The chapter prologue describes Sandy's decision to travel to the Himalayas as a medical volunteer. On their way to the medical clinic, Sandy's group encountered a number of weather-related setbacks, but they pressed on, slogging their way through the rugged terrain to reach their patients. This sort of determination reflects a characteristic of motivation called:

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Persistence refers to the ability to maintain effort and focus in the face of challenges or setbacks, and Sandy and her group demonstrated this by pushing forward despite the weather-related obstacles they encountered. Autonomy refers to having control and choice over one's actions, intensity refers to the level of effort or energy put into a task, and activation refers to the initiation or start of a behavior. While these may also be relevant to Sandy's decision to travel and work as a medical volunteer, persistence best reflects the determination and perseverance shown during the journey to the clinic.

The Chapter Prologue Describes Sandy's Decision to Travel to the Himalayas