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Applying the ARCS model of motivational design to pharmaceutical education

Article  in  American journal of pharmaceutical education · June 2000

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Supakit Wongwiwatthananukit
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Statements

Applying the ARCS Model of Motivational Design to


Pharmaceutical Education

Supakit Wongwiwatthananukit
Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok 10330, Thailand

Nicholas G. Popovich1
School of Pharmacy and Pharmacal Sciences, Purdue University, Heine Pharmacy Building, West Lafayette IN 47907-1330

Instruction, even when designed and based on sound instructional principles, oftentimes does not stimu-
late students’ motivation to learn. The result may be that students may not be motivated to pursue life-
long learning and use the knowledge and skills learned to deliver pharmaceutical care. The purpose of
this article is to provide an overview of the Attention, Relevance, Confidence, and Satisfaction (ARCS)
Model developed in education and demonstrate a systematic approach of motivational design with prac-
tical application that can be incorporated into a pharmaceutical educator’s instruction (e.g., “tool box”). It
is intended to help the educator identify components of instruction that either increase or decrease stu-
dent motivation to learn. It also provides motivational strategies which an educator can incorporate into
the instruction plan to make it responsive to the interests and needs of students. Using motivational
design to create motivational strategies and then incorporating these into the instruction can result in com-
plementary enhancement of student learning and achievement.

“In the yeast of every student body there is a ferment have learned, and may actually dislike it.
of idealism and emotional virility waiting for the There is no doubt that such students do not always have
proper climate to burst forth into the stuff of which the motivation to learn. As Stephen Yelon(4) describes in his
good education is made. In every good teacher there book Powerful Principles of Instruction, four common attribut-
must be a vigor, vitality, and an exuberance permeat- es of excellent educators are: (i) caring about the subject mat-
ing everything he does in the classroom. The result ter that they teach; (ii) caring about their students’ learning and
will be people learning—not just being taught. There believing that their students have the ability to learn; (iii) car-
must be a motivation from within to learn, and it must ing about the job of teaching and enjoying the process of ana-
be planted or nurtured as the case may be. If it can lyzing, planning, creating, delivering, and improving their
be done on an individual basis, fine, but if larger instruction; and (iv) applying what they know about motiva-
classes prevent this, there is no reason for dismay; tion, learning, and transfer to make their instruction effective.
rapport with students need have nothing to do with Motivation is one component of the set of principles that excel-
numbers. It isn ‘t necessary to coddle students; most lent educators apply to their instruction to help students under-
need only guidance and opportunity; and some, a stand the importance of a content area so they will want to con-
motivating force. The force may be you.... “ tinue to learn and use and apply what they have learned.
Motivation is an important quality that affects students’ suc-
Melvin R. Gibson, 1959 (1) cess in learning and performance. Students who are motivated
to learn tend to engage in activities they believe will help them
The term motivation is derived from the Latin verb movere, learn. They are likely to attend to the educator’s instruction
which means to set into motion(2). Motivation is something and mentally organize and rehearse the material to commit it to
that gets a person going, keeps the person moving, and helps memory. They also take meaningful notes to facilitate subse-
the person to get the accomplished jobs. Conversely, a demo- quent studying, periodically check their level of comprehen-
tivated person does not have the motive nor desire that moves sion, and request help/guidance when they realize they do not
him/her toward action (e.g., learning). Keller(3) noted that an understand the material. These activities improve the quality
educator cannot really motivate anybody. However, it is pos- of student learning(2). However, Keller(3) noted that overmo-
sible to create or change the learning conditions/environment tivation can also be a problem. Students who are overmotivat-
so that individual students can motivate themselves. It is pos- ed may claim or believe that they already know the content
sible that an educator can teach, and teach well, without hav- (i.e., overconfidence) and tend to pay little attention in class,
ing the students learn. Students may reluctantly learn things
that do not mean anything to them. They may only memorize
1
the content and “memory erase” it after an examination or a Corresponding author
course. They also may choose not to use or apply what they Am. J. Pharm. Educ., 64, 188-196(2000); received 1/19/00; accepted 4/5/00.

188 American Journal of Pharmaceutical Education Vol. 64, Summer 2000


Fig. 1. A model of motivation, performance, and instructional influence, describing a connection of personal and environmental inputs on effort-
performance-consequences (5). Figure reproduced with permission of the Association for Educational Communication and Technology,
Bloomington, Indiana.
may become a disruptive influence to other enrolled students, inite outcomes that improve a patient’s quality of life. These
and may make more mistakes/errors and lose efficiency as a outcomes are: (i) cure of a disease; (ii) elimination or reduction
consequence. of a patient’s symptomatology; (iii) arresting or slowing of a
In contrast, students who are not motivated to learn do not disease process; or (iv) preventing a disease or symptomatol-
put forth their best effort to learn. They may be inattentive dur- ogy. By practicing pharmaceutical care, pharmacists have the
ing the instruction and may not organize or rehearse the mate- potential to reduce the occurrence of drug misadventures
rial to be learned. Note taking may be done haphazardly, if at described by Manasse(12,13). Such misadventures cause poor
all. They may not monitor their level of understanding or even health outcomes for patients and cost an estimated tens of bil-
ask for assistance when they do not understand what is being lions of dollars annually. Johnson and Bootman(14) have
taught. These habits limit students’ potential for learning and argued that by preventing avoidable drug misadventures, phar-
skill development and result in low levels of productivity(2,3). macists may cut the associated costs in half, which in 1994
Although the importance of motivation as a positive influence were estimated to cost the U.S. health care system over $70 bil-
on learning is acknowledged in the literature(2,5,6), there is lion dollars per year. Subsequently, this has been confirmed
less attention toward incorporating motivation into instruction- through numerous studies which have documented the positive
al plans to improve the motivational appeal of courses. In edu- impact on patient care that pharmacists can have(15).
cation, one particular model developed by Keller(3,7,8), the With this evolution, the American Association of College
Attention, Relevance, Confidence, and Satisfaction (ARCS) of Pharmacy’s (AACP) Commission to Implement Change in
Model, focuses on creating, stimulating, and maintaining moti- Pharmaceutical Education has recognized the increased role
vational strategies used for instructional design. This model that schools/colleges of pharmacy must take in their responsi-
emphasizes strategies and motivational design that an instruc- bility as the resource for new practitioners for the profession.
tional designer or educator can include in the instructional The graduates must be capable of entering practice with at least
design/plan process. The motivational strategies can be used in a minimal level of competence and with the skills needed to
influencing students’ motivation to learn and in solving prob- continue to increase competence. New practitioners need
lems associated with learning motivation by allowing educa- appropriate education and skill development opportunities to
tors to create a motivating learning environment. Studies eval- prepare them to provide medications and services within the
uating this model in application have provided evidence to sup- framework of practicing pharmaceutical care. The
port the validity of the four basic constructs and their positive Commission has laid out a carefully crafted strategic plan to
effects on student attitude and performance(9,10). advance the profession through education. The Commission’s
The pharmacy profession, in the past four decades, has Background Papers I(16) and II(17) encouraged the concept of
evolved from a traditional product orientation to a patient- pharmaceutical care as the mission of pharmacy practice.
focused orientation and has adopted the practice paradigm of Further, it proposed a curricular direction within schools/col-
pharmaceutical care(11). Pharmaceutical care is the responsi- leges that focuses on student achievement of ability-based out-
ble provision of drug therapy for the purpose of achieving def come goals and on the educational processes necessary to ful

American Journal of Pharmaceutical Education Vol. 64, Summer 2000 189


fill pharmaceutical education’s mission in the preparation of its late 1970s(5,6). Keller’s theoretical model of motivation, per-
students to enter practice and deliver pharmaceutical care. To formance, and instructional influence is a macro theory that
perform this function, pharmaceutical education must facilitate describes a network of the relationships of personal and envi-
student acquisition of the relevant knowledge base, skills, atti- ronmental characteristics on effort, performance, and conse-
tudes, ethics, and values. It stresses the importance of student quences (Figure 1). More specifically, in a motivational con-
acquisition of performance-based competencies that underlie a text, it assumes that effort is a consequence of motives or val-
professional person and contributing citizen. The Commission ues, and of expectancy for success. Reinforcement serves to
also laid out one of the general competencies/outcomes that confirm or deny expectations. This theory is based upon a syn-
graduates must have - motivation for continued learning. It thesis of many areas of research that pertain to human motiva-
emphasizes that the curriculum must instill in students a spirit tion, and its purpose is to help answer questions about how to
of intellectual inquiry and curiosity and a motivation for learn- design motivational strategies into instruction that will stimu-
ing and must equip students to learn throughout their profes- late or sustain learners’ motivation to learn. In other words, the
sional lives. purpose of this theory is to identify major categories of vari-
The Commission views most students who enter health ables of individual behavior and of instructional design that are
professional schools, including pharmacy, as dependent learn- related to individual effort (motivation) and performance.
ers. They enter with a perception that it is the educator’s The theory integrates a large number of specific motiva-
responsibility to teach students while de-emphasizing, if not tional concepts: not only expectancy-value theory, attribution
ignoring, their responsibility of students to learn on their own. theory, self-efficacy theory, learned helplessness, social learn-
Students come to pharmacy schools adept at memorizing facts, ing theory, environmental theories, humanistic theories,
and the teaching methods at most schools focus on this ability. aspects of attitude theory, and decision theory, but also the
This method of learning is diametrically opposed to the way effect of reinforcement on motivation as well as cognitive eval-
the pharmacist is asked to practice. Specifically, the responsi- uation and equity theory as the foundation of the theory to
bility to learn must reside with the pharmacist. Therefore, explain individual motivational tendencies. As illustrated in
schools must do a better job of preparing students for the real- Figure 1, motives or values are subdivided into two major cat-
ities of practice through the shifting of the educational process egories called attention (A) and relevance (R). Expectancy is
to a balance between the educator and the students. Methods referred to as a category called confidence (C). The influence
for achieving this process must involve students as active of consequences and cognitive evaluation are the effect of a
learners through activities, including among others, problem category called reinforcing value or satisfaction (S) of instruc-
solving, cooperative learning, developmental discussions, sim- tion on motivation (effort).
ulations, questions, early practice experience, laboratories, The theory of motivation, performance, and instructional
recitations, reading assignments, problem sets, presentations, influence also distinguishes between three types of influence of
writing, and role playing. For pharmacy educators to prepare instructional design (i.e., motivational design and manage-
competent future practitioners who will contribute a positive ment, learning design and management, reinforcement-contin-
influence to society, they must know how to design courses of gency design and management). The assumption is that any
instruction that foster students’ active learning effectively and instructional event, whether it is an educator in a classroom or
efficiently. Further, they must also know how to make the a module on a microcomputer, will have these three influences;
instruction more appealing to motivate and inspire students to and the task of instructional design is to understand and control
learn. Improving the motivational appeal of courses can result them.
in complementary gains in students’ successes in learning, in The ARCS model is a systematic means of improving the
developing the goal to pursue life-long learning, and in using motivational appeal of instructional materials, of educator
the knowledge and skills they have learned to deliver pharma- behavior, and of the way in which lessons or modules and
ceutical care. courses are designed(20). It helps an educator to identify the
This paper describes how to understand the motivation to component of instruction that either increases or decreases stu-
learn in terms of the background of the ARCS Model, the dent motivation to learn and also provides motivational strate-
model’s four major categories, their subcategories and motiva- gies which an educator can use to make instruction responsive
tional strategies, and how to use and design them into a course, to the interests and needs of students. This model was created
instruction, or lesson. It intends to help pharmaceutical educa- because of the lack of guidance that presently exists for
tors think about motivation in terms of four specific areas of improving the motivational quality of instruction. There have
influence on the motivation to learn, and to assist them gener- been many writings about how to design instruction that will
ate, select, and design motivational strategies into their instruc- be effective if students want to learn, but there is relatively lit-
tion. The ARCS Model has been used and applied in specific tle that demonstrates to an educator how to make the instruc-
kinds of instructional settings such as computer-based instruc- tion more appealing.
tion 18), textual material(19), and instructor-led lecture for- Four major categories (i.e., attention, relevance, confi-
mal(10). This paper focuses primarily on instructor-led cours- dence, satisfaction) influence a student’s motivation to
es. learn(3,6-8,20). These are as follows:

THE ARCS MODEL Attention (A) refers to the extent to which the student’s
The Attention, Relevance, Confidence, and Satisfaction curiosity is aroused or gained and sustained
(ARCS) Model of Motivational Design (a.k.a., Keller’s ARCS over time;
Model of Motivation, The ARCS Model, Keller’s Model) was Relevance (R) refers to the student’s perception that the
developed in the early 1980s by John Keller(3,6-8,20). The instruction is related to personal/career needs
model was systematically derived from his theory of motiva- or goals;
tion, performance, and instructional influence developed in the Confidence (C) refers to the student’s perceived likelihood of

190 American Journal of Pharmaceutical Education Vol. 64, Summer 2000


achieving success through personal efforts categories of motivational variables that help synthesize/create
and control; research foci. For example, the educator can pursue applied
Satisfaction (S) refers to reinforcing accomplishment with research projects according to the specific motivational cate-
rewards from the instruction, which can gory (i.e., attention, relevance, confidence, and satisfaction)
include internal and external factors. and treat it as an independent variable (e.g., what motivational
category facilitates increased student performance).
According to the ARCS model, these four major categories The ARCS model is limited in its lack of specific, pre-
have to be met for students to become and remain motivat- scriptive strategies(6). It allows the educator to create and
ed(7). Keller(7) views the task of motivating students as a develop a variety of motivational strategies. The goal is to
sequential learning process. First, an educator must gain a stu- increase student motivation. How the educator achieves this
dent’s attention before any learning activities can commence. may be different with each circumstance. For example, a
The motivational goal is to achieve and sustain student cir- group of students may present a different motivational profile
cumspection. An educator must establish motivational strate- and, therefore, require a different combination of motivational
gies that can sustain the student’s consideration to produce a strategies. In addition, the ARCS model requires experience
satisfactory level of attention throughout the instruction. After and judgement, and quite likely some trial-and-error from the
getting the student’s attention and starting to present the mate- educator(9). The educator must understand the need to create
rial, the student might be wondering “why do I have to learn a unique solution for each unique problem to achieve the
this thing?” (i.e., relevance). Before the student can be moti- desired goal of instruction. Decisions about the effectiveness
vated to learn, he/she must believe that the instruction is relat- of any motivational strategies are affected by many factors, not
ed to his/her personal goals/career and will meet their specific just motivational ones. Student gain scores and other achieve-
needs. Even with attentive students who envision personal rel- ment measures will not always reflect the role of motivation.
evance in the instruction, an educator might still have less than To judge motivational consequences, there is a need to use
appropriately motivated students due to the confidence level of direct measures such as instruments of persistence, intensity of
the student. A student who underestimates his/her expectation effort, emotion and attitude(9).
of success in learning might have fears/doubts about the sub-
ject and this could limit his/her potential of learning and skill THE USE OF THE ARCS MODEL IN INSTRUCTIONAL
development. If he/she undertakes a task, he/she will probably DESIGN
suffer from unnecessary anxiety and self-doubt that can The ARCS Model describes the motivation to learn in terms of
increase the possibility of task failure. In contrast, a student four major categories and their subcategories (see Appendix).
who estimates his/her confidence in the subject to be learned at For each of these, there are general process questions for the
a level far beyond his/her actual knowledge and skill level may educator to answer and motivational strategies to apply. By
overlook important detail and skills in the instruction. He/she themselves the categories do not guide an educator in how
can suffer from mastering the desired objectives of the instruc- many and what types of motivational strategies to use or how
tion. Finally, an educator must establish a sense of satisfaction to design them into the instruction. Thus, “motivational
in order for the student to have a continuing motivation to design,” i.e., the use of the ARCS Model in an instructional
learn. He/she should make learning pleasing so that students design will help answer these questions. The goal of motiva-
are comfortable with what they have learned, and continue to tional design is to make the instruction appealing(3).
make learning satisfying/enriching so that students keep learn- There are four steps in applying the ARCS Model in prac-
ing and applying what they have learned. He/she must give tical fashion to instructional design, which is referred to as the
students the opportunities to hone the skills learned. process of motivational design(3,22). The steps follow a gen-
The ARCS model includes three subcategories of motiva- eral systematic problem solving and design process, beginning
tional characteristics for each of four major categories, the with an extensive student analysis which forms the basis for
motivational strategies that stimulate or sustain each motiva- identifying motivational objectives. These objectives guide
tional element, and the associated process questions for each the design and subsequent development and implementation of
subcategory(3,7,19). The associated process questions are the motivational strategies. These steps are as follows:
questions that an educator must ask him-or herself as he/she is
designing or preparing to teach a course. All of the motiva- Step 1: Analyze the student and develop a motivational
tional strategies in the model are derived from research find- profile based on ARCS.
ings and practice opportunities that have resulted in success-
fully motivated learners. The model provides a basis for pre- This step provides a means for identifying gaps in the student’s
scribing motivational strategies or solving motivational prob- entry level motivation. The techniques used in conducting this
lems to meet the individual motivational requirements of the step can range from a “best guess” estimate based on the edu-
situation, which eventually results in improving instruction so cator’s personal experience with previous similar students to a
that it is appealing as well as effective and efficient. The four judgement based on the collection and analysis of formal data
major categories, their subcategories and definitions, their from conducting focus interviews with members of the target
associated process questions, and corresponding motivational population by using a questionnaire, or from other informed
strategies for stimulating motivation are summarized in the persons (e.g., faculty who have taught the students previously).
Appendix. The result of this step is the gathering of information which
The ARCS model helps an educator identify the compo- determines whether the students will be below, at, or above the
nent of instruction that either increases or decreases a student’s appropriate level in each motivational category. This is need-
motivation to learn, and provide motivational strategies which ed for formulating the motivational objectives of the instruc-
an educator can use to make instruction responsive to the inter- tion. Educators should be wary of taking students’ self-
ests and needs of students. It also provides four major distinct descriptions at face value, however, given students’ well

American Journal of Pharmaceutical Education Vol. 64, Summer 2000 191


known desire/intention to please educators with their respons- provided in the following fictitious scenario. Dr. Martin teach-
es. Misjudgment of the students’ motivational categories in the es the second-professional year pharmacology course. In the
direction of overestimation or underestimation can result in past, he normally began his lecture with an opening introduc-
undesirable outcomes as mentioned earlier in this manuscript tory statement such as, “Today we are going to study drugs
(i.e., The ARCS Model). used to treat Alzheimer’s disease.” As he talked, he noticed
that some students were reading newspapers while others were
Step 2: Define motivational objectives based on the stu- doing work for other classes. Some were falling asleep. He
dent profile and develop motivational measures. realized that his past approach to educating students did not
capture any student attention. When he engaged them with
The motivational objectives should be written from the student questions, he was impatient and provided answers to the stu-
perspective. These should specify the performance or attitude dents right away. So, he decided that he would present an
that the educator desires to observe relative to the four ARCS unsolved case at the beginning of his discourse and ask ques-
motivational categories. The objectives can be cognitive, affec- tions of the students but not answer them. Thus, the next time
tive, or psychomotor skills. For example, a psychomotor moti- he taught this topic he started by asking the students, “Is there
vational objective for attention that might be written is “Within a cure for Alzheimer’s disease? What are the causes of
the assigned recitation group for the chronic renal failure case Alzheimer’s disease? Are there any drugs that can cure it? Are
in the pharmacotherapeutic course, each pharmacy student will the drugs, food supplements, and herbs such as estrogen, vita-
demonstrate a higher degree of attention through participation min E, ginkgo biloba, a cure? Are there any drugs that can
in the group discussion to solve the drug-related problems in the make Alzheimer’s disease worse? These are the issues I would
case.” A cognitive motivational objective for relevance that like us to focus today.” His observation was that his students
might be generated is “By the end of the oral analgesic drugs were more enthusiastic and interested than normal, paid more
lecture, pharmacy students will be able to describe two benefits attention during class and tried to seek more information after
of learning this content area in relation to their career goals.” A posing his questions by participating in debate and raising
cognitive motivational objective for confidence would be questions about content that needed additional clarification.
“When given a homework case study assignment for smoking Another example of making students satisfied and adding
cessation products, pharmacy students will indicate a higher relevance to the instruction is in an integrated laboratory ses-
degree of confidence in their ability to select an appropriate sion whose goal is to teach second-professional-year students
smoking cessation product for the patient who desires to quit how to properly use an asthma inhaler. These students already
smoking.” An example of an affective motivational objective had gained general knowledge of asthma drug therapy from a
for satisfaction is “Pharmacy students will rate their satisfaction prior lecture session. They feel competent in identifying and
as highest with pharmacokinetics instruction as a result of solving drug-related problems but wanted to improve their
opportunities provided to apply what was learned (e.g., adjust- skills in counseling patients who use inhalers. Dr. John began
ing the digoxin dose to a 45-year-old white male with conges- his introductory remarks by sharing a pleasant experience with
tive heart failure in a patient-simulation laboratory). a former pharmacy student whom he taught. This pharmacist
After writing motivational objectives, methods for evalu- shared that she worked in an out-patient clinic and applied the
ating the motivational strategy(ies) used should be developed skills which she learned in the laboratory to properly instruct
to determine whether the motivational objectives have been and counsel a patient with asthma who uses an inhaler. She
met. The techniques used in evaluating the strategy(ies) can shared what a great reward it was to her to use it in the real-
include direct observation of specified behaviors (such as world when providing pharmaceutical care to a patient. Dr.
choice of tasks, effort expended, and persistence); judgements John’s students indicate that he makes learning enjoyable
by observers of students on characteristics indicative of moti- because he demonstrates to them the relevance of their knowl-
vation; interviews or conversations between two or more stu- edge and skills that they have obtained in the “real world”.
dents; and self-report questionnaires. Keller(3) suggested that An example of gaining students confidence is provided by
self-report measures can be very helpful when an educator Dr. Andy, a professor who teaches a Nonprescription
wants to focus on a particular area of concern. These measures Medicines course to third-professional-year pharmacy stu-
should be consistent with the objectives. An example of a self- dents. For content and effort on homework assignments, he
report measure to evaluate students’ confidence might be gives separate scores or grades as well as positive and accurate
achieved by asking students to assess their level of confidence feedback. Homework assignments are given in case or sce-
(e.g., none, low, moderate, high) to select a smoking cessation nario formats (e.g., laxative products, cough and cold products)
product for a patient given certain patient variables/parameters. that provide the student with challenging situations, some more
ambiguous than others, but that mirror the “real world”. These
Step 3: Design a motivational strategy for each motiva- ensure the student is actively involved in learning by encour-
tional objective and integrate it into the instruction. aging him/her to use class notes and literature references to
solve the presented problem. His goal is to help his students
Keller(3) described three phases in this step: generation, selec- experience that the effort they put into the assignment is linked to
tion, and integration. The generation phase deals with Keller’s its overall quality. He also recognizes that there still may be
ARCS categories. These categories and their subcategories of differences in student knowledge and skill. Nevertheless, he
motivational strategies serve as a guide to generating motiva- continues to encourage students who try hard by giving them
tional interventions (see Appendix). In this phase, an educator high marks for effort, although they may need more work on
should generate a list of potential motivational strategies for their problem-solving skills, content, grammar, and overall
each of the objectives. Keller(3) suggested that it is generally writing skills. He uses this confidence boosting strategy in
best for an educator to use a “brainstorming approach” and an terms of success opportunities to support or enhance students’
“open, creative frame of mind” to generate a broad range of belief in themselves and their competence. He gives them per-
strategy ideas. An example of gaining students’ attention is sonal responsibility and accountability opportunities to help

192 American Journal of Pharmaceutical Education Vol. 64, Summer 2000


them realize that their success is based on effort and abilities. ships). The course encompasses several major areas of drug
Before producing an effective integration of motivational therapy (e.g., cardiovascular diseases, infectious diseases, res-
strategies into the instruction, Keller(8) provided five guide- piratory diseases). There are 30 students enrolled in this
lines that are helpful to critically reviewing the potential strate- course. Anonymous self-report questionnaires ask each stu-
gies and selecting the ones to be used. He indicated that strate- dent to describe his/her motivation to learn in the four main
gies: (i) should not take up too much time; (ii) should not categories of the ARCS Model and are administered to the stu-
detract from the learning objectives; (iii) should fall within the dents two weeks before the class begins. Students are urged to
time and money constraints of the development and imple- respond candidly and honestly, informed that there are no right
mentation phases of the instruction; (iv) should be acceptable or wrong answers, and that all responses are strictly confiden-
to the students; and (v) should be compatible with the instruc- tial. This self-report measure will not affect the students’
tional methodology, including the educator’s style. The moti- grades or performance for the course. It is the intention of the
vational strategies included in the model are proven, but their educator to get information from students for the purpose of
effectiveness, and the exact way in which they are implement- designing this course to meet students’ needs.
ed depends in part on the personality of the educator and the
type of atmosphere that he or she wants (e.g., formal versus Step 1: Student analysis.
informal) to create. Therefore, the final selection of strategies
for a given instructional event is based, in large part, on the Attention(A) High. Students are very interested in taking
judgement and perhaps even some trial-and-error work of the this class with the hope that this course will
educator rather than an objective criteria. help them to improve their clinical reasoning
The last phase of Step 3 is integration. This is the phase skills.
that adapts motivational strategies selected to the specific Relevance(R) High. Students understand the relevance of
learning environment and then incorporates them into the this course in its application to next year’s
instructional plan. Advanced Pharmacy Practice Experience
and their individual pharmacy career goals
Step 4: Develop, try out and revise the selected strategy as (i.e., providing pharmaceutical care).
necessary. Confidence(C) Low to Moderate. Students’ beliefs in their
ability to employ sound clinical reasoning in
In this step, the motivational materials are prepared in con- identifying and solving drug-related prob-
junction with the individual materials and are subjected to for- lems is low to moderate. Most of the stu-
mative evaluation based on the motivational criterion measures dents share that they do not have much expe-
developed in the second step. Small group try-outs or pilot rience in clinical situations and fear being
tests involve testing the motivational strategies along with too disorganized and lacking knowledge and
instructional materials on content experts (e.g., faculty, phar- skills to solve patient problems. However,
macists) and representatives of the target population (e.g., most of them realize that confidence in the
focus groups) to determine the appeal of the instruction and the ability to use cognitive skills is an important
feasibility of the motivational activities. The importance of quality for them to practice successfully
this step is that motivation should be separated from other when they enroll in the Advanced Pharmacy
aspects of the instruction(3). The educator should attempt to Practice Experience next year and when they
be sensitive to the effects the instruction is having (i.e., desired ultimately enter practice.
or undesired). Then, if the strategies are, for example, failing Satisfaction(S) High. Students find the course useful and
to produce their intended results, they can be revised and expect it will enable them to become effec-
replaced. tive practitioners. They expect that this
course will give them opportunities to
PRACTICAL APPLICATIONS use/apply their knowledge and skills in real-
The ARCS model provides a systematic means of improving istic situations such as patient simulations, or
the motivational appeal of the instruction. It is one of the tools actual clinical case scenarios.
that the educators can use to help their students become and
stay motivated. The motivational design process bridges the Step 2: Define motivational objectives based on the stu-
gap between the students and the learning outcomes by incor- dent profile.
porating motivational strategies that match the motivational
needs of the particular class or students. The following hypo- 1. During the course of instruction, students will demonstrate
thetical case is used to illustrate how students’ low confidence greater confidence in their ability to solve the problems
levels can be improved by using the ARCS model in identify- and employ sound clinical reasoning as the educator con-
ing and solving motivational problems in the classroom. tinues to illustrate the process of clinical reasoning using
the patient case scenario examples.
Case 2. During the practice phase of the instruction and homework
Pharmacotherapeutic, clinical reasoning is an elective assignments of the course, students will demonstrate
two-credit course, meeting once a week for two hours. The greater confidence in being able to successfully solve
course is offered for the first time to third-professional-year actual case scenario problems through sound clinical rea-
pharmacy students to foster pharmacotherapeutic reasoning soning. This can be further developed by increasing the
skill development as experienced in actual clinical practice and to difficulty of the problems as the semester move forward.
improve the integration of students’ knowledge, skills, and 3. Along with submitted homework assignments, students
attitudes into patient care before they participate in the will demonstrate increased level of confidence in their
Advanced Pharmacy Practice Experience (i.e., clinical clerk- ability to solve patient problems. The educator will pro

American Journal of Pharmaceutical Education Vol. 64, Summer 2000 193


vide constructive feedback to help them develop reasonable (AACP) President Melvin R. Gibson(1) shared that even in the
perceptions of their competence and foster the belief that largest of classes, educators always have the opportunity to
competence in clinical reasoning is a changeable, controllable help “plant motivational seeds” to learn and nurture seeds
aspect of their development. development through their instruction. Using motivational
4. Within the last three recitation/discussion meetings, each design in creating motivational strategies helps pharmacy stu-
student will demonstrate greater confidence in his/her dents understand the importance of a lesson or instruction.
ability to solve patient problems with sound clinical rea- Motivational design and strategies should be embraced by
soning, when given the opportunity to create his/her own every pharmaceutical educator to enhance student learning and
case scenarios and then presenting them to fellow class- achievement and skill development.
mates.
References
Step 3: Design a motivational strategy for each motiva- (1) Gibson, M.R., “Editorial,” Am. J. Pharm. Educ., 23, 286-287(1959).
(2) Pintrich, P.R. and Schunk, D.H., Motivation in education: Theory,
tional objective and integrate it into instruction. research, and applications. Merrill, Englewood Cliffs NJ (1996).
(3) Keller, J.M.,. “The systematic process of motivational design,”
1. Carefully plan presentation of the process of clinical rea- Performance and Instruction. J., 1-8 (November/December 1987) .
soning based on the case examples to assist in building a (4) Yelon, S.L., Powerful Principles of Instruction. Longman, White Plains
NY (1996).
positive expectation for success among students. (5) Keller, J.M., “Motivation and instructional design: A theoretical perspec-
(Strategy C.1) tive,” J. Instruct. Develop., 2(4), 26-34(1979).
2. Plan to develop case scenario homework assignments and (6) Keller, J.M., “Motivation design of instruction,” in Instructional-Design
in-class practice exercises that provide the student with Theories and Models: An Overview of Their Current Status, (edit.,
challenging situations, some more ambiguous than others, Reigeluth, C.M.), Lawrence Erlbaum Associates, Hillsdale NJ (1983) pp.
383-434.
that mirror the “real world”. The assignments and exer- (7) Keller, J.M., “Strategies for stimulating the motivation to learn,”
cises will be purposely sequenced from simple to difficult. Performance and Instruction. J., 1-7 (October 1987).
This will help the students’ learning experience and (8) Keller, J.M., “Development and use of the ARCS model of motivational
enhance the students’ beliefs in their competence. design,”J. Instruct. Develop., 10(3), 2-10(1987).
(9) Keller, J.M., “The use of the ARCS model of motivation in teacher train-
(Strategy C.2) ing,” in Aspects of Educational Technology Volume XVII: Staff
3. Plan to create criteria for evaluating and grading home- Development and Career Updating, (edit.,Shaw, K.), Nichols, New York
work assignments which are fair, valid and reliable. This NY(1984)pp.140-145.
will help students clearly experience success based on (10) Visser, J. and Keller, J.M., “The clinical use of motivational message: An
their effort and abilities. (Strategy C.3) inquiry into the validity of the ARCS model of motivational design,”
Instruct. Science., 19, 467-599(1990).
4. Create opportunities for students development of case sce- (11) Hepler, C.D. and Strand, L.M., “Opportunities and responsibilities in
narios that allow them to use their acquired knowledge and pharmaceutical care,” Am. J. Hosp. Pharm., 47, 533-543(1990).
skills in demonstrating their competence. (Strategy C.3) (12) Manasse, H.R., “Medication use in an imperfect world: Drug misadven-
turing as an issue of public health policy, Part I,” ibid.., 46, 929-
Step 4: Develop, try out and revise the selected strategy as 944(1989).
(13) Manasse, H.R., “Medication use in an imperfect world: Drug misadven-
necessary. turing as an issue of public health policy, part II,” ibid.., 46, 1141-
1152(1989).
Because this is the first time the course has been offered, these (14) Johnson, J.A. and Bootman, J.L., “Drug-related morbidity and mortality,
motivational strategies will be used as a try-out test. a cost-of-illness model,” Arch. Intern. Med., 155, 1949-1956(1995).
(15) Burson, C.S., “ The value of pharmaceutical care services,” Pharmacist’s
Motivational measures developed based on the ARCS Model Letter, 15, 67 (detail number 151201)(1999).
will be used to evaluate the effectiveness of the strategies. If (16) Commission to Implement Change in Pharmaceutical Education,
there are any strategies that fail to produce the intended results, “Background paper I: What is the mission of pharmaceutical educa-
they will be revised and replaced for the future class. This step tion?,” Am. J. Pharm. Educ., 57, 374-376(1993).
should be implemented as soon as possible after the course (17) Commission to Implement Change in Pharmaceutical Education,
“Background paper II: Entry-level, curricular outcomes, curricular con-
ends when thoughts/ideas are still fresh in one’s mind. tent and educational process,” ibid.., 57, 377-384(1993).
(18) Keller, J.M. and Suzuki, K., “Use of the ARCS motivation model in
CONCLUSION courseware design,” in Instructional Designs for Microcomputer
This paper has attempted to provide an overview of the ARCS Courseware, (edit., Jonassen, D.H.) Lawrence Erlbaum Associates,
Hillsdale NJ (1988) pp. 401-434.
Model and a systematic approach of motivational design that (19) Keller, J.M. and Kopp, T.W., “An application of the ARCS model of
can be incorporated into one’s instruction. Pharmaceutical motivational design,” in Instructional Theories in Action: Lessons
educators should think about motivation in terms of four major Illustrating Selected Theories and Models., (edit., Reigeluth CM),
categories of influence on the motivation to learn, their subcat- Lawrence Erlbaum Associates, Hillsdale NJ (1987) pp. 289-320.
egories and motivational strategies. In the pharmaceutical care (20) Keller, J.M., Development and use of the ARCS model of motivational
design. (Reports Research/Technical 143). East Lansing, MI: National
era, teaching pharmacy students is a challenging and rewarding Center for Research on Teacher Learning. (ERIC Document
experience. Pharmaceutical educators can teach, and teach Reproduction Service No. ED 313 001)(1983).
well, and still students might not learn if their hearts are not in (21) Keller, J.M., “ARCS Model modifications - January 20, 1991,” in
what we want them to learn. The result is that they may not use Foundations of Instructional Design Theory (EDCI674) Course Manual,
Department of Curriculum and Instruction, Purdue University, West
and apply the knowledge and skills they have learned to pro- Lafayette IN (1998).
vide pharmaceutical care, nor contribute a positive influence to (22) Driscoll, M.P., Psychology of learning for instruction. Allyn & Bacon,
society, nor pursue the goal of life-long learning. As quoted Boston MA (1994).
earlier, the 1984 Distinguished Pharmacy Educator and the
1979-1980 American Association of College of Pharmacy

194 American Journal of Pharmaceutical Education Vol. 64, Summer 2000


APPENDIX. MOTIVATIONAL CATEGORIES, SUBCATEGORIES, ASSOCIATED PROCESS QUESTIONS, AND
MOTIVATIONAL STRATEGIES FOR STIMULATING MOTIVATION AS SUGGESTED BY THE ARCS MODEL
Categories/Subcategories Process questions Motivational strategies
Attention (A)
A. 1. Perceptual arousal • What can I do to capture students’ • create curiosity by using novel approaches, injecting personal and/or
(i.e., capturing student interest emotional material
interest) • using animation, inverse, flash, sound and other audio and/or visual
capabilities of the audiovisual instruments
• using unusual, humor, contradictory, or bizarre content to stimulate
attention
• avoiding dysfunctional attention getting effects such as a flashing
word that distracts the student’s concentration
A.2. Inquiry arousal • How can I stimulate an attitude of • stimulate information-seeking behavior by presenting an unsolved
(i.e.., stimulating student inquiry? case, posing or having the student generate questions or provide
inquiry) problem solving opportunities that nurture active thinking challenges
A.3. Variability • How can I maintain students’ • maintain student attention by varying the elements of instruction (e.g.,
(i.e.., maintaining student attention? presentation style, using concrete analogies, human interest examples or
attention) unexpected events)
Relevance (R)
R.1. Goal orientation • How can I best meet my student’s • provide clear statements or examples that present the objectives and utility of
(i.e.., meeting student needs/goals? (DoI know their the instruction, and either present goals for their accomplishment or have the
needs/goals) needs?) student define them
R.2. Motive matching • How and when can I provide my • use teaching strategies that match the motivational profile of the students
(i.e.., matching student students with appropriate choices,
interests and learning responsibilities, and influences? • make instruction responsive to student motives and values by
styles) (How and when can I link my providing personal achievement opportunities or self-study,
instruction to the learning styles and cooperative activities, leadership responsibilities, and exposure to
personal interests of the students?) positive role models
R.3. Familiarity • How can I tie the instruction to the • make the materials and concepts familiar by providing or using
(i.e.., creating links to student’s experiences concrete language, examples, concepts, and analogies that are related to
student experiences) the student’s educational level experience and values
• learn and use the students’ names; request for experiences and ideas from
the students
Confidence (C)
C.1. Learning requirements • How can I assist in building a • gain the student’s trust and positive expectations by explaining the
(i.e., developing a positive positive expectation for success? prerequisite knowledge, skills, or attitudes that will help him/her
expectation for success) succed at the task
• clearly present or state the instructional goals, objectives, and the
overall structure of the lesson/course
• explain the evaluation criteria and provide opportunities for practice
with feedback without penalty
• tell the student how many items are going to be in a test or drill, and
whether it will be timed, this helps the student anticipate performance
requirements
• include statements about the likelihood of success with given amounts
of effort and ability; teach students how to develop a plan of work that
will result in goal accomplishment
• help students set realistic goals
C.2. Success opportunities • How will the learning experience • provide many, varied, and challenging experiences which increase
(i.e.., supporting or support enhance the students’ beliefs in their learning success as the course moves forward
or enhancing student’s belie competience? • organize materials and practice exercises on an increasing level of
in his/her competence) difficulty - that is structure the materials to provide a conquerable
challenge, over the course life
• match learning requirements to prerequisite knowledge and skills to
prevent excessive challence and anxiety for the less capable
students, or boredom for the more capable ones
• provide a pretest at the beginning of the instructional sequence. There
may be a wide variation in students’ entry level of knowledge

American Journal of Pharmaceutical Education Vol. 64, Summer 2000 195


Categories/Subcategories Process questions Motivational strategies

• to help the student establish a personally meaningful level of


challenge and develop confidence and self-esteem, control difficulty
level by adding a time-limit, varying the speed of the stimulus and
response, or varying the complexity of the situation
• after students have achieved some degree of mastery of a skill or
knowledge areal, they are more likely to be stimulated by competition
and other sources of uncertainty. Insert random events as a means to
reinforce knowledge and skills and not ultimately override the
influences of skill performance during practice or application
• provide student feedback for acceptable responses as well as
constructive feedback for those responses that do not meet criteria
C.3. Personal responsibility • How will the students clearly know • allow students opportunity to become increasingly independent in
(i.e.., establishing student’s their success is based on their efforts learning and practicing a skill
effort and ability as his/her and abilities? • have students learn new skills under low risk conditions, and continue
basis for success practice performance of well-learned tasks under realistic conditions
• help students understand that the pursuit of excellence does not mean
that anything short of perfection is a failure. Allow them to feel good
about genuine accomplishment
• provide attributional feedback that connects student success to
personal effort and ability rather than through pure luck or ease of task
when appropriate
• encourage student opportunities to verbalize appropriate attributions
for success and failures
Satisfaction (S)
S.1. Natural consequences • How can I provide meaningful • provide problems, simulations, or work samples that allow students to
(i.e.., intrinsic opportunities for students to use realize they can solve “real world” problems
reinforcement) their newly acquired knowledge • provide students positive recognition by giving opportunities
skills? (How can I encourage to help others who have not yet mastered a task
and support their intrinsic enjoyment • acknowledge student actions or characteristics that are necessary for
of the learning experience?) success, continue these acknowledgements of any risks or challenges
that are lmet
• nurture student motivation by informing students about areas of
related interest or application of concepts and how students might
continue to pursue to their interest in the topic
S.2. Positive consequences • What will provide rewarding • use verbal praise, real or symbolic rewards, and incentives, or allow
(i.e.., extrinsic rewards) consequences to the student’s students to showcase the results of their effort (“show and tell”) to
successes? reward their success after instruction
• avoid diluting the motivational benefits of feedback (i.e.., providing
too much praise for a rather simple task) but use this frequently when
students are trying to master a new skill
• use extrinsic rewards for correct responses and do not chastise
students for wrong answers, help students understand mistakes as
learning opportunities
• use extrinsic rewards judiciously so that the rewards do not become
more interesting than the instruction itself
• use reinforcement intermittently as students become more
competent at a task and progress with the instruction
S.3. Equity • How can I build student perception • make performance requirements consistent with stated expectations
(i.e.., demonstrating fair of fair treatment objectives, and/or standards and provide consistent measurement
treatment among students) (How can I assist the students in standards for all student’s tasks, tests, and accomplishments
anchoring a positive feeling about
their accomplishment?)
Adapted from references 3,8,7,18,19,21

196 American Journal of Pharmaceutical Education Vol. 64, Summer 2000

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