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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" dtd-version="1.0" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IJME</journal-id>
      <journal-id journal-id-type="nlm-ta">Int J Med Educ</journal-id>
      <journal-title-group>
        <journal-title>International Journal of Medical Education</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Int J Med Educ</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2042-6372</issn>
      <publisher>
        <publisher-name>IJME</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">9-309315</article-id>
      <article-id pub-id-type="doi">10.5116/ijme.5bec.81cf</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original research</subject>
          <subj-group>
            <subject>Strategies for learning questionnaire</subject>
          </subj-group>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Validity of the motivated strategies for learning questionnaire in Saudi Arabia</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Bin Dayel</surname>
            <given-names>Salman</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">
            <sup>1</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Al Diab</surname>
            <given-names>Abdurrahman</given-names>
          </name>
          <xref ref-type="aff" rid="aff2">
            <sup>2</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Abdelaziz</surname>
            <given-names>Adel</given-names>
          </name>
          <xref ref-type="aff" rid="aff3">
            <sup>3</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Farghaly</surname>
            <given-names>Amira</given-names>
          </name>
          <xref ref-type="aff" rid="aff3">
            <sup>3</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Al Ansari</surname>
            <given-names>Ahmed</given-names>
          </name>
          <xref ref-type="aff" rid="aff4">
            <sup>4</sup>
          </xref>
        </contrib>
        <aff id="aff1"><label>1</label>Department of Dermatology, College of Medicine, Prince Sattam Bin Abdulaziz University, Saudi Arabia</aff>
        <aff id="aff2"><label>2</label>Department of Internal Medicine, College of Medicine, King Saud University, Saudi Arabia</aff>
        <aff id="aff3"><label>3</label>Department of Medical Education, College of Medicine, Prince Sattam Bin Abdulaziz University, Saudi Arabia</aff>
        <aff id="aff4"><label>4</label>Training and Education Department, Bahrain Defense Force, Bahrain</aff>
      </contrib-group>
      <author-notes>
        <corresp id="cor1">Correspondence: Ahmed Al Ansari, Training and Education Department, Bahrain Defense Force, Bahrain. Email: <email xlink:href="drahmedalansari@gmail.com">drahmedalansari@gmail.com</email></corresp>
      </author-notes>
      <pub-date pub-type="epub">
        <day>30</day>
        <month>11</month>
        <year>2018</year>
      </pub-date>
      <pub-date pub-type="collection">
        <year>2018</year>
      </pub-date>
      <volume>9</volume>
      <fpage>309</fpage>
      <lpage>315</lpage>
      <history>
        <date date-type="accepted">
          <day>14</day>
          <month>11</month>
          <year>2018</year>
        </date>
        <date date-type="received">
          <day>18</day>
          <month>01</month>
          <year>2018</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright: &#xA9; 2018 Salman Bin Dayel et al.</copyright-statement>
        <copyright-year>2018</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
          <license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use of work provided the original work is properly cited. <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link></license-p>
        </license>
      </permissions>
      <abstract>
        <sec><title>Objectives</title>
<p>To assess the construct validity and reliability of the
motivation section of the Motivated Strategies for Learning Questionnaire in
Saudi Arabia.

</p></sec>
        <sec><title>Methods</title>
<p>A cross-sectional study using the Motivated Strategies for
Learning Questionnaire (MSLQ) was conducted.&#xA0;
The MSQL has essentially two sections: a motivation section and a
learning strategies section.&#xA0; The
motivation section, which consists of 31 items, was used.&#xA0; A total of 146 medical students who were all
male completed the questionnaire.&#xA0;
Confirmatory factor analysis was used to test the hypothesised factor
structure, and to identify the validity and reliability of the motivation section
of the MSQL.&#xA0;&#xA0;&#xA0;&#xA0; 

</p></sec>
        <sec><title>Results</title>
<p>A selected group of fit statistics showed that the
hypothesised model did not fit the sample data fairly well.&#xA0; The Intrinsic Goal Orientation subscale
consisted of 4 items (&#x3B1; = 0.75), the Extrinsic Goal Orientation subscale
consisted of 4 items (&#x3B1; = 0.78), the Task Value subscale consisted of 6 items
(&#x3B1; =0.86), the Control of Learning Beliefs consisted of 4 items (&#x3B1; =0.78), the
Self-Efficacy for Learning and Performance consisted of 8 items (&#x3B1; =0.89), and
the Test Anxiety consisted of 5 items (&#x3B1; =0.77). 

</p></sec>
        <sec><title>Conclusions</title>
<p>It is concluded that the hypothesised model did not
fit the data well. This may suggest that the motivation section of the MSQL may
not work for Saudi Arabian students. However, this could be due to the fact
that the sample data available on this study did not represent female students.
Further work is required to establish this. Limitations of the study are
discussed.</p></sec>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>Motivation</kwd>
        <kwd>CFA</kwd>
        <kwd>scale development</kwd>
        <kwd>Saudi  Arabia</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
<sec sec-type="intro"><title>Introduction</title>
<p>Pintrich and colleagues<xref ref-type="bibr" rid="r1"><sup>1</sup></xref> highly emphasised the relationship between motivation and cognition in student performance and learning. It is well documented that there is a relationship between motivation and student performance.<xref ref-type="bibr" rid="r2"><sup>2</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r4"><sup>4</sup></xref> This suggests that if we measure the academic motivation of students using a specific tool, we will able to improve the learning strategies of students.<xref ref-type="bibr" rid="r5"><sup>5</sup></xref> Pintrich and colleagues have developed the Motivated Strategies for Learning Questionnaire (MSLQ) in order to measures &#x201C;students&#x2019; motivational orientations and their use of different learning strategies for a specific college course.<xref ref-type="bibr" rid="r1"><sup>1</sup></xref></p>
<p>The MSLQ is based on a general cognitive view of motivation and learning strategies in which the student is an active information processor, and beliefs and cognitions mediate instructional input.<xref ref-type="bibr" rid="r1"><sup>1</sup></xref> The questionnaire consisted of two sections. The first section was designed to measure the academic motivation used by students. The second section was intended to measure the types of learning strategies. Since these sections measure two different constructs, therefore each section can be used separately or together. Therefore, based on the purpose of this study, researchers can use one of these sections or use both sections together.<xref ref-type="bibr" rid="r1"><sup>1</sup></xref><sup>,</sup><xref ref-type="bibr" rid="r5"><sup>5</sup></xref>&#xA0;&#xA0; As the purpose of this study is to fit a model for the academic motivation of medical students, the section of motivation is used.</p>
<p>The academic motivation section of the MSLQ is based on the social-cognitive model of motivation, which consisted of three general motivational constructs: expectancy, value and affect.<xref ref-type="bibr" rid="r6"><sup>6</sup></xref><sup>,</sup><xref ref-type="bibr" rid="r7"><sup>7</sup></xref> The expectancy construct focuses on students&#x2019; beliefs that they can accomplish a task, and it consists of two subscales. The first subscale is the control of learning beliefs (the belief that outcomes depend on effort and ability rather than on external factors), and the second is self-efficacy (the confidence that one&#x2019;s abilities are sufficient to succeed). The construct of value focuses on the student&#x2019;s reasons for engaging in an academic task and consisted of three subscales. The first subscale is intrinsic goal orientation (a focus on learning and mastery), the second subscale is extrinsic goal orientation (a focus on grades and approval from others), and the third subscale is task value beliefs (a judgement of how interesting, useful and essential the student finds the course content).<xref ref-type="bibr" rid="r8"><sup>8</sup></xref> The last construct is the construct of affect, and it includes responses to a test anxiety scale, which addresses student worries.<xref ref-type="bibr" rid="r8"><sup>8</sup></xref></p>
<p>The MSLQ, either in its entirety or the form of selected subscales, has been used in many different ways to improve learning.&#xA0; For instance,&#xA0; it has been used to measure the nature of motivation across different course subjects,<xref ref-type="bibr" rid="r9"><sup>9</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r13"><sup>13</sup></xref> and different populations.<xref ref-type="bibr" rid="r5"><sup>5</sup></xref><sup>, </sup><xref ref-type="bibr" rid="r14"><sup>14</sup></xref> It has also been used to measure the motivational effects of various aspects of teaching strategies and course structures.<xref ref-type="bibr" rid="r15"><sup>15</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r18"><sup>18</sup></xref> The MSLQ is a reliable and valid questionnaire for measuring academic motivation in some different countries with different cultures, including Estonia, Iran, Turkey, Pakistan, Portugal, Spain, China and America.<xref ref-type="bibr" rid="r5"><sup>5</sup></xref><sup>,</sup><xref ref-type="bibr" rid="r19"><sup>19</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r23"><sup>23</sup></xref> It has also been used to improve education for undergraduate medical students and other healthcare students.<xref ref-type="bibr" rid="r2"><sup>2</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r5"><sup>5</sup></xref> &#xA0;Therefore, the questionnaire can be used&#xA0; for different cultures to monitor and enhance the quality of educational strategies.</p>
<p>However, no previous studies have investigated the hypothesised model of the academic motivation section among Saudi Arabian medical students. Since social and cultural issues can be threats to the validity of test scores,<xref ref-type="bibr" rid="r24"><sup>24</sup></xref> one may argue that the MSLQ might perform differently among Saudi Arabian medical students who their culture is different with Western culture.&#xA0; If this is the case, the MSLQ is required to be revised.<xref ref-type="bibr" rid="r25"><sup>25</sup></xref> Therefore, the aim of this study is to shine new light on these debates through an investigation of the hypothesised structure of the academic motivation section of the MSLQ<xref ref-type="bibr" rid="r1"><sup>1</sup></xref> among Saudi Arabian medical students.&#xA0; A further aim is to provide reliability evidence for the subscales of the academic motivation of the MSLQ.</p>
<sec><title>Methods</title></sec><sec><title>Study design and participants</title>
<p>A cross-sectional study was used to investigate the hypothesised model of the motivation section of the MSLQ. To achieve this, a total of 146 medical students in the University of Prince Sattam Bin Abdulaziz was recruited using a convenience sampling strategy. The University has recruitment targets for male students. For that reason, all of the participants of the study were male. They were in the second to the sixth year of their studies.</p>
</sec><sec><title>Instrument</title>
<p>The motivation section of the MSLQ was used in this study includes 31 items answered on a seven-point Likert&#x2013;type scale (1= &#x201C;not at all true for me&#x201D;, 7= &#x201C;very true for me&#x201D;), see <xref ref-type="supplementary-material" rid="S1">Appendix 1</xref>. A student&#x2019;s score is based on each subscale by summing the number of items and taking the average.<xref ref-type="bibr" rid="r1"><sup>1</sup></xref> The motivation section has six subscales used to represent numerous aspects of the students&#x2019; goals, and values for a particular course (e.g., students&#x2019; beliefs about their success to succeed in a particular course) and is a well-respected questionaire with satisfactory psychometric properties.<xref ref-type="bibr" rid="r1"><sup>1</sup></xref><sup>, </sup><xref ref-type="bibr" rid="r26"><sup>26</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r28"><sup>28</sup></xref>&#xA0;</p>
</sec><sec><title>Procedure</title>
<p>Prior to undertaking the investigation, ethical clearance was obtained from the Research Ethical Committee in the University of Prince Sattam Bin Abdulaziz, College of Medicine, Saudi Arabia. In order to protect research participants, the confidentiality and anonymity of participants and their data were preserved.&#xA0; To collect data in a professional manner, we sent the questionnaire to the department of education at the University in order to print and distribute our survey questionnaires to the students. To gather an adequate sample size, the data were collected in different places. For example, some students completed the questionnaires in class time, and other students completed the questionnaire in the department of education.</p>
</sec><sec><title>Statistical analysis</title>
<p>Confirmatory Factor Analysis of the responses was performed using the statistical packages SPSS and AMOS (version 22). This procedure was used both to measure the construct validity of the academic motivation section of the MSLQ and to test the fit of the hypothesised model to the sample data. To evaluate the construct validity of the questionnaire and assess whether the data fit the empirical model, a CFA was performed.&#xA0; The following fit statistics were used to identify the model fit: the chi-square statistic ( a p-value higher than&#xA0; 0.01 suggests that the fit of the data to the hypothesised model is entirely adequate ).<xref ref-type="bibr" rid="r31"><sup>31</sup></xref> The standardized root mean square residual (SRMR) ( values higher than 0.09 suggests the sample data fit the model).<xref ref-type="bibr" rid="r32"><sup>32</sup></xref> The Tucker-Lewise Index (TLI) ( a value&#xA0; &#x2265; 0.95 suggests the data adequately fit the model).32 The root mean square error of approximation (RMSEA) ( values &lt; 0.06&#xA0; suggests the initially hypothesised model fits the data well).<xref ref-type="bibr" rid="r32"><sup>32</sup></xref> The comparative fit index (CFI) ( a value &#x2265; 0.90 suggests acceptable model fit).<xref ref-type="bibr" rid="r33"><sup>33</sup></xref>&#xA0; Besides, the internal consistency reliability of the scale scores was measured using Cronbach&#x2019;s alpha. An alpha of 0.70 is acceptable score reliability.<xref ref-type="bibr" rid="r34"><sup>34</sup></xref> The multiple imputation techniques was used to replace missing values prior to analysis which is used for structural equation modelling.<xref ref-type="bibr" rid="r29"><sup>29</sup></xref><sup>,</sup><xref ref-type="bibr" rid="r30"><sup>30</sup></xref> Finally, the path diagrams were drawn to display the hypothesised model of the academic motivation section of the MSLQ.</p>
</sec></sec><sec sec-type="results"><title>Results</title>
<p><xref ref-type="table" rid="t1">Table 1</xref> shows the mean and standard deviation for each item within each subscale. As can be seen from the Table, Cronbach&#x2019;s alphas for the subscales are satisfactory, a range from 0.75 to 0.89.&#xA0; The hypothesised six-factor model of the academic motivation of the MSLQ is described graphically in <xref ref-type="fig" rid="f1">Figure 1</xref>. Circles represent latent variables and rectangles represent measure variables.</p>

	  
<table-wrap id="t1" position="float"><label>Table 1</label><caption><title>Means, standard deviations and reliability, (N=146)</title></caption>
<table width="100%">
<thead><tr style="border-top: 1pt solid; border-bottom: 1pt solid;">
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 436px;">Item</th>
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 47px;">Mean</th>
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 49px;">SD</th>
</tr></thead>
<tbody>
<tr>
<td align="left" style="width: 436px;">Intrinsic Goal Orientation</td>
<td align="left" style="width: 47px;"/>
<td align="left" style="width: 49px;"/>
</tr>
<tr>
<td align="left" style="width: 436px;">1. &#xA0;&#xA0;In a class like this, I prefer course material that really challenges me, so I can learn new things.</td>
<td align="left" style="width: 47px;">4.12</td>
<td align="left" style="width: 49px;">1.73</td>
</tr>
<tr>
<td align="left" style="width: 436px;">2.&#xA0;&#xA0; In a class like this, I prefer course material that arouses my curiosity, even if it is difficult to learn.</td>
<td align="left" style="width: 47px;">4.15</td>
<td align="left" style="width: 49px;">1.75</td>
</tr>
<tr>
<td align="left" style="width: 436px;">3.&#xA0;&#xA0; The most satisfying thing for me in this course is trying to understand the content as thoroughly as possible</td>
<td align="left" style="width: 47px;">4.40</td>
<td align="left" style="width: 49px;">1.71</td>
</tr>
<tr>
<td align="left" style="width: 436px;">4.&#xA0;&#xA0; When I have the opportunity in this class, I choose course assignments that I can learn from even if they don't guarantee a good grade</td>
<td align="left" style="width: 47px;">3.70</td>
<td align="left" style="width: 49px;">1.81</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Reliability</td>
<td colspan="2" align="left" style="width: 96px;">0.75</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Extrinsic Goal Orientation</td>
<td align="left" style="width: 47px;"/>
<td align="left" style="width: 49px;"/>
</tr>
<tr>
<td align="left" style="width: 436px;">1. Getting a good grade in this class is the most satisfying thing for me right now.</td>
<td align="left" style="width: 47px;">4.40</td>
<td align="left" style="width: 49px;">1.95</td>
</tr>
<tr>
<td align="left" style="width: 436px;">2. The most important thing for me right now is improving my overall grade point average, so my main concern in this class is getting a good grade</td>
<td align="left" style="width: 47px;">4.59</td>
<td align="left" style="width: 49px;">1.96</td>
</tr>
<tr>
<td align="left" style="width: 436px;">3. If I can, I want to get better grades in this class than most of the other students</td>
<td align="left" style="width: 47px;">4.72</td>
<td align="left" style="width: 49px;">2.02</td>
</tr>
<tr>
<td align="left" style="width: 436px;">4. I want to do well in this class because it is important to show my ability to my family, friends, employer, or others</td>
<td align="left" style="width: 47px;">4.08</td>
<td align="left" style="width: 49px;">1.96</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Reliability</td>
<td colspan="2" align="left" style="width: 96px;">0.78</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Task Value</td>
<td align="left" style="width: 47px;"/>
<td align="left" style="width: 49px;"/>
</tr>
<tr>
<td align="left" style="width: 436px;">1. I think I will be able to use what I learn in this course in other courses.</td>
<td align="left" style="width: 47px;">4.53</td>
<td align="left" style="width: 49px;">1.94</td>
</tr>
<tr>
<td align="left" style="width: 436px;">2. It is important for me to learn the course material in this class.</td>
<td align="left" style="width: 47px;">4.84</td>
<td align="left" style="width: 49px;">1.96</td>
</tr>
<tr>
<td align="left" style="width: 436px;">3. I am very interested in the content area of this course.</td>
<td align="left" style="width: 47px;">4.08</td>
<td align="left" style="width: 49px;">1.74</td>
</tr>
<tr>
<td align="left" style="width: 436px;">4. I think the course material in this class is useful for me to learn.</td>
<td align="left" style="width: 47px;">4.23</td>
<td align="left" style="width: 49px;">1.84</td>
</tr>
<tr>
<td align="left" style="width: 436px;">5. I like the subject matter of this course.</td>
<td align="left" style="width: 47px;">3.62</td>
<td align="left" style="width: 49px;">1.85</td>
</tr>
<tr>
<td align="left" style="width: 436px;">6. Understanding the subject matter of this course is very important to me</td>
<td align="left" style="width: 47px;">4.32</td>
<td align="left" style="width: 49px;">1.91</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Reliability</td>
<td colspan="2" align="left" style="width: 96px;">0.867</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Control of Learning Beliefs</td>
<td align="left" style="width: 47px;"/>
<td align="left" style="width: 49px;"/>
</tr>
<tr>
<td align="left" style="width: 436px;">1. If I study in appropriate ways, then I will be able to learn the material in this course.</td>
<td align="left" style="width: 47px;">4.64</td>
<td align="left" style="width: 49px;">1.98</td>
</tr>
<tr>
<td align="left" style="width: 436px;">2. It is my own fault if I don't learn the material in this course</td>
<td align="left" style="width: 47px;">3.95</td>
<td align="left" style="width: 49px;">1.87</td>
</tr>
<tr>
<td align="left" style="width: 436px;">3. If I try hard enough, then I will understand the course material</td>
<td align="left" style="width: 47px;">4.57</td>
<td align="left" style="width: 49px;">1.76</td>
</tr>
<tr>
<td align="left" style="width: 436px;">4. If I don't understand the course material, it is because I didn't try hard enough</td>
<td align="left" style="width: 47px;">3.79</td>
<td align="left" style="width: 49px;">1.89</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Reliability</td>
<td colspan="2" align="left" style="width: 96px;">0.78</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Self-Efficacy for Learning and Performance</td>
<td align="left" style="width: 47px;"/>
<td align="left" style="width: 49px;"/>
</tr>
<tr>
<td align="left" style="width: 436px;">1. I believe I will receive an excellent grade in this class.</td>
<td align="left" style="width: 47px;">3.81</td>
<td align="left" style="width: 49px;">1.76</td>
</tr>
<tr>
<td align="left" style="width: 436px;">2. I'm certain I can understand the most difficult material presented in the readings for this course</td>
<td align="left" style="width: 47px;">3.91</td>
<td align="left" style="width: 49px;">1.79</td>
</tr>
<tr>
<td align="left" style="width: 436px;">3. I'm confident I can understand the basic concepts taught in this course.</td>
<td align="left" style="width: 47px;">4.71</td>
<td align="left" style="width: 49px;">1.91</td>
</tr>
<tr>
<td align="left" style="width: 436px;">4. I'm confident I can understand the most complex material presented by the instructor in this course.</td>
<td align="left" style="width: 47px;">4.10</td>
<td align="left" style="width: 49px;">1.78</td>
</tr>
<tr>
<td align="left" style="width: 436px;">5. I'm confident I can do an excellent job on the assignments and tests in this course</td>
<td align="left" style="width: 47px;">4.34</td>
<td align="left" style="width: 49px;">1.67</td>
</tr>
<tr>
<td align="left" style="width: 436px;">6. I expect to do well in this class.</td>
<td align="left" style="width: 47px;">4.37</td>
<td align="left" style="width: 49px;">1.80</td>
</tr>
<tr>
<td align="left" style="width: 436px;">7. I'm certain I can master the skills being taught in this class.</td>
<td align="left" style="width: 47px;">4.19</td>
<td align="left" style="width: 49px;">1.77</td>
</tr>
<tr>
<td align="left" style="width: 436px;">8. Considering the difficulty of this course, the teacher, and my skills, I think I will do well in this class</td>
<td align="left" style="width: 47px;">4.30</td>
<td align="left" style="width: 49px;">1.84</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Reliability</td>
<td colspan="2" align="left" style="width: 96px;">0.89</td>
</tr>
<tr>
<td align="left" style="width: 436px;">Test Anxiety</td>
<td align="left" style="width: 47px;"/>
<td align="left" style="width: 49px;"/>
</tr>
<tr>
<td align="left" style="width: 436px;">1. When I take a test, I think about how poorly I am doing compared with other students.</td>
<td align="left" style="width: 47px;">3.44</td>
<td align="left" style="width: 49px;">2.04</td>
</tr>
<tr>
<td align="left" style="width: 436px;">2. When I take a test I think about items on other parts of the test I can't answer</td>
<td align="left" style="width: 47px;">3.88</td>
<td align="left" style="width: 49px;">1.76</td>
</tr>
<tr>
<td align="left" style="width: 436px;">3. When I take tests I think of the consequences of failing.</td>
<td align="left" style="width: 47px;">3.47</td>
<td align="left" style="width: 49px;">2.08</td>
</tr>
<tr>
<td align="left" style="width: 436px;">4. I have an uneasy, upset feeling when I take an exam.</td>
<td align="left" style="width: 47px;">4.09</td>
<td align="left" style="width: 49px;">1.83</td>
</tr>
<tr>
<td align="left" style="width: 436px;">5. I feel my heart beating fast when I take an exam.</td>
<td align="left" style="width: 47px;">3.47</td>
<td align="left" style="width: 49px;">1.98</td>
</tr>
<tr style="border-bottom: 1pt solid;">
<td align="left" style="border-bottom: 1pt solid; width: 436px;">Reliability</td>
<td colspan="2" align="left" style="border-bottom: 1pt solid; width: 96px;">0.77</td>
</tr>
</tbody>
</table></table-wrap>

<p>The single-headed arrowsrepresent the factor loadings (regression), and the bidirectional curved arrows represent factor correlations (factor covariance for unstandardized solutions). The path diagram also shows relationships among variables. The numbers &#x201C;1&#x201D; in the diagram reflect that the regression coefficient has been fixed to 1. As we hypothesised a six-factor model is confirmed in the academic motivation of the MSLQ, the model was tested using fit statistics.&#xA0; The results of fit statistics for the one-factor model and the six- factor model are presented in <xref ref-type="table" rid="t2">Table 2</xref>. The values for the one-factor model indicate a poor fit between the model and the observed data. For the six-factor model, the only value that fits the model is SRMR which is less than 0.009. Taken together, these values suggest that both models do not fit our data set.</p> 
	  
<table-wrap id="t2" position="float"><label>Table 2</label><caption><title>Results of the confirmatory factor analysis (N= 146)</title></caption>
<table width="100%">
<thead><tr style="border-top: 1pt solid; border-bottom: 1pt solid;">
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 24%;">Model</th>
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 27%;">Chi squared test</th>
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 12%;">SRMR</th>
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 12%;">RMSEA</th>
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 12%;">CFI</th>
<th align="left" style="border-top: 1pt solid; border-bottom: 1pt solid; width: 10%;">TLI</th>
</tr></thead>
<tbody>
<tr>
<td align="left" style="width: 24%;">One-factor model</td>
<td align="left" style="width: 27%;">
<italic>&#x3C7;</italic><sup>2</sup>(434) = 1260.408, p&lt;0.001</td>
<td align="left" style="width: 12%;">0.0831</td>
<td align="left" style="width: 12%;">0.115</td>
<td align="left" style="width: 12%;">0.699</td>
<td align="left" style="width: 10%;">0.678</td>
</tr>
<tr>
<td align="left" style="width: 24%;">Six &#x2013;factor model</td>
<td align="left" style="width: 27%;">
<italic>&#x3C7;</italic><sup>2</sup>(417) = 1013.35, p&lt;0.001</td>
<td align="left" style="width: 12%;">0.07</td>
<td align="left" style="width: 12%;">0.100</td>
<td align="left" style="width: 12%;">0.779</td>
<td align="left" style="width: 10%;">0.758</td>
</tr>
<tr style="border-bottom: 1pt solid;">
<td align="left" style="border-bottom: 1pt solid; width: 24%;">Desired values</td>
<td align="left" style="border-bottom: 1pt solid; width: 27%;">p&gt;0.001</td>
<td align="left" style="border-bottom: 1pt solid; width: 12%;">&lt;0.09</td>
<td align="left" style="border-bottom: 1pt solid; width: 12%;">&lt;0.06</td>
<td align="left" style="border-bottom: 1pt solid; width: 12%;">&#x2265;0.90</td>
<td align="left" style="border-bottom: 1pt solid; width: 10%;">&#x2265; 0.95</td>
</tr>
</tbody>
</table></table-wrap>
	  
	  
<fig id="f1" position="float" fig-type="figure"><label>Figure 1</label><caption><p>The six- factor model of the academic motivation section of the MSLQ -  NOTE: IGO = Intrinsic Goal Orientation; EGO = Extrinsic Goal Orientation; TV= Task Value; CLB= Control of Learning Beliefs; 
SLP= Self-Efficacy for Learning and Performance; TA= Test Anxiety.</p></caption><graphic xlink:href="358d539fc0b006c5f8843e9031478be0.jpg"/></fig>
	  

</sec><sec sec-type="discussion"><title>Discussion</title>
<p>This study set out with the aim of assessing the academic motivation section of the MSLQ, using the CFA approach, in order to monitor and enhance teaching and learning among Saudi Arabian medical students.&#xA0; The results of this study show the academic motivation section of the MSLQ has satisfactory internal consistency reliability. Contrary to exceptions, this study did not approve the hypothesised model of the academic motivation section of the MSLQ to be used for Saudi Arabian medical students. Alternatively stated, the model may not work for monitoring and improving teaching and learning in medicine.&#xA0; Alternatively, our data sample may not represent the whole student given that female students are not included in this study. However, these results match those observed in the previous studies.<xref ref-type="bibr" rid="r22"><sup>22</sup></xref><sup>, </sup><xref ref-type="bibr" rid="r35"><sup>35</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r38"><sup>38</sup></xref>&#xA0; For example, in a study, using medical residents,&#xA0; the researchers found that the original model fit poorly to their data.<xref ref-type="bibr" rid="r22"><sup>22</sup></xref> &#xA0;Furthermore, a poor fit was also found in another study that tested the validity of the questionnaire.<xref ref-type="bibr" rid="r35"><sup>35</sup></xref>&#xA0; It is difficult to explain these results, but it might be due to the fact that the educational and cultural contexts are different among Saudi Arabian medical students. Although the score reliability of the subscales of the academic motivation of the MSLQ is encouraging, there is abundant room for future research.</p>
<p>Finally, a number of important limitations need to be considered. First, the study is limited by the lack of data on female students.&#xA0; Secondly, the data only came from a single institute. Therefore, the generalisability of these results is limited to the target population. Finally, the major limitation of this study is the low sample size.&#xA0;&#xA0; These limitations mean that study results need to be interpreted cautiously.</p>
</sec><sec sec-type="conclusions"><title>Conclusions</title>
<p>The present study was designed to measure the construct validity of the motivation section of the MSLQ and to assess its hypothesised model. The results of this study show the motivation section of the MSLQ is a reliable measure. However, the data do not fit the hypothesised model and therefore the questionnaire may not be valid. The reliability of scale score may encourage researchers to conduct further studies in order to obtain a clear picture of the MSLQ.&#xA0; This research has generated some questions in need of future investigations.&#xA0;&#xA0; For example, a future study with more focus on both genders is suggested. In addition to this, a large sample size could provide a clear picture of both sections of the MSQL for Saudi Arabian medical students.</p>
<sec><title>Conflict of Interest</title>
<p>The authors declare that they have no conflict of interest.</p>
</sec></sec></body>
  <back>
<sec sec-type="supplementary-material"><title>Supplementary material</title>
<supplementary-material xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="S1.pdf" id="S1" mimetype="application/pdf"><label>Supplementary file 1</label><caption><p>Appendix 1.  Students&#x2019; Motivation Scale</p></caption></supplementary-material></sec>
 
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