.

*p<0.05; The correlation is significant at the 0.05 level (two-tailed).

**p<0.01; The correlation is significant at the 0.01 level (two-tailed).

Factors Affecting Students’ Self-determined Motivation during Distance Learning Using Multivariate Analysis (N=1,061)

Variable β SE Wald aOR (95% CI) p-value
Ethnicity
 Moroccan −1.387446 0.550777 6.345723 0.25 (0.08–0.73) 0.012
Educational level
 1st year bachelor’s degree 0.499502 0.179684 7.727843 1.65 (1.16–2.34) 0.005
Distance learning environment
 Slightly appropriate 0.500497 0.178169 7.891114 1.65 (1.16–2.40) 0.005
 Appropriate 0.502233 0.166281 9.122733 1.65 (1.19–2.29) 0.003
Student engagement
 High engagement 1.067519 0.141007 57.315374 2.91 (2.21–3.80) <0.001

SE: Standard error, aOR: Adjusted odds ratio, CI: Confidence interval.

Pearson Correlation Coefficients between Learning Motivation and Student Engagement (N=1,061)

Variable Emotional engagement Behavioral engagement Cognitive engagement
Intrinsic motivation 0.474** 0.292** 0.307**
Identified regulation 0.412** 0.276** 0.266**
External regulation −0.069* 0.112** 0.039
Amotivation −0.102** −0.114** −0.129**

*p<0.05.

**p<0.01.

Table 1 Fields and Specialties of ISPITS Students Participating in the Study

ISPITS: Higher Institute of Nursing Professions and Health Techniques.

Table 2 Participants’ Characteristics, Experiences, and Engagements Based on Their Self-determined Motivation in Distance Learning (N=1,061)

Data are presented as mean±standard deviation or number (%).

Ispits: High Institute of Nursing Professions and Health Techniques.

Table 3 Factors Associated with Students’ Self-determined Motivation during Distance Learning Using Univariate Analysis (N=1,061)

OR: Odds ratio, CI: Confidence interval, Ref: Reference, Ispits: High Institute of Nursing Professions and Health Techniques.

p<0.05; The correlation is significant at the 0.05 level (two-tailed).

p<0.01; The correlation is significant at the 0.01 level (two-tailed).

Table 4 Factors Affecting Students’ Self-determined Motivation during Distance Learning Using Multivariate Analysis (N=1,061)

SE: Standard error, aOR: Adjusted odds ratio, CI: Confidence interval.

Table 5 Pearson Correlation Coefficients between Learning Motivation and Student Engagement (N=1,061)

p<0.05.

p<0.01.