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Exploring the structural relationships between medical students’ motivational regulation, cognitive learning, and academic performance in online learning

Korean Journal of Medical Education 2021;33(2):115-124.
Published online: May 26, 2021

1Institute of Educational Research, Chonnam National University, Gwangju, Korea

2Department of Medical Education, Chonnam National University Medical School, Hwasun, Korea

Corresponding Author: Eun-Kyung Chung (https://orcid.org/0000-0002-3595-0220) Department of Medical Education, Chonnam National University Medical School, 264 Seoyang-ro, Hwasun-eup, Hwasun 58128, Korea Tel: +82.61.379.2602 Fax: +82.62.232.9708 email: ekcmedu@chonnam.ac.kr
• Received: February 9, 2021   • Revised: April 24, 2021   • Accepted: May 3, 2021

© The Korean Society of Medical Education. All rights reserved.

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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Exploring the structural relationships between medical students’ motivational regulation, cognitive learning, and academic performance in online learning
Korean J Med Educ. 2021;33(2):115-124.   Published online May 26, 2021
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Exploring the structural relationships between medical students’ motivational regulation, cognitive learning, and academic performance in online learning
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Fig. 1. Path Standardized Coefficients for Structural ModelCLS: Cognitive learning strategies. *p<0.05. **p<0.01. ***p<0.001.
Exploring the structural relationships between medical students’ motivational regulation, cognitive learning, and academic performance in online learning
Construct MRS (no. of items) Description (sample item)
Interest enhancement 1. Enhancement of situational interest (5) Turning a relatively tedious task into a more fascinating one through imaginative modification. (I make learning more pleasant for me by trying to arrange it playfully.)
2. Enhancement of personal significance (3) Establishing a connection between the task and one’s own personal interests and preferences. (I look for connections between the tasks and my life as such.)
Goal orientation 3. Mastery self-talk (4) Highlighting the goal to enlarge one’s competence and master challenging tasks. (I persuade myself to work intensely for the sake of learning.)
4. Performance approach self-talk (5) Earning a higher exam grade than one’s classmates. (I call my attention to the fact of how important it is to obtain good grades.)
5. Performance avoidance self-talk (3) Avoiding others who make fun of one’s poor performance.(I tell myself that I have to push me more if I do not want to make a fool of myself.
Behavioral reinforcement 6. Self-consequating (4) Self-administered gratification for achieving a certain goal. (I put the prospect of any reward to myself in case I finish work.)
7. Proximal goal setting (3) Dividing learning materials into small and manageable pieces to experience success more quickly and frequently. (I break down the work load in small segments so I get the feeling that I can handle it more easily.)
Environmental control 8. Environmental control (3) Intentionally eliminating possible distractions. (I make sure that distractions occur as seldom as possible.)
CLS (no. of items) Description (sample item)
Surface level strategy
Rehearsal (4) Involve review, repetition, recitation, reading aloud and highlighting, or underlining to facilitate the attention, coding, and retention of information at superficial memory levels. (When I study for this class, I practice saying the material to myself over and over.)
Deep processing strategies
Elaboration (6) Focused on building connections between different learning content by summarizing, creating analogies, generative note-taking, explaining ideas and asking and answering questions. Classified as an intermediate-level strategy as it facilitates commitment to long-term memory. (I try to relate ideas in this subject to those in other courses whenever possible).
Organization (4) Refers to further processing of information including the selectionof the main interrelated ideas and organization of them into different categories by outlining and using a variety of specific techniques such as modification of information and restructuring of knowledge through diagrams, classifications or comparisons. (When I study for this course, I go through the readings and my class notes and try to find the most important ideas.)
Critical thinking (5) Establishes relationships between prior and new knowledge, leading to the ability to solve problems, make decisions and evaluations, and develop argumentative and reflective capabilities by thinking critically and making regressions and inferences. (I often find myself questioning things I hear or read in this course to decide if I find them convincing.)
Variable Mean±SD Skewness Kurtosis Cronbach’s α
1. Interest enhancement 3.23±0.80 -0.13 0.64 0.83
2. Goal orientation 3.59±0.65 -0.34 0.36 0.78
3. Behavioral reinforcement 3.55±0.68 -0.47 0.59 0.73
4. Environmental control 3.40±0.73 -0.26 0.58 0.69
5. Rehearsal 3.77±0.69 -0.42 -0.02 0.64
6. Elaboration 3.84±0.65 -0.29 0.44 0.75
7. Organization 3.76±0.69 -0.45 1.08 0.74
8. Critical thinking 3.51±0.71 -0.37 0.40 0.69
9. Academic performance 3.60±0.60 -0.75 0.54 -
10. Academic levelsa) 3.11±1.38 -0.13 -1.21 -
11. Genderb) 0.65±0.48 -0.63 -1.61 -
Variable 1 2 3 4 5 6 7 8 9 10 11
1 1
2 0.46** 1
3 0.59** 0.51** 1
4 0.58** 0.49** 0.59** 1
5 0.44** 0.51** 0.48** 0.36** 1
6 0.47** 0.53** 0.47** 0.38** 0.62** 1
7 0.41** 0.52** 0.53** 0.41** 0.63** 0.70** 1
8 0.60** 0.48** 0.47** 0.43** 0.51** 0.60** 0.49** 1
9 -0.01 0.07 0.01 -0.04 0.12** 0.16** 0.17** 0.01 1
10 0.01 0.04 -0.01 0.06 -0.21** -0.11* -0.11* -0.02 -0.18** 1
11 0.03 -0.02 -0.04 0.01 0.03 0.04 0.02 0.11* -0.22** -0.02 1
Table 1. Descriptions of Motivational Regulation Strategies

MRS: Motivational regulation strategies.

Table 2. Descriptions of Cognitive Learning Strategies

CLS: Cognitive learning strategies.

Table 3. Descriptive Statistics of Variables (n=510)

SD: Standard deviation.

Academic levels were codes as 1 (first-year pre-medical student), 2 (second-year pre-medical student), 3 (first-year medical student), 4 (second-year medical student), and 5 (third-year medical student).

Gender was coded as 0 (female) and 1 (male).

Table 4. Correlations of Variables (n=510)

Variables are 1 (interest enhancement), 2 (goal orientation), 3 (behavioral reinforcement, 4 (environmental control), 5 (rehearsal), 6 (elaboration), 7 (organization), 8 (critical thinking), 9 (academic performance), 10 (academic levels, and 11 (gender).

p<0.05.

p<0.01.