Treatment self regulation questionnaire
Derwin Chan Research
For Occupational Injury Prevention

English Version


The following questions relate to the reasons why you would prevent occupational injury. Different people have different reasons for doing that, and we want to know how true each of the following reasons is for you.  All 15 responses are to the same question.

Please indicate the extent to which each reason is true for you, using the following 7-point scale:


 

 

Not at

all true

Somewhat true

Very

true

1

I want to prevent or avoid injury because I feel that I want to take responsibility for my own health.

1

2

3

4

5

6

7

2

I want to prevent or avoid injury because I would feel guilty or ashamed of myself if did not.

1

2

3

4

5

6

7

3

I want to prevent or avoid injury because I personally believe it is the best thing for my health.

1

2

3

4

5

6

7

4

I want to prevent or avoid injury because others would be upset with me if I did not.

1

2

3

4

5

6

7

5

I really don't think about preventing or avoiding injury.


1

2

3

4

5

6

7

6

I want to prevent or avoid injury because I have carefully thought about it and believe it is very important for many aspects of my life.

1

2

3

4

5

6

7

7

I want to prevent or avoid injury because I would feel bad about myself if I did not.

1

2

3

4

5

6

7

8

I want to prevent or avoid injury because it is an important choice I really want to make.

1

2

3

4

5

6

7

9

I want to prevent or avoid injury because I feel pressure from others to prevent any injury that could happen to me.

1

2

3

4

5

6

7

10

I want to prevent or avoid injury because it is easier to do what I am told than think about it.

1

2

3

4

5

6

7

11

I want to prevent or avoid injury because it is consistent with my life goals.

1

2

3

4

5

6

7

12

I want to prevent or avoid injury because I want others to approve of me.

1

2

3

4

5

6

7

13

I want to prevent or avoid injury because it is very important for being as healthy as possible.

1

2

3

4

5

6

7

14

I want to prevent or avoid injury because I want others to see I can do it.

1

2

3

4

5

6

7

15

I don't really know why I want to prevent or avoid injury.


1

2

3

4

5

6

7



Scoring: Autonomous motivation (Item 1, 3, 6, 8. 11, 13), Controlled motivation (Item 2, 4, 7, 9, 12, 14), Amotivation (Item 5, 10, 15)


Note. Only the autonomous motivation subscale of simplified Chinese version (see below) was validated in the study.


Citation:

 

Chan, D. K. C., & Hagger, M. S. (2012). Autonomous forms of motivation underpinning injury prevention and rehabilitation among police officers: An application of the trans-contextual model. Motivation and Emotion, 36, 349-364.



Simplified Chinese Version


你为何预防运动创伤?

请阅读每项陈述,然后圈出最能代表您的想法的数字,请注意每项陈述句子并没有对或错,请按您自己的感觉作出回答。


 

 

完全

不正确

颇为正确

非常

正确

1

我预防或避免伤病,是为了对自己的健康负责


1

2

3

4

5

6

7

2

我预防或避免伤病,是因为如果我不这样做便会感到羞愧


1

2

3

4

5

6

7

3

我预防或避免伤病,是因为我相信为了我的健康,这是最应该做的事


1

2

3

4

5

6

7

4

我预防或避免伤病,是因为如果我不这样做,会令其它人不开心


1

2

3

4

5

6

7

5

我真的不考虑如何预防或避免伤病。


1

2

3

4

5

6

7

6

我预防或避免伤病,是因为我曾经仔细的考虑过这个问题,因为伤病预防对于我生活中的很多方面都很重要。


1

2

3

4

5

6

7

7

我预防或避免伤病,是因为我不这样做,我会觉得不好。


1

2

3

4

5

6

7

8

我预防或避免伤病,是因为这是一个我很想做的重要决定。


1

2

3

4

5

6

7

9

我预防或避免伤病,是因为看到别人受伤,让我觉得这种事也会发生在我身上。

1

2

3

4

5

6

7

10

我预防或避免伤病,是因为按照别人的指示做,比自己想如何去做容易。

1

2

3

4

5

6

7

11

我预防或避免伤病,是因为这和我的人生目标一致。


1

2

3

4

5

6

7

12

我预防或避免伤病,是因为我需要别人对我的认可。


1

2

3

4

5

6

7

13

我预防或避免伤病,是因为尽可能的保持身体健康是很重要的。


1

2

3

4

5

6

7

14

我预防或避免伤病是因为我想要其它人看到我能做到。


1

2

3

4

5

6

7

15

我真的不知道为什么我想要去做伤病预防的事。


1

2

3

4

5

6

7