Relationship of metacognitive regulation, self-efficacy, and motivation regulation with learning engagement among medical students in military academies

Zhang Lihua; Liu Qin; Xiao Ting; Zhang Yinling; Liu Na; Yang Haoshuang

doi:10.3760/cma.j.cn116021-20240702-01886

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Relationship of metacognitive regulation, self-efficacy, and motivation regulation with learning engagement among medical students in military academies

Investigation Research | 更新时间：2025-08-08

- Relationship of metacognitive regulation, self-efficacy, and motivation regulation with learning engagement among medical students in military academies
- Chinese Journal of Medical Education Research Vol. 24, Issue 7, Pages: 927-932(2025)
- 作者机构：
  
  1.空军军医大学护理系人文护理学教研室，西安 710032
  2.空军军医大学教务处，西安 710032
- 作者简介：
  
  Liu Qin, Email: liuqin46@163.com
- 基金信息：
  
  Teaching and Research Project of Air Force Medical University(2022JXKT32);Key Research and Development Program of Shaanxi Province(2022SF-249)
- DOI：10.3760/cma.j.cn116021-20240702-01886
  CLC： R821
- Received：02 July 2024，
  
  Published：20 July 2025
- 稿件说明：
移动端阅览
张立华, 柳琴, 肖婷, 等. 军校医学生元认知调节、自我效能、动机调节及学习投入的关系研究[J]. 中华医学教育探索杂志, 2025, 24(7): 927-932.

Zhang Lihua, Liu Qin, Xiao Ting, et al. Relationship of metacognitive regulation, self-efficacy, and motivation regulation with learning engagement among medical students in military academies[J]. Chinese journal of medical education research, 2025, 24(7): 927-932.
张立华, 柳琴, 肖婷, 等. 军校医学生元认知调节、自我效能、动机调节及学习投入的关系研究[J]. 中华医学教育探索杂志, 2025, 24(7): 927-932. DOI： 10.3760/cma.j.cn116021-20240702-01886.

Zhang Lihua, Liu Qin, Xiao Ting, et al. Relationship of metacognitive regulation, self-efficacy, and motivation regulation with learning engagement among medical students in military academies[J]. Chinese journal of medical education research, 2025, 24(7): 927-932. DOI： 10.3760/cma.j.cn116021-20240702-01886.

摘要

目的

探究军校医学生元认知调节、自我效能、动机调节及学习投入的相互关系。

方法

采用便利抽样法于2023年3月至4月选取空军军医大学的439名在校学员为调查对象，采用元认知调节量表、自我效能感量表、学习投入量表和动机调节问卷进行调查，采用SPSS 25.0进行Pearson相关分析，应用Process程序进行中介效应分析检验。

结果

收回有效问卷436份，元认知调节、自我效能、动机调节、学习投入4项指标呈显著正相关（

0.477，

0.01）；自我效能、动机调节在元认知调节和学习投入间的中介效应，以及自我效能-动机调节在元认知调节和学习投入间的链式中介效应均为显著，效应值分别为0.449、0.244和0.130，占总效应的比例分别为44.37%、24.11%和12.85%，总间接效应比例为81.32%。

结论

军校医学生的元认知调节可以直接影响学习投入，也可以分别通过自我效能、动机调节的独立中介效应以及自我效能-动机调节的链式中介效应间接影响学习投入。

Abstract

Objective

To explore the relationship of metacognitive regulation

self-efficacy

and motivation regulation with learning engagement among medical students in military academies.

Methods

A total of 439 students from the Air Force Medical University were selected by convenience sampling in March to April 2023. The Metacognitive Self-Regulation Scale

Self-Efficacy Scale

Learning Engagement Scale

and Motivation Regulation Questionnaire were adopted for investigation. SPSS 25.0 was used for Pearson correlation analysis

and the Process procedure for analysis and testing of mediating effects.

Results

A total of 436 usable questionnaires were collected. Metacognitive regulation

self-efficacy

motivation regulation

and learning engagement were significantly positively correlated (

0.477

0.01). The mediating effect of self-efficacy and motivation regulation and the chain mediating effect of self-efficacy-motivation regulation were significant between metacognitive regulation and learning engagement

and the effect sizes were 0.449

0.244

and 0.130

accounting for 44.37%

24.11%

and 12.85% of the total effect

respectively. The proportion of the total indirect effect was 81.32%.

Conclusions

The metacognitive regulation of medical students in military academies directly affects learning engagement

which is also indirectly affected through the independent mediating effect of self-efficacy and motivation regulation or the chain mediating effect of self-efficacy-motivation regulation.

关键词

Keywords

references

Raeisi E , Solati K , Aazami MH , et al . The impact to demographic and academic factors on metacognition and academic self-efficacy: a study on Iranian students in health sciences [J ] . J Educ Health Promot , 2020 , 9 : 70 . DOI: 10.4103/jehp.jehp_519_19 http://dx.doi.org/10.4103/jehp.jehp_519_19 .

Wang CY , Chen S , Huang MY . Exploring medical students' metacognitive and regulatory dimensions of diagnostic problem solving [J ] . Med Educ Online , 2023 , 28 ( 1 ): 2210804 . DOI: 10.1080/10872981.2023.2210804 http://dx.doi.org/10.1080/10872981.2023.2210804 .

Katsantonis I , McLellan R . Person-centred study on higher-order interactions between students' motivational beliefs and metacognitive self-regulation: links with school language achievement [J ] . PLoS One , 2023 , 18 ( 10 ): e0289367 . DOI: 10.1371/journal.pone.0289367 http://dx.doi.org/10.1371/journal.pone.0289367 .

Luo T , Liu C . The impact of feedback on metacognition: enhancing in easy tasks, impeding in difficult ones [J ] . Conscious Cogn , 2023 , 116 : 103601 . DOI: 10.1016/j.concog.2023.103601 http://dx.doi.org/10.1016/j.concog.2023.103601 .

Zhao H , Liu X , Qi C . "want to learn" and "can learn": influence of academic passion on college students' academic engagement [J ] . Front Psychol , 2021 , 12 : 697822 . DOI: 10.3389/fpsyg.2021.697822 http://dx.doi.org/10.3389/fpsyg.2021.697822 .

Siqueira MAM , Gonçalves JP , Mendonça VS , et al . Relationship between metacognitive awareness and motivation to learn in medical students [J ] . BMC Med Educ , 2020 , 20 ( 1 ): 393 . DOI: 10.1186/s12909-020-02318-8 http://dx.doi.org/10.1186/s12909-020-02318-8 .

Joie-La Marle C , Parmentier F , Weiss PL , et al . Effects of a new soft skills metacognition training program on self-efficacy and adaptive performance [J ] . Behav Sci (Basel) , 2023 , 13 ( 3 ): 202 . DOI: 10.3390/bs13030202 http://dx.doi.org/10.3390/bs13030202 .

Norouzi A , Alizadeh M , Parmelee D , et al . Metamotivation in medical students: explaining motivation regulation strategies in medical students [J ] . J Educ Health Promot , 2022 , 11 : 157 . DOI: 10.4103/jehp.jehp_1005_21 http://dx.doi.org/10.4103/jehp.jehp_1005_21 .

Norouzi A , Parmelee D , Shariati M , et al . The role of motivational components in metamotivational monitoring in medical students: a mixed method study [J ] . BMC Med Educ , 2023 , 23 ( 1 ): 108 . DOI: 10.1186/s12909-023-04081-y http://dx.doi.org/10.1186/s12909-023-04081-y .

Pintrich PR , Smith DAF , Garcia T , et al . Reliability and predictive validity of the motivated strategies for learning questionnaire (MSLQ) [J ] . Educ Psychol Meas , 1993 , 53 ( 3 ): 801 - 813 . DOI: 10.1177/0013164493053003024 http://dx.doi.org/10.1177/0013164493053003024 .

方来坛，时勘，张风华 . 中文版学习投入量表的信效度研究 [J ] . 中国临床心理学杂志， 2008 ， 16 （ 6 ）： 618 - 620 .

Wolters CA . The relation between high school students' motivational regulation and their use of learning strategies, effort, and classroom performance [J ] . Learn Individ Differ , 1999 , 11 ( 3 ): 281 - 299 . DOI: 10.1016/s1041-6080(99)80004-1 http://dx.doi.org/10.1016/s1041-6080(99)80004-1 .

Wang MT , Binning KR , del Toro J , et al . Skill, thrill, and will: the role of metacognition, interest, and self-control in predicting student engagement in mathematics learning over time [J ] . Child Dev , 2021 , 92 ( 4 ): 1369 - 1387 . DOI: 10.1111/cdev.13531 http://dx.doi.org/10.1111/cdev.13531 .

Hayat AA , Shateri K , Amini M , et al . Relationships between academic self-efficacy, learning-related emotions, and metacognitive learning strategies with academic performance in medical students: a structural equation model [J ] . BMC Med Educ , 2020 , 20 ( 1 ): 76 . DOI: 10.1186/s12909-020-01995-9 http://dx.doi.org/10.1186/s12909-020-01995-9 .

Abdelrahman RM . Metacognitive awareness and academic motivation and their impact on academic achievement of Ajman University students [J ] . Heliyon , 2020 , 6 ( 9 ): e04192 . DOI: 10.1016/j.heliyon.2020.e04192 http://dx.doi.org/10.1016/j.heliyon.2020.e04192 .

Kusurkar RA , Orsini C , Somra S , et al . The effect of assessments on student motivation for learning and its outcomes in health professions education: a review and realist synthesis [J ] . Acad Med , 2023 , 98 ( 9 ): 1083 - 1092 . DOI: 10.1097/ACM.0000000000005263 http://dx.doi.org/10.1097/ACM.0000000000005263 .

Rivas SF , Saiz C , Ossa C . Metacognitive strategies and development of critical thinking in higher education [J ] . Front Psychol , 2022 , 13 : 913219 . DOI: 10.3389/fpsyg.2022.913219 http://dx.doi.org/10.3389/fpsyg.2022.913219 .

Sarkis AS , Hallit S , Hajj A , et al . Lebanese students' motivation in medical school: does it change throughout the years? A cross-sectional study [J ] . BMC Med Educ , 2020 , 20 ( 1 ): 94 . DOI: 10.1186/s12909-020-02011-w http://dx.doi.org/10.1186/s12909-020-02011-w .

段朝辉，洪建中 . 网络视频课程中师生交互与大学生网络学习绩效的关系：学习自我效能感与学习动机的序列中介作用 [J ] . 心理发展与教育， 2019 ， 35 （ 2 ）： 184 - 191 . DOI: 10.16187/j.cnki.issn1001-4918.2019.02.07 http://dx.doi.org/10.16187/j.cnki.issn1001-4918.2019.02.07 .

Chen H , Teng T , Chen H , et al . Motivation, self-efficacy, perception, curiosity, and barriers toward medical research among undergraduates in China [J ] . Biochem Mol Biol Educ , 2023 , 51 ( 1 ): 18 - 28 . DOI: 10.1002/bmb.21684 http://dx.doi.org/10.1002/bmb.21684 .

Zhang H , Xiong H , Chung LYF , et al . What affects self-regulated learning ability in undergraduate nursing students: a structural equation modelling approach [J ] . Nurs Open , 2023 , 10 ( 8 ): 5728- 5740. DOI: 10.1002/nop2.1824 http://dx.doi.org/10.1002/nop2.1824 .

Gamby S , Bauer CF . Beyond "study skills": a curriculum-embedded framework for metacognitive development in a college chemistry course [J ] . Int J STEM Educ , 2022 , 9 ( 1 ): 61 . DOI: 10.1186/s40594-022-00376-6 http://dx.doi.org/10.1186/s40594-022-00376-6 .

Asadzandi S , Mojtahedzadeh R , Mohammadi A . What are the factors that enhance metacognitive skills in nursing students? A systematic review [J ] . Iran J Nurs Midwifery Res , 2022 , 27 ( 6 ): 475 - 484 . DOI: 10.4103/ijnmr.ijnmr_247_21 http://dx.doi.org/10.4103/ijnmr.ijnmr_247_21 .

汤自洁，王睿 . 基于元认知理论双过程模型优化皮肤科教学 [J ] . 基础医学教育， 2023 ， 25 （ 11 ）： 949 - 951 . DOI: 10.13754/j.issn.2095-1450.2023.11.05 http://dx.doi.org/10.13754/j.issn.2095-1450.2023.11.05 .

郑雅倩 . 学习动机对大学生创新行为的影响机制：课外活动参与的中介作用 [J ] . 复旦教育论坛， 2023 ， 21 （ 5 ）： 63 - 71 . DOI: 10.13397/j.cnki.fef.2023.05.008 http://dx.doi.org/10.13397/j.cnki.fef.2023.05.008 .

刘晓娣，李香宇，张静 . 基于学习动力的模拟电子技术课程教学改革与实践 [J ] . 高教学刊， 2024 ， 10 （ 3 ）： 129 - 132 . DOI: 10.19980/j.CN23-1593/G4.2024.03.030 http://dx.doi.org/10.19980/j.CN23-1593/G4.2024.03.030 .

Versteeg M , Bressers G , Wijnen-meijer M , et al . What were you thinking? Medical students' metacognition and perceptions of self-regulated learning [J ] . Teach Learn Med , 2021 , 33 ( 5 ): 473 - 482 . DOI: 10.1080/10401334.2021.1889559 http://dx.doi.org/10.1080/10401334.2021.1889559 .

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