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Doelmanagement bij mensen met reumatoïde artritis : een kwalitatief onderzoek naar de rol van verschillende vormen van doelmanagement in het leven van mensen met RA

Lovink, Annelies (2007) Doelmanagement bij mensen met reumatoïde artritis : een kwalitatief onderzoek naar de rol van verschillende vormen van doelmanagement in het leven van mensen met RA.

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Abstract:Goal management with people with RA People need goals in their lives. Goals motivate, structure and control behaviour. That’s why it’s interesting to study goal management. Several studies have shown that goal management plays a part in the lives of different groups of people. Goal management is important for the subjective well-being. No studies have examined goal management with people with RA. This makes it interesting to study goal management and how it plays a part in the lives of people with RA. In this study goal management means goal engagement, goal adjustment, goal disengagement and formulating new goals. The study investigated in which domains (work, family, relation with a partner, independence, spare time, day structure, sport and housekeeping) the different types of goal management took place. The study also investigated whether the new goals were set up in the same domains as the old ones. The study paid attention to the relation between goal management and subjective well-being. It paid attention to assimilative activities and accommodative activities. The study looked at differences in goal management between men and women and between two age groups: age group 25 to 50 and age group 50 to 85. Participants and method In this qualitative study face-to-face interviews were applied. The sample survey contained 19 people with RA, 9 men and 10 women, 6 people between 25 and 50 and 13 people between 50 and 85. The rheumatologists from Medisch Spectrum Twente asked the people with RA to participate in the study. The study used a special interview scheme, that was developed for this study. The PANAS, Positive And Negative Affect Schedule was also used. Results The study showed that goal management plays a part in the lives of the people with RA who participated in this study. Many goals in the social domains were not threatened. People with RA held on to these goals. Almost no one held on to goals that were threatened. In most cases when goals were adjusted they were set to a lower level, especially in the domains spare time, day structure and independence. People with RA also disengaged from ones without replacing them. When people with RA set up compensating goals they were always set up in the same domains as the old goals. This is a form of goal adjustment. Also when people with RA set up new, not compensating, goals, more often than not, they were in the same domains as the old goals. People with RA who disengaged from goals or adjusted goals in more than five domains, scored lower at satisfaction of life than people with RA who disengaged from goals or adjusted goals in less than six domains. People with RA who set up new and/or compensating goals had almost the same level of subjective well-being as people with RA who did not set up new and/or compensating goals. Many people with RA in this study said that they used accommodative activities, which means the adjustment of goals. Fewer people used assimilative activities, which means modifying the situation. To avoid an unmeant comparison between men and women when age groups were compared, only women in different age groups were compared. People with RA from age 25 to 50 had fewer unthreatened goals, had more goals adjusted to a lower level, and had set up more new goals than people with RA from age 50 to 85. The motivation to avoid failing and the social standard were more important for the younger age group than for the older age group. Women had fewer goals no threatened, had more goals adjusted to a lower level, had set up more compensating goals and new goals and used more accommodative activities than men. The motivation to avoid failures and the social standard played a bigger part for women than for men. Conclusion Goal management played a part in the lives of the people with RA who participated in this study. It played a part for men, women, younger and older people with RA. In the social fields the most goals were not threatened, and people with RA held on to those goals. In the fields where physical activity is important more goals were adjusted to a lower level or were disengaged.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/58902
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